Gender, Geographic, and Socioeconomic Representation in Medical Student Journals: A Cross-Sectional Analysis.

Introduction Women make up the majority of medical school students in most high-income countries. Despite this, women remain underrepresented in senior academic leadership positions including editorial boards of mainstream biomedical journals. Many studies show the underrepresentation of women in mainstream medical journals; however, gender representation in medical student journals (MSJs) is not well documented. Assessing diversity and inclusion in MSJs is vital to understanding the point at which biases in academic medicine are established. Understanding when biases in medical authorship manifest may allow for a more targeted approach to alleviating these biases. This study explores diversity in MSJs by examining gender representation on editorial boards, geographic region, and socioeconomic status of the country of origin. Methodology In November 2019, Google©, Yahoo!, and Bing search engines as well as PubMed and Google Scholar databases were searched for English-language MSJs using standardized criteria. The websites of identified journals were screened and relevant journal and editorial board-related data were collected. The gender of board members was determined using a sequential approach. Results A total of 21 MSJs were included with over half (n = 12, 57.1%) established during the last decade (median years of operation = 9, range = 3-97 years). Most MSJs (n = 17, 81%) are based in North America and Europe. All but one (published in an upper-middle-income country) of the 19 journals originating from a specific country are published in high-income countries. Of the total 348 board members identified (33 editors-in-chief and 315 other editors), 169 were women (48.6%) and 179 were men (51.4%). Women occupied 48.5% of editor-in-chief positions and 48.6% of other editorial board roles. Conclusions The gender gap in medical journal leadership appears early during medical education and continues to widen after joining the workforce. Geographic and socioeconomic disparities present in mainstream medical journals also extend to MSJs. Future research should seek to determine whether gender bias is also seen in medical student authorship across MSJs. Approaches to minimizing gender gaps in medical journal leadership should target current medical students as the biases begin to manifest during this period of their education.