Warner Erica T, Carapinha René, Weber Griffin M, Hill Emorcia V, Reede Joan Y
E.T. Warner is research associate, Department of Epidemiology, Harvard School of Public Health, and instructor in medicine, Department of Medicine, Harvard Medical School, Boston, Massachusetts. R. Carapinha is research and program manager, Office for Diversity Inclusion and Community Partnership, and postdoctoral fellow, Department of Global Health and Social Medicine, Harvard Medical School, Boston, Massachusetts. G.M. Weber is assistant professor of medicine, Harvard Medical School, and director, Biomedical Research Informatics Core, Beth Israel Deaconess Medical Center, Boston, Massachusetts. E.V. Hill is director of research and evaluation, Office for Diversity Inclusion and Community Partnership, Harvard Medical School, Boston, Massachusetts. J.Y. Reede is dean, Office for Diversity Inclusion and Community Partnership, and associate professor of medicine, Harvard Medical School, and associate professor, Department of Social and Behavioral Sciences, Harvard School of Public Health, Boston, Massachusetts.
Acad Med. 2015 Aug;90(8):1077-83. doi: 10.1097/ACM.0000000000000717.
To understand the disciplinary contexts in which faculty work, the authors examined demographics, professional characteristics, research productivity, and advancement across seven clinical departments at Harvard Medical School (HMS) and nationally.
HMS analyses included faculty from seven clinical departments-anesthesiology, medicine, neurology, pediatrics, psychiatry, radiology, and surgery-in May 2011 (N = 7,304). National analyses included faculty at 141 U.S. medical schools in the same seven departments as of December 31, 2011 (N = 91,414). The authors used chi-square and Wilcoxon Mann-Whitney tests to compare departmental characteristics.
Heterogeneity in demographics, professional characteristics, and advancement across departments was observed in HMS and national data. At HMS, psychiatry had the highest percentage of underrepresented minority faculty at 6.6% (75/1,139). In anesthesiology, 24.2% (128/530) of faculty were Asian, whereas in psychiatry only 7.9% (90/1,139) were (P < .0001). Female faculty were the majority in pediatrics and psychiatry, whereas in surgery 26.3% (172/654) of the faculty were female (P < .0001). At HMS, surgery, radiology, and neurology had the shortest median times to promotion and the highest median number of publications, H-index, and second-degree centrality. Neurology also had the highest percentage of faculty who had been principal investigators on a National Institutes of Health-funded grant.
There were differences in demographics, professional characteristics, and advancement across clinical departments at HMS and nationally. The context in which faculty work, of which department is a proxy, should be accounted for in research on faculty career outcomes and diversity inclusion in academic medicine.
为了解教师工作所在的学科背景，作者对哈佛医学院（HMS）及全国范围内七个临床科室的人员构成、专业特征、研究产出及职业晋升情况进行了调查。
HMS的分析涵盖了2011年5月七个临床科室（麻醉科、内科、神经科、儿科、精神科、放射科和外科）的教师（N = 7304）。全国范围的分析纳入了截至2011年12月31日，来自141所美国医学院校相同七个科室的教师（N = 91414）。作者使用卡方检验和威尔科克森-曼-惠特尼检验来比较各科室的特征。
在HMS及全国数据中，各科室在人员构成、专业特征和职业晋升方面均存在异质性。在HMS，精神科未被充分代表的少数族裔教师比例最高，为6.6%（75/1139）。在麻醉科，24.2%（128/530）的教师为亚洲人，而在精神科只有7.9%（90/1139）是亚洲人（P <.0001）。儿科和精神科的女性教师占多数，而在外科，26.3%（172/654）的教师为女性（P <.0001）。在HMS，外科、放射科和神经科的晋升中位时间最短，发表论文的中位数量、H指数和二阶中心性最高。神经科担任美国国立卫生研究院资助项目首席研究员的教师比例也最高。
HMS及全国范围内各临床科室在人员构成、专业特征和职业晋升方面存在差异。在研究教师职业成果及学术医学中的多元化包容时，应考虑教师工作的背景，其中科室可作为一个代表因素。
