I.M. Xierali is associate professor, Department of Family and Community Medicine, University of Texas Southwestern Medical Center, Dallas, Texas; ORCID: http://orcid.org/0000-0002-3378-8063. M.A. Nivet is executive vice president for institutional advancement, University of Texas Southwestern Medical Center, Dallas, Texas. Z.A. Syed is assistant professor and family medicine residency program director, Department of Family and Community Medicine, University of Texas Southwestern Medical Center, Dallas, Texas. A. Shakil is professor, Department of Family and Community Medicine, University of Texas Southwestern Medical Center, Dallas, Texas. F.D. Schneider is professor and chair, Department of Family and Community Medicine, University of Texas Southwestern Medical Center, Dallas, Texas.
Acad Med. 2020 Feb;95(2):241-247. doi: 10.1097/ACM.0000000000002890.
Tenure status has important implications for medical school faculty recruitment and retention and may affect educational quality, academic freedom, and collegiality. However, tenure trends in academic family medicine are unknown. This study aimed to describe trends in tenure status of family medicine faculty overall and by gender and status of minorities underrepresented in medicine (URM) in Liaison Committee on Medical Education-accredited medical schools.
Association of American Medical Colleges Faculty Roster data were used to describe trends in tenure status of full-time family medicine faculty, 1977 to 2017. Bivariate and trend analyses were conducted to assess associations and describe patterns between tenure status and gender, race, and ethnicity. Interdepartmental variations in tenure trends over the years were also examined.
Among family medicine faculty, the proportions of faculty tenured or on a tenure track dropped more than threefold from 1977 (46.6%; n = 507/1,089) to 2017 (12.7%; n = 729/5,752). Lower proportions of women and URM faculty were tenured or on a tenure track than male and non-URM faculty, respectively. But the gaps among them were converging. Compared with other clinical departments, family medicine had the highest proportion of faculty (74.6%; n = 4,291/5,752) not on a tenure track in 2017.
Proportion of tenure positions significantly decreased among family medicine faculty in U.S. medical schools. While gaps between male and female faculty and among certain racial/ethnic groups remained for family medicine tenure status, they have decreased over time, mainly because of a substantial increase in nontenured positions.
终身教职状态对医学院校教师的招聘和留用有重要影响，可能会影响教育质量、学术自由和同事关系。然而，学术家庭医学领域的终身教职趋势尚不清楚。本研究旨在描述医学教育联络委员会认证的医学院校全职家庭医学教师终身教职状态的总体趋势，以及按性别和少数民族代表性不足（URM）身份的趋势。
使用美国医学协会教员名册数据描述了 1977 年至 2017 年全职家庭医学教师终身教职状态的趋势。进行了双变量和趋势分析，以评估终身教职状态与性别、种族和民族之间的关联和描述模式。还检查了多年来系际之间任期趋势的差异。
在家庭医学教师中，终身教职或终身教职轨道的教师比例从 1977 年（46.6%；n=507/1089）下降了三倍多，到 2017 年（12.7%；n=729/5752）。终身教职或终身教职轨道的女性和 URM 教师比例低于男性和非 URM 教师。但它们之间的差距正在缩小。与其他临床科室相比，家庭医学在 2017 年没有终身教职的教师比例最高（74.6%；n=4291/5752）。
美国医学院校家庭医学教师终身教职职位的比例显著下降。虽然家庭医学终身教职状态的男女教师之间以及某些种族/族裔群体之间的差距仍然存在，但随着时间的推移，差距有所缩小，主要是因为非终身教职职位的大量增加。
