Intersectional Analysis of U.S. Medical Faculty Diversity over Four Decades.

The 2020 U.S. Census data show a rapidly diversifying U.S. population. We sought to evaluate whether clinical faculty and leadership representation at academic medical schools reflects the diversifying population over time. Using data from the Association of American Medical Colleges for the period of 1977 through 2019, we found notable progress in female representation among clinical faculty, with smaller gains among department chairs and medical school deans. Racial and ethnic groups that are underrepresented in medicine are designated as such because their presence within the medical profession is disproportionate to the U.S. Census data. Even with accounting for this underrepresentation, clinical faculty and leadership positions show even starker disparities. Thoughtful policy implementation could help address this persistent underrepresentation among medical school faculty and leadership positions.

[1]  Albee Y. Ling,et al.  Proportions of Faculty Self-identifying as Black or African American at US Medical Schools, 1990-2020. , 2021, Journal of the American Medical Association (JAMA).

[2]  F. Chino,et al.  Racial, Ethnic, and Gender Representation in Leadership Positions at National Cancer Institute–Designated Cancer Centers , 2021, JAMA network open.

[3]  K. McGuire,et al.  Diversification of Academic Surgery, Its Leadership, and the Importance of Intersectionality. , 2021, JAMA surgery.

[4]  R. Jagsi,et al.  Evaluation of Equitable Racial and Ethnic Representation Among Departmental Chairs in Academic Medicine, 1980-2019 , 2021, JAMA network open.

[5]  T. Flotte,et al.  Common pathways to Dean of Medicine at U.S. medical schools , 2021, PloS one.

[6]  C. Deville,et al.  Why Racial Justice Matters in Radiation Oncology , 2020, Advances in Radiation Oncology.

[7]  R. Sebro,et al.  Declining racial and ethnic representation in clinical academic medicine: A longitudinal study of 16 US medical specialties , 2018, PloS one.

[8]  G. Gee,et al.  Racism as a Determinant of Health: A Systematic Review and Meta-Analysis , 2015, PloS one.

[9]  Peter T. Yu,et al.  Minorities struggle to advance in academic medicine: A 12-y review of diversity at the highest levels of America's teaching institutions. , 2013, The Journal of surgical research.

[10]  LuAnn Wilkerson,et al.  Student body racial and ethnic composition and diversity-related outcomes in US medical schools. , 2008, JAMA.

[11]  Debra L Roter,et al.  Patient-Centered Communication, Ratings of Care, and Concordance of Patient and Physician Race , 2003, Annals of Internal Medicine.

[12]  Jordan J. Cohen,et al.  The case for diversity in the health care workforce. , 2002, Health affairs.

[13]  H. Nickens,et al.  A strategy to tame the "savage inequalities". , 1999, Academic medicine : journal of the Association of American Medical Colleges.