Limitations in Faculty Advancement for Underrepresented Groups in Academic Otolaryngology.


Journal

The Laryngoscope
ISSN: 1531-4995
Titre abrégé: Laryngoscope
Pays: United States
ID NLM: 8607378

Informations de publication

Date de publication:
Apr 2024
Historique:
revised: 21 09 2023
received: 01 05 2023
accepted: 29 09 2023
medline: 18 3 2024
pubmed: 17 10 2023
entrez: 17 10 2023
Statut: ppublish

Résumé

Despite the increasing racial diversity of the United States, representation in academic medicine faculty does not reach concordance with the general population and worsens with higher rank. Few studies have examined this within academic Otolaryngology and surgical subspecialties. This project aims to compare rank equity in academic Otolaryngology on self-reported gender and race/ethnicity between the years 2000 and 2020. Publicly available data were obtained from the Association of American Medical Colleges under the "Data & Reports" section for the years 2000 and 2020. The report comprised of full-time faculty from all U.S. medical schools. To determine parity between faculty ranks across gender and race/ethnicity, rank equity index (REI) was calculated for associate/assistant, professor/associate, and professor/assistant professor comparisons. The percentage of women faculty in Otolaryngology has increased from 21% in 2000 to 37% in 2020; however, they did not achieve parity at all rank comparisons for both years. On the contrary, men were above parity at all rank comparisons. Improvements in rank equity occurred for Black/African American (Black) and Hispanic Latino/Spanish Origin (Latine) faculty between the years 2000 and 2020; however, when accounting for gender, benefits were concentrated among men. Advancement along the academic ladder is limited for women of all racial groups in academic Otolaryngology. While improved rank equity was seen for Black and Latine faculty, these improvements were largely among men. Future directions should aim to identify barriers to recruitment, retention, and promotion for women and underrepresented in medicine (URiM) academic otolaryngologists and create interventions that diversify Otolaryngology faculty at all ranks. NA Laryngoscope, 134:1625-1632, 2024.

Identifiants

pubmed: 37847098
doi: 10.1002/lary.31110
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

1625-1632

Subventions

Organisme : NIDCD NIH HHS
ID : T32 DC005360
Pays : United States
Organisme : NIDCD NIH HHS
ID : T32 DC005360
Pays : United States

Informations de copyright

© 2023 The American Laryngological, Rhinological and Otological Society, Inc.

