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Under-Represented Minority Faculty
Recruitment Policies in U.S. Medical
Schools: An Environmental Scan


Elorm F. Avakame
James Guevara, MD, MPH
Project Overview
 Investigates associations between minority faculty development
 programs in US medical schools and faculty diversity rates at those
 schools.

                Literature    Proposal      Data        Data      Manuscript
 TIMELINE:       Review      Submission   Collection   Analysis   Publication



                                          YOU ARE
 KEY TERMS:                                HERE

 Under-Represented in Medicine (URM) - Racial and ethnic populations
 underrepresented in the medical profession relative to their numbers in
 the general population


 AAMC Faculty Roster System – Database of medical school faculty
 statistics maintained by Association of American Medical Colleges
Benefits of Faculty Diversity
          Diverse provider workforce
           ◦ Enhanced patient-provider relationship
           ◦ Underserved populations


          Diverse researcher workforce
           ◦ Diverse perspective on popular areas of study
           ◦ New research interests


          Diverse educator workforce
           ◦ Increasingly diverse medical student body


Sources:   “The Challenging Task of Diversifying the Faculty in Academic Medicine” – L. Castillo-Page et al.
           “Under-Represented Minority Faculty Recruitment Programs in U.S. Medical Schools: An Environmental Scan” – J.
                 Guevara
Barriers to Faculty Diversity
        Feelings of social isolation

        Demand to do “minority-related activities”
         ◦ E.g. mentoring, community involvement, committee
           appointments, etc.


        Lower career satisfaction
         ◦ Minorities less likely to be promoted than non-minorities
         ◦ Minorities transition out of academia sooner than other faculty




Source: “The Challenging Task of Diversifying the Faculty in Academic Medicine” – L. Castillo-Page et al.
Faculty Diversity Today
 Mean Faculty URM Proportion: 8.71%
 ◦ Range 2% - 35% (HBCUs – 70%)

 African-American, Native American, Native Hawaiian – US
 Population: 13.7%
 African American, Native American, Native Hawaiian –
 Faculty Population: 3.8%

 Hispanic – US Population: 16.3%
 Hispanic – Faculty Population: 4.9%



 Sources: United States Census 2010, AAMC Faculty Roster System
Faculty Diversity Today
                   RELATIVE DIVERSITY PROPORTIONS (RACIAL/ETHNIC DIVERSITY -
              80                             2010)

              70
              60
PERCENTAGES




              50                                                                                               % of US
                                                                                                               Population
              40
                                                                                                               % of Medical
              30                                                                                               School Faculty
                                                                                                               Population
              20
              10
               0
                       Hispanic      Caucasian   African-American   Asian    Native American Native Hawaiian
                                                 DEMOGRAPHIC GROUPS




                     Sources: United States Census 2010, AAMC Faculty Roster System
Faculty Diversity Today
                   RELATIVE DIVERSITY PROPORTIONS (GENDER DIVERSITY – 2010)
              70

              60

              50
PERCENTAGES




              40                                                               % of US Population


              30                                                               % of Medical School Faculty
                                                                               Population

              20

              10

               0
                                Male                         Female
                                            GENDER

              Sources: United States Census 2010, AAMC Faculty Roster System
Study Significance
   Prevalence of faculty diversity programs
    unknown
    ◦ Findings will describe percentage of medical schools
      with faculty diversity programs


   Association between faculty diversity programs
    and diversity outcomes unclear
    ◦ Findings will direct the “next steps” in faculty diversity
      efforts
Primary Objective
“To identify and categorize programs targeting minority
 faculty development at U.S. medical schools using an
 environmental scan.”

   Descriptive aim – no hypotheses

   Four program domains: mentorship, career
    development, social support, financial support
Secondary Objective
     “To determine associations between program domains and
      minority faculty statistics at U.S. medical schools”

 HYPOTHESES:
A) Factors from each of the four domains will independently
   be positively associated with the proportion of URM
   faculty.

B)     Factors in combination across domains will be more
       strongly associated with the proportion of URM faculty
       than factors in isolation.

C)     These factors will be associated with the proportion of
       URM faculty separately among both newly recruited faculty
       and newly promoted faculty.
Methods – Phase III: Data Collection and
Recording

   Website searches

   Subject recruitment

   Key informant interviews

   Interview transcriptions
Methods – Phase IV: Data Analysis
   Race                                     Degree
                                              ◦ MD, PhD, MD/PhD
   Sex
                                             Faculty Size (tertiles)
   Faculty Rank                              ◦ Small, Medium, Large
    ◦ Instructor, Asst Professor, Assoc
      Professor, Professor                   School Rank (deciles)
                                              ◦ 1st … 10th
   Track
    ◦ Tenure, Clinician-Educator,            Region of Country
      Other                                   ◦ West, South, Midwest,
                                                Northeast
   Department
    ◦ Clinical, Basic Science, Other         Funding Type
                                              ◦ Public, Private
Results
My Roles
   Data Collection
    ◦ Subject Recruitment/Interviews
    ◦ Website searches
    ◦ Data recording


   Primary Data Analysis
    ◦ Summary statistics
       United States Census 2010, AAMC Faculty Roster System
What Have I Learned?
   Thinking cap required!
    ◦ Avoiding human error
    ◦ Interview techniques
    ◦ Solving problems


