Cleveland Manchanda Emily C, Ling Albee Y, Bottcher Jason L, Marsh Regan H, Brown David F M, Bennett Christopher L, Yiadom Maame Yaa A B
Department of Emergency Medicine Boston Medical Center Boston Massachusetts USA.
Boston University School of Medicine Boston Massachusetts USA.
J Am Coll Emerg Physicians Open. 2022 Aug 12;3(4):e12781. doi: 10.1002/emp2.12781. eCollection 2022 Aug.
To describe trends in emergency medicine faculty demographics, examining changes in the proportion of historically underrepresented groups including female, Black, and Latinx faculty over time.
Data from the Association of American Medical Colleges faculty roster (1990-2020) were used to assess the changing demographics of full-time emergency medicine faculty. Descriptive statistics, graphic visualizations, and logistic regression modeling were used to illustrate trends in the proportion of female, Black, and Latinx faculty. Odds ratios (OR) were used to describe the estimated annual rate of change of underrepresented demographic groups.
The number of full-time emergency medicine faculty increased from 214 in 1990 to 5874 in 2020. Female emergency medicine faculty demonstrated increases in representation overall, from 35 (16.36%) in 1990 to 2247 (38.25%) in 2020, suggesting a 3% estimated annual rate of increase (OR 1.03, 95% CI 1.03-1.04) and within each academic rank. A very small positive trend was noted among Latinx faculty (n = 3, 1.40% in 1990 to n = 326, 5.55% in 2020; OR 1.01, 95% CI 1.01-1.02), whereas an even smaller, statistically insignificant increase was observed among Black emergency medicine faculty during the 31-year study period (N = 9, 4.21% in 1990 and N = 266, 4.53% in 2020; OR 1.00, 95% CI 0.99-1.00).
Although female physicians have progressed toward equitable representation among academic emergency medicine faculty, no meaningful progress has been made toward racial parity. The persistent underrepresentation of Black and Latinx physicians in the academic emergency medicine workforce underscores the need for urgent structural changes to address contemporary manifestations of racism in academic medicine and beyond.
描述急诊医学教员人口统计学趋势，研究包括女性、黑人及拉丁裔教员在内的历史上代表性不足群体的比例随时间的变化。
利用美国医学院协会教员名册（1990 - 2020年）的数据评估全职急诊医学教员不断变化的人口统计学特征。使用描述性统计、图形可视化和逻辑回归模型来说明女性、黑人及拉丁裔教员比例的趋势。优势比（OR）用于描述代表性不足人口群体的估计年变化率。
全职急诊医学教员数量从1990年的214人增加到2020年的5874人。女性急诊医学教员的总体代表性有所增加，从1990年的35人（16.36%）增至2020年的2247人（38.25%），估计年增长率为3%（OR 1.03，95%置信区间1.03 - 1.04），且在各个学术职级中均如此。拉丁裔教员呈现出非常小的正向趋势（1990年n = 3，占1.40%至2020年n = 326，占5.55%；OR 1.01，95%置信区间1.01 - 1.02），而在31年的研究期间，黑人急诊医学教员的增长更小且无统计学意义（1990年N = 9，占4.21%，2020年N = 266，占4.53%；OR 1.00，95%置信区间0.99 - 1.00）。
尽管女性医生在学术急诊医学教员中的代表性已朝着公平方向发展，但在种族平等方面尚未取得有意义的进展。黑人及拉丁裔医生在学术急诊医学劳动力中的持续代表性不足凸显了迫切需要进行结构性变革，以应对学术医学及其他领域中当代种族主义的表现形式。
