Yale School of Medicine, New Haven, Connecticut.
Yale School of Medicine, New Haven, Connecticut; Department of Ophthalmology and Visual Science, Yale School of Medicine, New Haven, Connecticut.
Ophthalmology. 2021 Aug;128(8):1129-1134. doi: 10.1016/j.ophtha.2021.01.006. Epub 2021 Jan 10.
The current demographics of the ophthalmology workforce do not reflect the diverse United States population, which has implications for addressing health disparities. The demographics of ophthalmology department faculty may influence the recruitment of underrepresented students into the field. This study sought to determine how the racial and ethnic demographics of ophthalmology department faculty compare with those of other clinical departments at United States medical schools.
Secondary data analysis of medical school faculty demographic data from the 2019 American Association of Medical Colleges (AAMC) Faculty Roster.
Clinical faculty and department chairs at United States medical schools.
We analyzed the racial and ethnic demographics of clinical department faculty and department chairpersons using data from the 2019 AAMC Faculty Roster. We calculated the proportion of underrepresented minority (URM) faculty in ophthalmology and in 17 other clinical departments. We analyzed these data for statistically significant differences between ophthalmology and other clinical departments. In addition, we compared the percentage of URM ophthalmology faculty with the proportion of URM persons among graduating United States medical students and in the United States population using data from the Medical School Graduation Questionnaire and the United States census, respectively.
The proportion of URM persons, defined as Black, Hispanic or Latino, Native American, or Native Hawaiian or Pacific Islander among clinical faculty and department chairs.
Ophthalmology faculty are less racially and ethnically diverse than graduating medical students and the general United States population. When compared with 17 other clinical departments, ophthalmology has the third-lowest proportion of URM faculty, with only radiology and orthopedic surgery having a smaller proportion of URM faculty. These differences were statistically significant in most departments (12 of 18). No statistically significant difference was found in the proportion of URM department chairs in ophthalmology compared with most other clinical departments, although the absolute number of URM chairs in ophthalmology is low at only 8 chairpersons.
More work must be done to increase the recruitment of URM physicians into ophthalmology faculty positions to obtain parity with other clinical departments and with the diverse patient populations that physicians serve.
眼科劳动力的当前人口结构与多样化的美国人口结构不相符，这对解决健康差异有影响。眼科系教员的人口统计学特征可能会影响代表性不足的学生进入该领域。本研究旨在确定美国医学院眼科系教员的种族和民族人口统计学特征与其他临床系的比较。
对 2019 年美国医学协会（AAMC）教员名册中的医学院教员人口统计学数据进行二次数据分析。
美国医学院的临床教员和系主任。
我们使用 2019 年 AAMC 教员名册中的数据，分析临床系教员和系主任的种族和民族人口统计学特征。我们计算了眼科和 17 个其他临床系中代表性不足的少数族裔（URM）教员的比例。我们分析了这些数据，以确定眼科与其他临床系之间的统计学差异。此外，我们使用医学研究生院问卷和美国人口普查的数据，分别比较了 URM 眼科教员的百分比与美国医学院毕业生和美国人口中 URM 人群的比例。
临床教员和系主任中 URM 人群的比例，定义为黑人、西班牙裔或拉丁裔、美国原住民或夏威夷原住民或太平洋岛民。
眼科教员的种族和民族多样性不如医学毕业生和美国总人口。与 17 个其他临床系相比，眼科系的 URM 教员比例排在第三位，只有放射科和骨科的 URM 教员比例更小。在大多数系中，这些差异具有统计学意义（18 个中的 12 个）。与大多数其他临床系相比，眼科系 URM 系主任的比例没有统计学意义上的差异，尽管眼科系 URM 系主任的绝对数量很少，只有 8 人。
必须加大工作力度，增加 URM 医生招聘到眼科教员职位，以实现与其他临床系以及医生服务的多样化患者群体的平等。