   Data as a Second Language

   Research Rocks!
Special Thanks To:
   Ms. Joanne Levy
    ◦ Program Director

   Mrs. Elisabeth Madden
    ◦ Assistant Program Director

   Dr. James Guevara
    ◦ Principal Investigator

   Ms. Emem Adanga
    ◦ Project Supervisor

                               Source: US Census 2010

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Assessing Faculty Diversity in US Medical Schools

  • 1. Under-Represented Minority Faculty Recruitment Policies in U.S. Medical Schools: An Environmental Scan Elorm F. Avakame James Guevara, MD, MPH
  • 2. Project Overview Investigates associations between minority faculty development programs in US medical schools and faculty diversity rates at those schools. Literature Proposal Data Data Manuscript TIMELINE: Review Submission Collection Analysis Publication YOU ARE KEY TERMS: HERE Under-Represented in Medicine (URM) - Racial and ethnic populations underrepresented in the medical profession relative to their numbers in the general population AAMC Faculty Roster System – Database of medical school faculty statistics maintained by Association of American Medical Colleges
  • 3. Benefits of Faculty Diversity  Diverse provider workforce ◦ Enhanced patient-provider relationship ◦ Underserved populations  Diverse researcher workforce ◦ Diverse perspective on popular areas of study ◦ New research interests  Diverse educator workforce ◦ Increasingly diverse medical student body Sources: “The Challenging Task of Diversifying the Faculty in Academic Medicine” – L. Castillo-Page et al. “Under-Represented Minority Faculty Recruitment Programs in U.S. Medical Schools: An Environmental Scan” – J. Guevara
  • 4. Barriers to Faculty Diversity  Feelings of social isolation  Demand to do “minority-related activities” ◦ E.g. mentoring, community involvement, committee appointments, etc.  Lower career satisfaction ◦ Minorities less likely to be promoted than non-minorities ◦ Minorities transition out of academia sooner than other faculty Source: “The Challenging Task of Diversifying the Faculty in Academic Medicine” – L. Castillo-Page et al.
  • 5. Faculty Diversity Today Mean Faculty URM Proportion: 8.71% ◦ Range 2% - 35% (HBCUs – 70%) African-American, Native American, Native Hawaiian – US Population: 13.7% African American, Native American, Native Hawaiian – Faculty Population: 3.8% Hispanic – US Population: 16.3% Hispanic – Faculty Population: 4.9% Sources: United States Census 2010, AAMC Faculty Roster System
  • 6. Faculty Diversity Today RELATIVE DIVERSITY PROPORTIONS (RACIAL/ETHNIC DIVERSITY - 80 2010) 70 60 PERCENTAGES 50 % of US Population 40 % of Medical 30 School Faculty Population 20 10 0 Hispanic Caucasian African-American Asian Native American Native Hawaiian DEMOGRAPHIC GROUPS Sources: United States Census 2010, AAMC Faculty Roster System
  • 7. Faculty Diversity Today RELATIVE DIVERSITY PROPORTIONS (GENDER DIVERSITY – 2010) 70 60 50 PERCENTAGES 40 % of US Population 30 % of Medical School Faculty Population 20 10 0 Male Female GENDER Sources: United States Census 2010, AAMC Faculty Roster System
  • 8. Study Significance  Prevalence of faculty diversity programs unknown ◦ Findings will describe percentage of medical schools with faculty diversity programs  Association between faculty diversity programs and diversity outcomes unclear ◦ Findings will direct the “next steps” in faculty diversity efforts
  • 9. Primary Objective “To identify and categorize programs targeting minority faculty development at U.S. medical schools using an environmental scan.”  Descriptive aim – no hypotheses  Four program domains: mentorship, career development, social support, financial support
  • 10. Secondary Objective “To determine associations between program domains and minority faculty statistics at U.S. medical schools” HYPOTHESES: A) Factors from each of the four domains will independently be positively associated with the proportion of URM faculty. B) Factors in combination across domains will be more strongly associated with the proportion of URM faculty than factors in isolation. C) These factors will be associated with the proportion of URM faculty separately among both newly recruited faculty and newly promoted faculty.
  • 11. Methods – Phase III: Data Collection and Recording  Website searches  Subject recruitment  Key informant interviews  Interview transcriptions
  • 12. Methods – Phase IV: Data Analysis  Race  Degree ◦ MD, PhD, MD/PhD  Sex  Faculty Size (tertiles)  Faculty Rank ◦ Small, Medium, Large ◦ Instructor, Asst Professor, Assoc Professor, Professor  School Rank (deciles) ◦ 1st … 10th  Track ◦ Tenure, Clinician-Educator,  Region of Country Other ◦ West, South, Midwest, Northeast  Department ◦ Clinical, Basic Science, Other  Funding Type ◦ Public, Private
  • 14. My Roles  Data Collection ◦ Subject Recruitment/Interviews ◦ Website searches ◦ Data recording  Primary Data Analysis ◦ Summary statistics  United States Census 2010, AAMC Faculty Roster System
  • 15. What Have I Learned?  Thinking cap required! ◦ Avoiding human error ◦ Interview techniques ◦ Solving problems  Data as a Second Language  Research Rocks!
  • 16. Special Thanks To:  Ms. Joanne Levy ◦ Program Director  Mrs. Elisabeth Madden ◦ Assistant Program Director  Dr. James Guevara ◦ Principal Investigator  Ms. Emem Adanga ◦ Project Supervisor Source: US Census 2010