Références

Bureau UC. National Population Projections Tables: Main series. CensusGov. 2017; https://www.census.gov/data/tables/2017/demo/popproj/2017-summary-tables.html.
Marrast LM, Zallman L, Woolhandler S, Bor DH, McCormick D. Minority Physicians' role in the Care of Underserved Patients: diversifying the physician workforce may Be key in addressing health disparities. JAMA Intern Med. 2014;174(2):289-291. https://doi.org/10.1001/jamainternmed.2013.12756.
Jetty A, Jabbarpour Y, Pollack J, Huerto R, Woo S, Petterson S. Patient-physician racial concordance associated with improved healthcare use and lower healthcare expenditures in minority populations. J Racial Ethn Health Disparities. 2022;9(1):68-81. https://doi.org/10.1007/s40615-020-00930-4.
Alsan M, Garrick O, Graziani G. Does diversity matter for health? Experimental evidence from Oakland. Am Econ Rev. 2019;109(12):4071-4111. https://doi.org/10.1257/aer.20181446.
Snyder JE, Upton RD, Hassett TC, Lee H, Nouri Z, Dill M. Black representation in the primary care physician workforce and its association with population life expectancy and mortality rates in the US. JAMA Netw Open. 2023;6(4):e236687. https://doi.org/10.1001/jamanetworkopen.2023.6687.
Street RL, O'Malley KJ, Cooper LA, Haidet P. Understanding concordance in patient-physician relationships: personal and ethnic dimensions of shared identity. Ann Fam Med. 2008;6(3):198-205. https://doi.org/10.1370/afm.821.
Greenwood BN, Carnahan S, Huang L. Patient-physician gender concordance and increased mortality among female heart attack patients. Proc Natl Acad Sci USA. 2018;115(34):8569-8574. https://doi.org/10.1073/pnas.1800097115.
Daley S, Wingard DL, Reznik V. Improving the retention of underrepresented minority faculty in academic medicine. J Natl Med Assoc. 2006;98(9):1435-1440.
Wingard D, Trejo J, Gudea M, Goodman S, Reznik V. Faculty equity, diversity, culture and climate change in academic medicine: a longitudinal study. J Natl Med Assoc. 2019;111(1):46-53. https://doi.org/10.1016/j.jnma.2018.05.004.
Levine RB, Lin F, Kern DE, Wright SM, Carrese J. Stories from early-career women physicians who have left academic medicine: a qualitative study at a single institution. Acad Med. 2011;86(6):752-758. https://doi.org/10.1097/ACM.0b013e318217e83b.
Underrepresented in Medicine Definition. 2023. https://www.aamc.org/what-we-do/equity-diversity-inclusion/underrepresented-in-medicine.
AAMC. The majority of U.S. medical students are women, new data show. 2019. https://www.aamc.org/news-insights/press-releases/majority-us-medical-students-are-women-new-data-show.
Merchant JL, Omary MB. Underrepresentation of underrepresented minorities in academic medicine: the need to enhance the pipeline and the pipe. Gastroenterology. 2010;138(1):19-26.e1-3. https://doi.org/10.1053/j.gastro.2009.11.017.
Yu PT, Parsa PV, Hassanein O, Rogers SO, Chang DC. Minorities struggle to advance in academic medicine: a 12-y review of diversity at the highest levels of America's teaching institutions. J Surg Res. 2013;182(2):212-218. https://doi.org/10.1016/j.jss.2012.06.049.
Fang D, Moy E, Colburn L, Hurley J. Racial and ethnic disparities in faculty promotion in academic medicine. JAMA. 2000;284(9):1085-1092. https://doi.org/10.1001/jama.284.9.1085.
Nunez-Smith M, Ciarleglio MM, Sandoval-Schaefer T, et al. Institutional variation in the promotion of racial/ethnic minority faculty at US medical schools. Am J Public Health. 2012;102(5):852-858. https://doi.org/10.2105/AJPH.2011.300552.
Richter KP, Clark L, Wick JA, et al. Women physicians and promotion in academic medicine. N Engl J Med. 2020;383(22):2148-2157. https://doi.org/10.1056/NEJMsa1916935.
Crenshaw K. Mapping the margins: intersectionality, identity politics, and violence against women of color. Stanford Law Rev. 1991;43(6):1241. https://doi.org/10.2307/1229039.
AAMC. U.S. Medical School Faculty Roster. 2020. https://www.aamc.org/data-reports/faculty-institutions/interactive-data/2020-us-medical-school-faculty.
AAMC. Where are all the women in surgery? n.d. https://www.aamc.org/news-insights/where-are-all-women-surgery.
These medical specialties have the biggest gender imbalances. Am Med Assoc. 2019 https://www.ama-assn.org/medical-students/specialty-profiles/these-medical-specialties-have-biggest-gender-imbalances.
Racial Diversity in Orthopedic Surgery-ClinicalKey. 2019. https://www-clinicalkey-com.libproxy.lib.unc.edu/#!/content/playContent/1-s2.0-S0030589819300471?returnurl=https:%2F%2Flinkinghub.elsevier.com%2Fretrieve%2Fpii%2FS0030589819300471%3Fshowall%3Dtrue&referrer=https:%2F%2Fsso.unc.edu%2F.
Minority Representation Among Orthopaedic Surgery Residents. 2017. https://www.aaos.org/aaosnow/2017/jul/clinical/clinical06/.
Russel SM. Let me be perfectly queer: improving sexual orientation and gender identity data collection. Med Educ. 2022;56(8):866. https://doi.org/10.1111/medu.14844.
Gee B, Peck D. THE ILLUSION OF ASIAN SUCCESS: 42. 2015.
Fassiotto M, Flores B, Victor R, et al. Rank equity index: measuring parity in the advancement of underrepresented populations in academic medicine. Acad Med. 2020;95(12):1844-1852. https://doi.org/10.1097/ACM.0000000000003720.
Hobgood C, Fassiotto M. Using the rank equity index to measure emergency medicine faculty rank progression. Acad Emerg Med. 2021;28(9):966-973. https://doi.org/10.1111/acem.14268.
Lee MO, Flores B, Fassiotto M, Hobgood C. Career advancement among women physicians in nine academic medicine specialties. J Womens Health. 2002;2023:1073-1079. https://doi.org/10.1089/jwh.2022.0464.
Uppal PA, Kollu T, Thomas M, Mammen L, Mortensen M. Otolaryngology department and society leadership: evaluation of diversity in a Nationwide study. Laryngoscope. 2022;132(9):1729-1737. https://doi.org/10.1002/lary.29957.
Epperson M, Gouveia CJ, Tabangin ME, et al. Female representation in otolaryngology leadership roles. Laryngoscope. 2020;130(7):1664-1669. https://doi.org/10.1002/lary.28308.
Ferguson BJ, Grandis JR. Women in otolaryngology: closing the gender gap. Curr Opin Otolaryngol Head Neck Surg. 2006;14(3):159-163. https://doi.org/10.1097/01.moo.0000193203.62967.82. Online ahead of print.
Russel SM, Farzal Z, Ebert C, et al. Finding the potholes in academic career pathways for underrepresented groups in otolaryngology. Otolaryngology-Head and Neck Surgery. 2023. https://doi.org/10.1002/ohn.513.
Nellis JC, Eisele DW, Francis HW, Hillel AT, Lin SY. Impact of a mentored student clerkship on underrepresented minority diversity in otolaryngology-head and neck surgery. Laryngoscope. 2016;126(12):2684-2688. https://doi.org/10.1002/lary.25992.
Lin SY, Francis HW, Minor LB, Eisele DW. Faculty diversity and inclusion program outcomes at an academic otolaryngology department. Laryngoscope. 2016;126(2):352-356. https://doi.org/10.1002/lary.25455.
Carr PL, Gunn C, Raj A, Kaplan S, Freund KM. Recruitment, promotion, and retention of women in academic medicine: how institutions are addressing gender disparities. Womens Health Issues. 2017;27(3):374-381. https://doi.org/10.1016/j.whi.2016.11.003.
Russel SM, Carter TM, Wright ST, Hirshfield LE. How do academic medicine pathways differ for underrepresented trainees and physicians? A critical scoping review. Acad Med. 2023. https://doi.org/10.1097/ACM.0000000000005364. Online ahead of print.
Xierali IM, Nivet MA, Syed ZA, Shakil A, Schneider FD. Recent trends in faculty promotion in U.S. medical schools: implications for recruitment, retention, and diversity and inclusion. Acad Med. 2021;96(10):1441-1448. https://doi.org/10.1097/ACM.0000000000004188.
Santosa KB, Priest CR, Oliver JD, et al. Influence of faculty diversity on resident diversity across surgical subspecialties. Am J Surg. 2022;224(1 Pt B):273-281. https://doi.org/10.1016/j.amjsurg.2022.02.009.
Bureau UC. Census illuminates racial and ethnic composition of the country. Census Gov. 2020; https://www.census.gov/library/stories/2021/08/improved-race-ethnicity-measures-reveal-united-states-population-much-more-multiracial.html.
Kaplan SE, Gunn CM, Kulukulualani AK, Raj A, Freund KM, Carr PL. Challenges in recruiting, retaining and promoting racially and ethnically diverse faculty. J Natl Med Assoc. 2018;110(1):58-64. https://doi.org/10.1016/j.jnma.2017.02.001.
Carr PL, Friedman RH. Gender diversity-struggle in the glass house. Mayo Clin Proc. 1999;74(2):201-203. https://doi.org/10.4065/74.2.201.

