• Mira Mamtani, Frances Shofer, Anita Mudan, Utsha Khatri, Rachael Walker, Jeanmarie Perrone, and Jaya Aysola.
• Emergency Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA mira.mamtani@pennmedicine.upenn.edu.
• BMJ Open. 2020 Feb 25; 10 (2): e034056.

BackgroundScholarship plays a direct role in career advancement, promotion and authoritative recognition, and women physicians remain under-represented as authors of original research articles.ObjectiveWe sought to determine if women physician authors are similarly under-represented in commentary articles within high-impact journals.Design/Setting/ParticipantsIn this observational study, we abstracted and analysed author information (gender and degree) and authorship position from commentary articles published in three high-impact journals between 1 January 2014 and 16 October 2018.Primary Outcome MeasureAuthorship rate of commentary articles over a 5-year period by gender, degree, authorship position and journal.Secondary Outcome MeasuresTo compare the proportion of men and women physician authorship of commentaries relative to the proportion of men and women physician faculty within academic medicine; and to examine the gender concordance among the last and first authors in articles with more than one author.ResultsOf the 2087 articles during the study period, 48% were men physician first authors compared with 17% women physician first authors (p<0.0001). Of the 1477 articles with more than one author, similar distributions were found with regard to last authors: 55% were men physicians compared with only 12% women physicians (p<0.0001). The proportion of women physician first authors increased over time; however, the proportion of women physician last authors remained stagnant. Women coauthored with women in the first and last authorship positions in 9% of articles. In contrast, women coauthored with men in the first and last author positions, respectively, in 55% of articles.ConclusionsWomen physician authors remain under-represented in commentary articles compared with men physician authors in the first and last author positions. Women also coauthored commentaries with other women in far fewer numbers.© Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.

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