Racial and gender disparities in neurology

Sidra Saleem · Sadiq Naveed · Amna Mohyud Din Chaudhary · Muhammad Zeshan · Dawood M. Hafeez · Javed Siddiqi +1 more

32 citations0/0 files storedPostgraduate Medical Journal

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

Abstract

INTRODUCTION: The USA is a diverse society with representation from different ethnic and racial backgrounds, resulting in under-represented minorities (URMs) in various specialties of medicine. Our objective was to find the statistical ratio of URMs in the academic faculty of neurology. METHODS: This was a retrospective analysis of the American Association of Medical College database. The database covered neurology faculty members from 2006 to 2017. RESULTS: This study shows a significant change in racial representation in faculty ranks over the last 12 years. At chairperson rank, white people decreased from 86.4% to 79.8% whereas Asian, Hispanic and multiple races (non-Hispanic) simultaneously increased from 6.4% to 9.3%, 0.9% to 3.1% and 1.8% to 4.7%, respectively. At the professor rank, white people decreased from 87.4% to 81.6%, while Asians and Hispanics increased from 7.1% to 10.5% and from 0.7% to 2.1%, respectively. At the rank of associate professor, white people decreased from 81.1% to 68.3% whereas Asians, Hispanics and unknown races increased from 10.3% to 19.0%, 1.6% to 3.1% and from 2.1% to 3.5%, respectively. For the rank of assistant professor, white people decreased from 64.7% to 56.9% and Asians increased from 20.5% to 25.9%. Gender differences (men vs women) for the ranks of chairperson, professor, associate professor, assistant professor and instructors were 90.3% and 9.7%, 83.1% and 16.9%, 67.1% and 32.9%, 56.8% and 43.2%, and 48.1% and 51.9%, respectively. CONCLUSION: Over a period of 12 years the racial proportion in academic neurology has changed, but it is not proportionate to their respective increase in the population of the USA. Moreover, the portion of female faculty increased, but they are still under-represented in leadership roles. This racial and gender disparity can be addressed by well-planned interventions.

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References

2011Taking Gender Into Account: Theory and Design for Women's Leadership Development Programs 2002The Case For Diversity In The Health Care Workforce 2015Addressing disparities in academic medicine: what of the minority tax?2008Patient Centeredness, Cultural Competence and Healthcare Quality 2013The Impact of Gender Diversity on the Performance of Business Teams: Evidence from a Field Experiment 2018Gender Differences in Academic Medicine: Retention, Rank, and Leadership Comparisons From the National Faculty Survey 2018Declining racial and ethnic representation in clinical academic medicine: A longitudinal study of 16 US medical specialties 2012Minorities struggle to advance in academic medicine: A 12-y review of diversity at the highest levels of America's teaching institutions

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