Gender Parity in Critical Care Medicine.

Clinical practice guidelines are systematically developed statements to assist practitioner and patient decisions about appropriate health care for specific clinical circumstances. These documents inform and shape patient care around the world. In this Perspective we discuss the importance of diversity on guideline panels, the disproportionately low representation of women on critical care guideline panels, and existing initiatives to increase the representation of women in corporations, universities, and government. We propose five strategies to ensure gender parity within critical care medicine.

[1]  G. Moineau Association of Faculties of Medicine of Canada response to: The unmatched by Dr. Amit Persad , 2018, Canadian medical education journal.

[2]  Sonia M. Thomas,et al.  Strategies to Prevent or Reduce Gender Bias in Peer Review of Research Grants: A Rapid Scoping Review , 2017, PloS one.

[3]  Mary A. Wickline,et al.  Guidelines for Family-Centered Care in the Neonatal, Pediatric, and Adult ICU , 2017, Critical care medicine.

[4]  S. Mehta,et al.  Liberation From Mechanical Ventilation in Critically Ill Adults: An Official American College of Chest Physicians/American Thoracic Society Clinical Practice Guideline: Inspiratory Pressure Augmentation During Spontaneous Breathing Trials, Protocols Minimizing Sedation, and Noninvasive Ventilation I , 2017, Chest.

[5]  F. Rincon,et al.  Defining Futile and Potentially Inappropriate Interventions: A Policy Statement From the Society of Critical Care Medicine Ethics Committee , 2016, Critical care medicine.

[6]  P. Rochon,et al.  Women in Academic Medicine Leadership: Has Anything Changed in 25 Years? , 2016, Academic medicine : journal of the Association of American Medical Colleges.

[7]  Brian A. Nosek,et al.  Reducing Implicit Gender Leadership Bias in Academic Medicine With an Educational Intervention , 2016, Academic medicine : journal of the Association of American Medical Colleges.

[8]  Mark Nunnally,et al.  ICU Admission, Discharge, and Triage Guidelines: A Framework to Enhance Clinical Operations, Development of Institutional Policies, and Further Research , 2016, Critical care medicine.

[9]  M. Singer,et al.  Composition of the Sepsis Definitions Task Force--Reply. , 2016, JAMA.

[10]  G. Shrestha Composition of the Sepsis Definitions Task Force. , 2016, JAMA.

[11]  J. Roman,et al.  Composition of the Sepsis Definitions Task Force. , 2016, JAMA.

[12]  R. Bellomo,et al.  The Third International Consensus Definitions for Sepsis and Septic Shock (Sepsis-3). , 2016, JAMA.

[13]  S. McClave,et al.  Guidelines for the Provision and Assessment of Nutrition Support Therapy in the Adult Critically Ill Patient: Society of Critical Care Medicine (SCCM) and American Society for Parenteral and Enteral Nutrition (A.S.P.E.N.). , 2009, JPEN. Journal of parenteral and enteral nutrition.

[14]  S. McClave,et al.  Guidelines for the Provision and Assessment of Nutrition Support Therapy in the Adult Critically Ill Patient: Society of Critical Care Medicine (SCCM) and American Society for Parenteral and Enteral Nutrition (A.S.P.E.N.) , 2009, Critical care medicine.

[15]  D. Jichici,et al.  Canadian Guidelines for the use of targeted temperature management (therapeutic hypothermia) after cardiac arrest: A joint statement from The Canadian Critical Care Society (CCCS), Canadian Neurocritical Care Society (CNCCS), and the Canadian Critical Care Trials Group (CCCTG). , 2016, Resuscitation.

[16]  Kamran Ahmed,et al.  Board Diversity and Financial Performance in the Top 500 Australian Firms , 2015 .

[17]  G. Sen,et al.  Women and Health: the key for sustainable development , 2015, The Lancet.

[18]  C. Misak,et al.  An Official ATS/AACN/ACCP/ESICM/SCCM Policy Statement: Responding to Requests for Potentially Inappropriate Treatments in Intensive Care Units. , 2015, American Journal of Respiratory and Critical Care Medicine.

[19]  Aaron A. Dhir Challenging Boardroom Homogeneity: Corporate Law, Governance, and Diversity , 2015 .

[20]  Patrick S. Forscher,et al.  The Effect of an Intervention to Break the Gender Bias Habit for Faculty at One Institution: A Cluster Randomized, Controlled Trial , 2015, Academic medicine : journal of the Association of American Medical Colleges.

[21]  P. Marik Management of Pain, Agitation and Delirium , 2015 .

[22]  Counterpoint: Are the CHEST guidelines global in coverage? No. , 2015, Chest.

[23]  Fern M. Cheek,et al.  American Thoracic Society Documents an Official American Thoracic Society Clinical Practice Guideline: the Diagnosis of Intensive Care Unit–acquired Weakness in Adults on Behalf of the Ats Committee on Icu-acquired Weakness in Adults Overview Introduction Methods Guideline Panel Formulation of Quest , 2022 .

[24]  Richard Beale,et al.  Consensus on circulatory shock and hemodynamic monitoring. Task force of the European Society of Intensive Care Medicine , 2014, Intensive Care Medicine.

[25]  D. Annane,et al.  Clinical practice guideline on diagnosis and treatment of hyponatraemia , 2014, Intensive Care Medicine.

