To the Editor It was with great interest that we read the article by Holtestaul et al1 on publication productivity among graduating general surgery chief residents. The study investigated factors associated with research productivity among general surgery residents graduating in 2020 and found no difference in the number of publications on the basis of gender. While the topic is clearly important, we wanted to highlight some considerations regarding the study methodology that may have resulted in systematic underreporting of publications by female trainees.