Abstract
Introduction
Previous studies have identified the need to improve recruitment and retention of faculty who are underrepresented in medicine (URiM); however, it is unclear to what extent medical schools have been able to sustain growth and retain URiM faculty representation.
Methods
Numbers of URiM faculty at each AAMC medical school from 2012 to 2021 were obtained from the Association of American Medical Colleges Faculty Administrative Management Online User System database. Year-over-year percent change was calculated for each school and year of the study period for all URiM faculty, junior URiM faculty, and senior URiM faculty. Pearson's correlation was used to compare percent change in 1 year to the previous and subsequent years for all three groups. Pearson's correlation coefficients were also used to compare percent change between junior and senior URiM faculty for the same, previous, and subsequent years.
Results
The percentage change for URiM faculty at all ranks between adjacent years occurring from 2012 to 2021 was weakly and negatively associated (r = − 0.06, p value = 0.03). There was significant positive correlation between the percent change in junior URiM faculty and senior URiM faculty in the same year (r = 0.11) and previous year (r = 0.09).
Discussion
URiM faculty growth in 1 year is not sustained in the next year. More research is needed to better understand efforts at retention of URiM faculty in academic medicine.
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Data Availability
The data that support the findings of this study are available to constituents at participating medical schools from The Association of American Medical Colleges at https://www.aamc.org/data-reports/faculty-institutions/faculty-roster. Restrictions apply to the availability of these data, which were used under license for this study.
References
Hassouneh D, et al. The experiences of underrepresented minority faculty in schools of medicine. Med Educ Online. 2014;19:24768.
Harris TB, et al. Advancing equity in academic medicine through holistic review for faculty recruitment and retention. Acad Med. 2022;97(5):631–4.
Guevara JP, Wade R, Aysola J. Racial and ethnic diversity at medical schools - why aren’t we there yet? N Engl J Med. 2021;385(19):1732–4.
US Census Bureau. US Census Bureau QuickFacts: United States. 2022. https://www.census.gov/quickfacts/fact/table/US/PST045222. Accessed 6 Dec 2023
Meadows AM, et al. Racial, ethnic, and sex diversity in academic medical leadership. JAMA Netw Open. 2023;6(9):e2335529.
Ly DP, et al. Affirmative action bans and enrollment of students from underrepresented racial and ethnic groups in U.S. Public Medical Schools. Ann Intern Med. 2022;175(6):873–8.
Rodriguez JE, Tumin D, Campbell KM. Sharing the power of white privilege to catalyze positive change in academic medicine. J Racial Ethn Health Disparities. 2021;8(3):539–42. https://doi.org/10.1007/s40615-020-00947-9.
Campbell KM, Hudson BD, Tumin D. Releasing the net to promote minority faculty success in academic medicine. J Racial Ethn Health Disparities. 2020;7(2):202–6.
Foster KE, et al. Dear white people. Ann Fam Med. 2021;19(1):66–9.
Campbell KM, Rodriguez JE. Addressing the minority tax: perspectives from two diversity leaders on building minority faculty success in academic medicine. Acad Med. 2019;94(12):1854–7. https://doi.org/10.1097/ACM.0000000000002839.
Andriole DA, et al. Postbaccalaureate premedical programs to promote physician-workforce diversity. J Best Pract Health Prof Divers. 2015;8(1):1036–48.
McDougle L, et al. A national long-term outcomes evaluation of U.S. premedical postbaccalaureate programs designed to promote health care access and workforce diversity. J Health Care Poor Underserved. 2015;26(3):631–47.
Rodriguez JE, et al. Underrepresented minority faculty in academic medicine: a systematic review of URM faculty development. Fam Med. 2014;46(2):100–4.
Peek ME, et al. URM candidates are encouraged to apply: a national study to identify effective strategies to enhance racial and ethnic faculty diversity in academic departments of medicine. Acad Med. 2013;88(3):405–12.
Kaplan SE, et al. Challenges in recruiting, retaining and promoting racially and ethnically diverse Faculty. J Natl Med Assoc. 2018;110(1):58–64.
Davenport D, et al. Faculty recruitment, retention, and representation in leadership: an evidence-based guide to best practices for diversity, equity, and inclusion from the Council of Residency Directors in Emergency Medicine. West J Emerg Med. 2022;23(1):62–71.
Wingard D, et al. Faculty equity, diversity, culture and climate change in academic medicine: a longitudinal study. J Natl Med Assoc. 2019;111(1):46–53.
Childs E, et al. Retaining faculty from underrepresented groups in academic medicine: results from a needs assessment. South Med J. 2023;116(2):157–61.
Liaison Committee on Medical Education (LCME). Standards, Publications, & Notification Forms 2023. https://lcme.org/publications/ . Accessed 29 Jan 2024
Mahoney MR, et al. Minority faculty voices on diversity in academic medicine: perspectives from one school. Acad Med. 2008;83(8):781–6.
Ajayi AA, Rodriguez F, Perez VdeJ. Prioritizing equity and diversity in academic medicine faculty recruitment and retention. JAMA Health Forum. 2021;2(9):e212426.
Ries A, et al. Measuring faculty retention and success in academic medicine. Acad Med. 2012;87(8):1046–51.
Daley S, Wingard DL, Reznik V. Improving the retention of underrepresented minority faculty in academic medicine. J Natl Med Assoc. 2006;98(9):1435–40.
Tucker Edmonds B, et al. Diversifying faculty leadership in academic medicine: the Program to Launch Underrepresented in Medicine Success (PLUS). Acad Med. 2022;97(10):1459–66.
Lau F. Chap. 12: Methods for correlational studies. In: Lau F, Kuziemsky C, editors. Handbook of eHealth evaluation: an evidence-based approach [Internet]. University of Victoria: Victoria, BC; 2017.
Acknowledgements
The authors would like to acknowledge Tibor Kisel, MPH for her assistance in the preparation of this manuscript and Christen Walcher, MPAff for editing and formatting the manuscript.
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All authors contributed to the study conception and design. Material preparation, data collection, and analysis were performed by Karen E. Schlag. The first draft of the manuscript was written by Kendall M Campbell and all authors commented on previous versions of the manuscript. All authors read and approved the final manuscript.
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Collazo, A., Schlag, K.E., Nicanord, E. et al. Are We Really Retaining URiM Faculty in Academic Medicine?. J. Racial and Ethnic Health Disparities (2024). https://doi.org/10.1007/s40615-024-02020-1
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DOI: https://doi.org/10.1007/s40615-024-02020-1