Key clinical point: The fix for gender inequality in hospital leadership positions might require more than changes in administrative policy.

Major finding: A minority of division chiefs, chief medical officers, chief financial officers, and other leaders are female at the top children’s hospitals identified by the U.S. News and World Report.

Data source: An update of published and unpublished data.

Disclosures: Dr. Chiang reported no potential conflicts of interest relevant to this study.