Factors That Influence the Choice of Academic Pediatrics by Underrepresented Minorities

Dixon, Gabrina; Kind, Terry; Wright, Joseph L.; Stewart, Nikki; Sims, Alexandra; Barber, Aisha

doi:10.1542/peds.2018-2759

Cited by 39 publications

(29 citation statements)

References 12 publications

(11 reference statements)

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“…To build an antiracist academic medical institution, minority faculty must have mentorship and sponsorship to support their efforts. In our own work evaluating factors influencing racial minority pediatricians to choose an academic career compared with a private practice, early career mentorship was identified as a critical determinant ( 24 ). The paucity of underrepresented minority leaders in academic medicine was an important barrier.…”

Section: Facultymentioning

confidence: 99%

Antiracism in Academic Medicine: Fixing the Leak in the Pipeline of Black Physicians

Avakame¹,

October

Dixon³

2021

ATS Scholar

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Black physicians remain severely underrepresented in academic medicine despite the documented benefits of a diverse medical faculty. Only 3.6% of academic medical faculty self-report as Black or African American. Efforts to improve faculty diversity at academic medical institutions nationwide have not made meaningful impacts. Sustained improvements in faculty diversity cannot be achieved without an actively antiracist approach, including the intentional transformation of policies, practices, and systems that persistently produce worse outcomes for Black medical students, trainees, and faculty.

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Section: Facultymentioning

confidence: 99%

Antiracism in Academic Medicine: Fixing the Leak in the Pipeline of Black Physicians

Avakame¹,

October

Dixon³

2021

ATS Scholar

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“…Diversity among healthcare professionals is vital to optimally serve diverse patients and ensure the provision of quality healthcare [1]. Minority physicians ensure to provide culturally sensitive care to ethnically concordant patients and serve as mentors to minority medical students.…”

Section: Introductionmentioning

confidence: 99%

Gender and Racial Profile of the Academic Pediatric Faculty Workforce in the United States

Saboor¹,

Sattar²,

Chaudhary³

et al. 2022

Cureus

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BackgroundEquity, diversity, and inclusion remain a challenge in the healthcare workforce. This study explored the current gender and racial/ethnic trends in academic pediatric positions across the United States. MethodologyThe pediatric faculty self-reported data by the American Association of Medical Colleges (AAMC) Faculty Roster from 2007 to 2020 were analyzed. The races were classified as White (non-Hispanic), Asian, Hispanic, Black (non-Hispanic), Multiple races (including both non-Hispanic and Hispanic), Others, and Unknown. Gender was categorized as male and female. ResultsThe results showed that Asian, Black (non-Hispanic), and Hispanic academic pediatricians increased in full professor, associate professor, and assistant professor positions and decreased in instructor positions from 2007 to 2020. Black (non-Hispanic) academic pediatricians relatively decreased 5.5% in chairperson positions. Women increased in full professor, associate professor, instructor, and chairperson positions; however, relatively decreased 1.8% in assistant professor positions. Men and White (non-Hispanic) academic pediatricians relatively decreased 10.5% and 16%, respectively, in all academic ranks. Women, Asian, Black (non-Hispanic), Hispanic, and Other races were underrepresented in tenured, on-track (tenureeligible), and not-on-track (tenure-eligible) positions. ConclusionsWomen and underrepresented minorities in medicine (URiM) physicians continue to remain significantly underrepresented in academic pediatric faculty positions and tenured track positions. There is a dire need to adapt multifaceted strategies to increase the engagement of women and URiM in academic pediatrics.

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“…18,46,47 Reasons for this underrepresentation may include implicit biases, funding disparities, lack of mentorship, and lack of UIMs in leadership positions. [48][49][50][51][52][53] Diverse teams tend to be more creative than homogeneous teams because of the richness of varying approaches and experiences. Beyond the potential benefits of a more diverse health care workforce is the notion that at least in the United States, its national population demographics will change dramatically in the next 50 years to be more racially and ethnically heterogeneous.…”

Section: Developing Stroke Disparities Researchers In the United Statesmentioning

confidence: 99%

The 2021 William Feinberg Award Lecture Seeking Glocal Solutions to Cerebrovascular Health Inequities

Ovbiagele

2022

Stroke

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Global and local (“glocal”) disparities in stroke incidence, prevalence, care, and mortality are persistent, pervasive, and progressive. In particular, the disproportionate burden of stroke in people of African ancestry compared to most other racial/ethnic groups around the world has been long standing, is expected to worsen, and so far, has defied solution, largely because conventional risk factors likely account for less than half of the Black versus White disparity in stroke outcomes. While hypotheses such as a differential impact or inadequate evaluation of traditional risk factors by race have been suggested as potentially key factors contributing to lingering racial/ethnic stroke disparities, relatively understudied novel risk factors such as psychosocial stress, environmental pollution, and inflammation; and influences of the social determinants of health are gaining the most attention (and momentum). Moreover, it is increasingly recognized that while there is a lot still to understand, there needs to be a major shift from incessantly studying the problem, to developing interventions to resolve it. Resolution will likely require targeting multilevel factors, considering contemporaneous cross-national and cross-continental data collection, creating scalable care delivery models, jointly addressing care quality and community drivers of stroke occurrence, incorporating policy makers in planning/dissemination of successful interventions, and investing in robust transdisciplinary research training programs that address the interrelated issues of health equity and workforce diversity, and regional capacity building. To this end, our international multidisciplinary team has been involved in conducting several epidemiological studies and clinical trials in the area of stroke disparities, as well as executing career enhancing research training programs in the United States and Africa. This award lecture paper shares some of the lessons we have learnt from previous studies, presents objectives/design of ongoing initiatives, and discusses plans for the future.

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Factors That Influence the Choice of Academic Pediatrics by Underrepresented Minorities

Abstract: OBJECTIVES: Our objective for this study was to explore the experiences of faculty in academic pediatrics who are underrepresented minorities (URMs) at 2 urban medical centers, in particular, the experiences that influenced their pursuit of academic pediatrics.

Cited by 39 publications

References 12 publications

Antiracism in Academic Medicine: Fixing the Leak in the Pipeline of Black Physicians

Antiracism in Academic Medicine: Fixing the Leak in the Pipeline of Black Physicians

Gender and Racial Profile of the Academic Pediatric Faculty Workforce in the United States

The 2021 William Feinberg Award Lecture Seeking Glocal Solutions to Cerebrovascular Health Inequities

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