To the Editor.
—Brancati et al1 in their article entitled "Early Predictors of Career Achievement in Academic Medicine" report that scholastic performance and research experience in medical school predict career achievement in academic medicine in a 1948 to 1964 cohort of male graduates of The Johns Hopkins School of Medicine. Of the cohort of 1337 students, 121 were women. The decision not to study women is not explained.In a one-sentence disclaimer, the authors acknowledge that the results may not reflect contemporary trainees because of the male selection bias and the single medical school. But they dismiss these threats to generalizability as minor, reflecting their insensitivity to well-known gender differences in both opportunity and achievement in academic medicine. The article would be more satisfactory had it been correctly titled "Early Predictors of Career Achievement Among Males in Academic Medicine."Indeed, an unexamined and unmentioned hypothesis remains that the most
McCally M, Cassel C. Predictors of Achievement in Academic Medicine. JAMA. 1992;268(8):982-983. doi:10.1001/jama.1992.03490080050016