Stewart Claire, Lipner Shari R
Department of Dermatology, Weill Cornell Medicine, New York, NY, United States.
Int J Womens Dermatol. 2020 Apr 30;6(4):283-285. doi: 10.1016/j.ijwd.2020.04.010. eCollection 2020 Sep.
Despite growth in the proportion of women and underrepresented minorities in the dermatology workforce, gender and racial differences persist.
This study sought to analyze the differences in academic rank between genders and races while controlling for achievement indicators.
Data from 15 institutions, selected based on residency program rankings, were analyzed.
Women were well-represented as assistant professors (60.7% vs. 37.6% of men; < .001) and underrepresented as full professors (17.0% vs. 37.6%; < .001). However, in a multivariable analysis controlling for career duration, publications per year, National Institutes of Health funding, and PhD degrees, neither gender (adjusted odds ratio [aOR]: 1.01; confidence interval [CI], 0.55-2.73) nor race (aOR: 1.24; CI, 0.53-2.92) was associated with a higher academic rank. Career duration (aOR: 1.24; CI, 1.18-1.30), publications per year (aOR: 1.48; CI, 1.28-1.74), and National Institutes of Health research funding (aOR: 4.29; CI, 1.53-12.88) were predictive of higher academic rank.
Our findings confirm that for equal levels of achievement, men and women are promoted similarly in dermatology, yet reasons for disparity in research output and funding for women and minority dermatologists need further study.
尽管皮肤科从业人员中女性和代表性不足的少数族裔比例有所增加，但性别和种族差异仍然存在。
本研究旨在分析在控制成就指标的情况下，性别和种族在学术职称上的差异。
分析了根据住院医师培训项目排名选择的15所机构的数据。
女性担任助理教授的比例较高（60.7%，而男性为37.6%；P<0.001），担任正教授的比例较低（17.0%，而男性为37.6%；P<0.001）。然而，在一项控制了职业生涯时长、每年发表的论文数量、美国国立卫生研究院（NIH）的资助以及博士学位的多变量分析中，性别（调整后的优势比[aOR]：1.01；置信区间[CI]，0.55 - 2.73）和种族（aOR：1.24；CI，0.53 - 2.92）与更高的学术职称均无关联。职业生涯时长（aOR：1.24；CI，1.18 - 1.30）、每年发表的论文数量（aOR：1.48；CI，1.28 - 1.74）以及NIH研究资助（aOR：4.29；CI，1.53 - 12.88）可预测更高的学术职称。
我们的研究结果证实，在成就水平相同的情况下，皮肤科领域男女晋升情况相似，但女性和少数族裔皮肤科医生在研究产出和资金方面存在差异的原因需要进一步研究。
