Document Detail


Do research activities during college, medical school, and residency mediate racial/ethnic disparities in full-time faculty appointments at U.S. Medical schools?
MedLine Citation:
PMID:  23018339     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: To determine whether postsecondary research experiences (in college, medical school, and residency) and other variables mediate racial/ethnic disparities in U.S. medical school graduates' full-time faculty appointments in academic medicine.
METHOD: Individualized, deidentified records for 1994-2000U.S. medical school matriculants who graduated with MDs before 2005, completed graduate medical education before 2009, and had data for all variables were examined for potential mediators of racial/ethnic disparities in full-time faculty appointments using the SAS macro "MEDIATE" for estimation and statistical inference. Controlling for gender, parents' occupation, and graduation year, the authors estimatedthe effects of potential mediators in separate models comparing Asian/Pacific Islander (PI) versus underrepresented minority (URM; including African American, Hispanic, and Native American/Alaska Native) graduates and white versus URM graduates.
RESULTS: Of 82,758 eligible graduates, 62,749 (75.8%) had complete data; of these, 11,234 (17.9%) had full-time faculty appointments, including 18.4% (7,848/42,733) of white, 18.8% (2,125/11,297) of Asian/PI, and 14.5% (1,261/8,719) of URM graduates. Proportion of total race/ethnicity effect on full-time faculty appointment explained by all mediators was 66.0% (95% CI, 44.7%-87.4%) in a model comparing Asians/PIs with URMs and 64.8% (95% CI, 52.2%-77.4%) in one comparing whites with URMs. Participation in postsecondary research activities, authorship during medical school, academic achievement, and faculty career intentions at graduation were among the significant mediators explaining the effect of race/ethnicityonfull-time faculty appointment.
CONCLUSIONS: Postsecondary research experiences for URM students are among the mediators of racial/ethnic disparities in full-time faculty appointments and, therefore, may increase academic medicine faculty diversity.
Authors:
Donna B Jeffe; Yan Yan; Dorothy A Andriole
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Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, N.I.H., Extramural    
Journal Detail:
Title:  Academic medicine : journal of the Association of American Medical Colleges     Volume:  87     ISSN:  1938-808X     ISO Abbreviation:  Acad Med     Publication Date:  2012 Nov 
Date Detail:
Created Date:  2012-10-31     Completed Date:  2013-01-02     Revised Date:  2013-11-06    
Medline Journal Info:
Nlm Unique ID:  8904605     Medline TA:  Acad Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1582-93     Citation Subset:  AIM; IM    
Affiliation:
Division of Health Behavior Research, Department of Medicine, Washington University School of Medicine, St. Louis, Missouri 63108, USA. djeffe@dom.wustl.edu
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MeSH Terms
Descriptor/Qualifier:
Asian Americans / statistics & numerical data
Biomedical Research / education*,  statistics & numerical data
Cultural Diversity*
Education, Medical, Graduate* / statistics & numerical data
Faculty, Medical* / statistics & numerical data
Humans
Internship and Residency* / statistics & numerical data
Minority Groups / education*,  statistics & numerical data
Oceanic Ancestry Group
Personnel Selection* / statistics & numerical data
Racism / ethnology*,  statistics & numerical data
Schools, Medical* / statistics & numerical data
United States
Grant Support
ID/Acronym/Agency:
P30 CA091842/CA/NCI NIH HHS; P30 CA091842-07/CA/NCI NIH HHS; R01 GM085350/GM/NIGMS NIH HHS; R01 GM085350-03/GM/NIGMS NIH HHS; UL1 RR024992/RR/NCRR NIH HHS; UL1 RR024992-05/RR/NCRR NIH HHS
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