To the Editor Knoll et al1 explored the associations of gender and parenthood with conference attendance among early-career oncologists and found that female oncologists attend fewer conferences because of childcare responsibilities, namely, having children who required adult supervision. Career satisfaction was also notably lower in women compared with men.1 In addition to childcare responsibilities, other factors may be associated with this disparity. First, there is a growing trend for increasing the number of female physicians; however, women are underrepresented in leadership roles.2