The Road to an Academic Medicine Career

Dorothy A. Andriole · Donna B. Jeffe

56 citations0/0 files storedAcademic Medicine

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Diversity and Career in Medicine Health and Medical Research Impacts Mentoring and Academic Development

Abstract

PURPOSE: To explore the relationship between gender and full-time faculty appointment in a national cohort of contemporary U.S. medical school graduates. METHOD: The authors analyzed deidentified, individual records for the 1998-2004 national cohort of U.S. medical graduates using multivariate logistic regression to identify predictors of full-time faculty appointment through July 2009. They reported adjusted odds ratios (aOR) significant at P < .05. RESULTS: Of 66,889 graduates, 12,038 (18.0%) had held full-time faculty appointments. Among all graduates, women (aOR = 1.21) were more likely than men to have held faculty appointments. Among only male graduates, those who participated in research during college (aOR = 1.08), who entered medical school with greater planned career involvement in research (aOR = 1.08), and who authored/coauthored a research paper during medical school (aOR = 1.12) were more likely, and those with higher debt were less likely (aOR = 0.96), to have held faculty appointments. Among only faculty appointees, higher proportions of men than women had participated in medical school research electives (63.5% [3,899/6,138] versus 54.2% [3,197/5,900]; P < .001) and authored/coauthored research papers during medical school (44.1% [2,707/6,138] versus 33.6% [1,981/5,900]; P < .001); female faculty had reported higher debt at medical school graduation than had male faculty (P = .014). CONCLUSIONS: In this national cohort of U.S. medical graduates, women were more likely than men to have held full-time faculty appointments. However, male and female faculty appointees entered academic medicine with different research experiences and debt, possibly impacting their academic medicine career trajectories.

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References

2006The “Gender Gap” in Authorship of Academic Medical Literature — A 35-Year Perspective 2000Women Physicians in Academic Medicine — New Insights from Cohort Studies 2000Racial and Ethnic Disparities in Faculty Promotion in Academic Medicine 2005The Influence of Controllable Lifestyle and Sex on the Specialty Choices of Graduating U.S. Medical Students, 1996???2003 2006Career choice in academic medicine 2010Gender Differences in Academic Productivity and Leadership Appointments of Physicians Throughout Academic Careers 2010How, When, and Why Do Physicians Choose Careers in Academic Medicine? A Literature Review 2005The Relationship between Specialty Choice and Gender of U.S. Medical Students, 1990???2003

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2018Competing Risks Analysis of Promotion and Attrition in Academic Medicine: A National Study of U.S. Medical School Graduates 2019The national MD-PhD program outcomes study: Outcomes variation by sex, race, and ethnicity 2022The impact of gender bias in cardiothoracic surgery in Europe: a European Society of Thoracic Surgeons and European Association for Cardio-Thoracic Surgery survey 2023US Medical School Admissions Leaders’ Experiences With Barriers to and Advancements in Diversity, Equity, and Inclusion

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