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.
Acad Med. 2021 Apr 1;96(4):568-575. doi: 10.1097/ACM.0000000000003925.
To assess the changing diversity of faculty in specific clinical and basic science departments, stratified by sex and underrepresented in medicine (URM) status, at all Liaison Committee on Medical Education (LCME)-accredited medical schools.
In this retrospective, cross-sectional, observational study, the authors used data from the Association of American Medical Colleges Faculty Roster (data pulled in October 2019) to identify trends in clinical department faculty and in basic science department faculty by sex and URM status. They included full-time faculty at all LCME-accredited medical schools from 1979 to 2018. They compared the proportions of faculty across separate departments according to sex and URM status, and they used 2-independent-sample t test and simple linear regressions for statistical comparisons.
The number of full-time faculty increased from 49,909 in 1979 to 175,326 in 2018. The largest increase occurred in clinical departments, where the number of faculty increased from 38,726 to 155,677 (a fourfold increase). The number of faculty in basic science departments increased from 11,183 to 19,649 (a 1.8-fold increase). The proportions of faculty who were non-URM females (compared with non-URM males, URM females, and URM males) increased the most-from 14.4% (5,595 of 38,726) to 37.6% (58,478 of 155,677) for clinical departments, and from 14.9% (1,669 of 11,183) to 33.0% (6,485 of 19,649) for basic science departments. Growth was steady but slow among URM faculty, especially for Black males; the absolute number of male URM faculty remained low in both basic science and clinical departments. The proportions of females and URM faculty were highest in the departments of obstetrics and gynecology, pediatrics, and family medicine.
The substantial increase in faculty, especially in clinical departments, has led to greater diversity, but mostly among non-URM females. The rise of URM male and URM female faculty has been minimal.
评估所有获得医学教育联络委员会（LCME）认证的医学院中特定临床和基础科学系教员的性别和医学领域代表性不足（URM）状况的变化多样性。
在这项回顾性、横断面、观察性研究中，作者使用美国医学学院协会教员名册（2019 年 10 月提取的数据）的数据，按性别和 URM 状况确定临床系和基础科学系教员的趋势。研究对象包括 1979 年至 2018 年期间所有获得 LCME 认证的医学院的全职教员。他们根据性别和 URM 状况比较了不同部门的教员比例，并使用 2 独立样本 t 检验和简单线性回归进行统计学比较。
全职教员人数从 1979 年的 49,909 人增加到 2018 年的 175,326 人。增长最大的是临床部门，教员人数从 38,726 人增加到 155,677 人（增加了四倍）。基础科学系教员人数从 11,183 人增加到 19,649 人（增加了 1.8 倍）。非 URM 女性教员（与非 URM 男性、URM 女性和 URM 男性相比）的比例增加最多——从临床部门的 14.4%（38,726 人中的 5,595 人）增加到 37.6%（155,677 人中的 58,478 人），基础科学部门从 14.9%（11,183 人中的 1,669 人）增加到 33.0%（19,649 人中的 6,485 人）。URM 教员的增长是稳定的，但速度较慢，尤其是黑人男性；基础科学和临床部门的男性 URM 教员绝对人数仍然很低。女性和 URM 教员的比例在妇产科、儿科和家庭医学系最高。
教员人数的大量增加，尤其是临床部门，导致了更大的多样性，但主要是在非 URM 女性中。URM 男性和 URM 女性教员的增长微乎其微。
