Dr. McLean is assistant vice chancellor for academic affairs, Fayetteville State University, Fayetteville, North Carolina. Dr. Morahan is founding director, Hedwig van Ameringen Executive Leadership in Academic Medicine (ELAM) Program for Women, Drexel University College of Medicine, Philadelphia, Pennsylvania. Dr. Dannels is chair, Department of Educational Leadership, and associate professor, Educational Research, George Washington University, Washington, DC. Dr. McDade is former associate professor of Higher Education, George Washington University; and former director (retired), Emerging Leaders Group/ACE Fellows Group, American Council on Education, Washington, DC.
Acad Med. 2013 Nov;88(11):1700-6. doi: 10.1097/ACM.0b013e3182a7f60e.
To explore whether geographic mobility is associated with career advancement of women in U.S. medical schools who are entering mid- to executive-level positions.
Using an existing dataset of 351 participants in academic medicine who attended the Executive Leadership in Academic Medicine (ELAM) Program for Women (1996-2005) (adjusted to 345 participants in some analyses because data on initial faculty rank were missing), the authors conducted a quantitative study in 2009 to determine whether geographic mobility was associated with administrative promotion for those who relocated geographically (from employer while attending ELAM to employer at last job of record).
Twenty-four percent of women (83/345) relocated geographically (movers) after attending ELAM. Moving had a positive association with career advancement (P = .001); odds for promotion were 168% higher for movers than for stayers [odds ratio Exp(β) = 2.684]. Movers attained higher administrative positions (P = .003), and more movers (60%) were promoted at the most recent job compared with stayers (40%) (P = .0001). Few movers changed city size; 70% already resided in large or urban cities where most medical schools are located. Age was not a barrier to mobility. Career advancement was not related to research reputation (National Institutes of Health grant award ranking) of participants' schools (either at time of attending ELAM or post-ELAM).
Similar to findings outside academic medicine, 24% of women classified as geographic "movers" among midcareer faculty in medical schools attained career advantages. Psychosocial and socioeconomic factors underlying women's relocation decisions require additional study.
探讨在美国医学院中，进入中层到高层职位的女性的地域流动性是否与职业发展相关。
作者使用现有的学术医学参与者数据集（351 名参加学术医学行政领导课程（ELAM）的女性（1996-2005 年）（在某些分析中调整为 345 名参与者，因为初始教职等级的数据缺失），于 2009 年进行了一项定量研究，以确定那些地域流动的人（从参加 ELAM 时的雇主到记录中的最后一个雇主）的行政晋升是否与地理流动性相关。
24%的女性（83/345）在参加 ELAM 后进行了地域流动（流动者）。流动与职业发展呈正相关（P=0.001）；与留守者相比，流动者晋升的几率高出 168%[优势比 Exp（β）=2.684]。流动者获得了更高的行政职位（P=0.003），与留守者（40%）相比，更多的流动者（60%）在最近的工作中得到了晋升（P=0.0001）。很少有流动者改变城市规模；70%的人已经居住在大多数医学院所在的大型或城市中。年龄不是流动的障碍。职业发展与参与者所在学校的研究声誉（美国国立卫生研究院拨款排名）无关（无论是在参加 ELAM 时还是在 ELAM 之后）。
与学术医学以外的发现类似，在医学院中层教职员工中，24%被归类为地理“流动者”的女性获得了职业优势。女性搬迁决策背后的心理社会和社会经济因素需要进一步研究。