Auteurs

Sul Gi Kim (SG)

University of North Carolina School of Medicine Chapel Hill, Chapel Hill, North Carolina, U.S.A.

Sarah M Russel (SM)

Department of Otolaryngology-Head and Neck Surgery, University of North Carolina School of Medicine, Chapel Hill, North Carolina, U.S.A.

Taylor J Stack (TJ)

University of North Carolina School of Medicine Chapel Hill, Chapel Hill, North Carolina, U.S.A.

Dennis O Frank-Ito (DO)

Department of Head and Neck Surgery & Communication Sciences, Duke University, Durham, North Carolina, U.S.A.

Zainab Farzal (Z)

Department of Otolaryngology-Head and Neck Surgery, University of California, San Francisco, California, U.S.A.

Charles S Ebert (CS)

Department of Otolaryngology-Head and Neck Surgery, University of North Carolina School of Medicine, Chapel Hill, North Carolina, U.S.A.

Robert A Buckmire (RA)

Department of Otolaryngology-Head and Neck Surgery, University of North Carolina School of Medicine, Chapel Hill, North Carolina, U.S.A.

Christine E Demason (CE)

Department of Otolaryngology-Head and Neck Surgery, University of North Carolina School of Medicine, Chapel Hill, North Carolina, U.S.A.

Rupali N Shah (RN)

Department of Otolaryngology-Head and Neck Surgery, University of North Carolina School of Medicine, Chapel Hill, North Carolina, U.S.A.

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