[26]  Lesley G. Campbell,et al.  Gender-Heterogeneous Working Groups Produce Higher Quality Science , 2013, PloS one.

[27]  Elizabeth L. Travis,et al.  Sponsorship: a path to the academic medicine C-suite for women faculty? , 2013, Academic medicine : journal of the Association of American Medical Colleges.

[28]  R. Jaeschke,et al.  Clinical Practice Guidelines for the Management of Pain, Agitation, and Delirium in Adult Patients in the Intensive Care Unit , 2013, Critical care medicine.

[29]  C. Sprung,et al.  Surviving Sepsis Campaign: International Guidelines for Management of Severe Sepsis and Septic Shock, 2012 , 2013, Intensive Care Medicine.

[30]  G. Guyatt,et al.  Guideline group composition and group processes: article 3 in Integrating and coordinating efforts in COPD guideline development. An official ATS/ERS workshop report. , 2012, Proceedings of the American Thoracic Society.

[31]  A. Buist,et al.  A guide to guidelines for professional societies and other developers of recommendations: introduction to integrating and coordinating efforts in COPD guideline development. An official ATS/ERS workshop report. , 2012, Proceedings of the American Thoracic Society.

[32]  B. Yawn,et al.  Identifying target audiences: who are the guidelines for? : article 1 in Integrating and coordinating efforts in COPD guideline development. An official ATS/ERS workshop report. , 2012, Proceedings of the American Thoracic Society.

[33]  S. Nasraway,et al.  Guidelines for the use of an insulin infusion for the management of hyperglycemia in critically ill patients , 2012, Critical care medicine.

[34]  Arthur S Slutsky,et al.  Acute Respiratory Distress Syndrome The Berlin Definition , 2012 .

[35]  D. Kirk Hamilton,et al.  Guidelines for intensive care unit design* , 2012, Critical care medicine.

[36]  S. Michie,et al.  The role of group decision making processes in the creation of clinical guidelines , 2011, International review of psychiatry.

[37]  Cheng Cheng Tan,et al.  Management of severe sepsis in patients admitted to Asian intensive care units: prospective cohort study , 2011, BMJ : British Medical Journal.

[38]  D. Cook,et al.  Clinical practice guidelines for the use of noninvasive positive-pressure ventilation and noninvasive continuous positive airway pressure in the acute care setting , 2011, Canadian Medical Association Journal.

[39]  D. Meyer,et al.  Supporting Online Material Materials and Methods Som Text Figs. S1 to S6 References Evidence for a Collective Intelligence Factor in the Performance of Human Groups , 2022 .

[40]  G. Rubenfeld,et al.  Critical care and the global burden of critical illness in adults , 2010, The Lancet.

[41]  K. Polderman,et al.  An Official ATS/ERS/ESICM/SCCM/SRLF Statement: Prevention and Management of Acute Renal Failure in the ICU Patient: an international consensus conference in intensive care medicine. , 2010, American journal of respiratory and critical care medicine.

[42]  Brian A. Nosek,et al.  National differences in gender–science stereotypes predict national sex differences in science and math achievement , 2009, Proceedings of the National Academy of Sciences.

[43]  Toyah L. Miller,et al.  Demographic Diversity in the Boardroom: Mediators of the Board Diversity - Firm Performance Relationship , 2009 .

[44]  M. Levy,et al.  Promoting Global Research Excellence in Severe Sepsis (PROGRESS): Lessons from an International Sepsis Registry , 2009, Infection.

[45]  Sean Keenan,et al.  Comprehensive evidence-based clinical practice guidelines for ventilator-associated pneumonia: diagnosis and treatment. , 2008, Journal of critical care.

[46]  D. Cook,et al.  Comprehensive evidence-based clinical practice guidelines for ventilator-associated pneumonia: prevention. , 2008, Journal of critical care.

[47]  Curtis E. Haas,et al.  Recommendations for end-of-life care in the intensive care unit: A consensus statement by the American College of Critical Care Medicine , 2008, Critical care medicine.

[48]  Brian A. Nosek,et al.  Pervasiveness and correlates of implicit attitudes and stereotypes , 2007 .

[49]  Juliana Barr,et al.  Clinical practice guidelines for support of the family in the patient-centered intensive care unit: American College of Critical Care Medicine Task Force 2004–2005 , 2007, Critical care medicine.

[50]  A. Oxman,et al.  Improving the use of research evidence in guideline development: 3. Group composition and consultation process , 2006, Health research policy and systems.

[51]  Ilo T Echnical Cooperation GENDER MAINSTREAMING IN , 2006 .

[52]  D. Cook,et al.  Evidence-Based Clinical Practice Guideline for the Prevention of Ventilator-Associated Pneumonia , 2004, Annals of Internal Medicine.

[53]  Mitchell M. Levy,et al.  2001 SCCM/ESICM/ACCP/ATS/SIS International Sepsis Definitions Conference , 2003, Intensive Care Medicine.

[54]  M. Meade,et al.  Clinical Practice Guidelines for Sustained Neuromuscular Blockade in the Adult Critically Ill Patient , 2016, Critical care medicine.

[55]  G. Fenwick,et al.  Effect of Gender Composition on Group Performance , 2001 .

[56]  De Angelis,et al.  Women in academic medicine: new insights, same sad news. , 2000 .

[57]  C. D. De Angelis Women in academic medicine: new insights, same sad news. , 2000, The New England journal of medicine.