Putting Women on the Escalator: How to Address the Ongoing Leadership Disparity in Radiation Oncology

"Do you ever look at the front of the room and worry that you're on the stairs to nowhere?" remarked one radiation oncologist to a colleague at a large committee meeting. She went on: "That's the escalator—the positions that lead directly to the Board—aren't you appalled that there isn't a single woman on there? How can that still be?" The paucity of women in leadership positions in the field of radiation oncology has long been the subject of concern. Although women comprise about 25% to 30% of radiation oncology trainees and attendings—a proportion that has remained relatively constant over the last 3 decades (1, 2)—only 1 nominee for the prominent American Society for Radiation Oncology (ASTRO) board of directors was female this year, and no new female members were elected (3).

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