Kamran Sophia C, Winkfield Karen M, Reede Joan Y, Vapiwala Neha
From the Department of Radiation Oncology (S.C.K.), Massachusetts General Hospital (J.Y.R.), the Office for Diversity Inclusion and Community Partnership (J.Y.R.), Harvard Medical School (S.C.K.), and the Department of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health (J.Y.R.) - all in Boston; Meharry-Vanderbilt Alliance, Vanderbilt University Medical Center, Nashville (K.M.W.); and the Department of Radiation Oncology, Hospital of the University of Pennsylvania, Perelman School of Medicine, Philadelphia (N.V.).
N Engl J Med. 2022 Apr 7;386(14):1363-1371. doi: 10.1056/NEJMsr2114909.
The 2020 U.S. Census data show a rapidly diversifying U.S. population. We sought to evaluate whether clinical faculty and leadership representation at academic medical schools reflects the diversifying population over time. Using data from the Association of American Medical Colleges for the period of 1977 through 2019, we found notable progress in female representation among clinical faculty, with smaller gains among department chairs and medical school deans. Racial and ethnic groups that are underrepresented in medicine are designated as such because their presence within the medical profession is disproportionate to the U.S. Census data. Even with accounting for this underrepresentation, clinical faculty and leadership positions show even starker disparities. Thoughtful policy implementation could help address this persistent underrepresentation among medical school faculty and leadership positions.
2020年美国人口普查数据显示，美国人口正在迅速多样化。我们试图评估学术医学院临床教员和领导层的代表性是否随着时间的推移反映出人口的多样化。利用美国医学院协会1977年至2019年期间的数据，我们发现临床教员中女性的代表性有显著进展，而系主任和医学院院长中的女性人数增长较少。医学领域代表性不足的种族和族裔群体之所以如此，是因为他们在医疗行业中的占比与美国人口普查数据不成比例。即使考虑到这种代表性不足的情况，临床教员和领导职位的差距仍然更加明显。深思熟虑地实施政策有助于解决医学院教员和领导职位中这种长期存在的代表性不足问题。
