The Coronavirus Disease 2019 Pandemic Unmasked the Challenges Faced by Early-Stage Faculty in Infectious Diseases: A Call to Action

Scherer, Erin M.; Bäcker, Martín; Carvajal, Karen; Danziger‐Isakov, Lara; Frey, Sharon E.; Howard, Leigh M.; Huang, Felicia Scaggs; Kottkamp, Angélica; Reid, Tara; Rodriguez‐Barradas, Maria C.; Karita, Helen C. Stankiewicz; Teoh, Zheyi; Wald, Anna; Whitaker, Jennifer A.; Wiley, Zanthia; Ofotokun, Igho; Edwards, Kathryn M.

doi:10.1093/cid/ciac779

Cited by 2 publications

References 38 publications

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Child Health Needs and the Pediatric Infectious Diseases Workforce: 2020–2040

Kelly,

Cataldi,

Schlaudecker

et al. 2024

Pediatrics

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Pediatric infectious diseases (PID) physicians prevent and treat childhood infections through clinical care, research, public health, education, antimicrobial stewardship, and infection prevention. This article is part of an American Board of Pediatrics Foundation–sponsored supplement investigating the future of the pediatric subspecialty workforce. The article offers context to findings from a modeling analysis estimating the supply of PID subspecialists in the United States between 2020 and 2040. It provides an overview of children cared for by PID subspecialists, reviews the current state of the PID workforce, and discusses the projected headcount and clinical workforce equivalents of PID subspecialists at the national, census region, and census division levels over this 2-decade period. The article concludes by discussing the education and training, clinical practice, policy, and research implications of the data presented. Adjusting for population growth, the PID workforce is projected to grow more slowly than most other pediatric subspecialties and geographic disparities in access to PID care are expected to worsen. In models considering alternative scenarios, decreases in the number of fellows and time spent in clinical care significantly affect the PID workforce. Notably, model assumptions may not adequately account for potential threats to the PID workforce, including a declining number of fellows entering training and the unknown impact of the COVID-19 pandemic and future emerging infections on workforce attrition. Changes to education and training, clinical care, and policy are needed to ensure the PID workforce can meet the future needs of US children.

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Child Health Needs and the Pediatric Infectious Diseases Workforce: 2020–2040

Kelly,

Cataldi,

Schlaudecker

et al. 2024

Pediatrics

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Gender equality in academic medicine before, during and after COVID: what have we learned? A systematic review.

Burke,

Darker,

Godson-Treacy

et al. 2024

Preprint

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Background Gender disparity at senior levels in academic medicine has been recognised for decades, but progress has been slow and confounded further by the COVID pandemic. While there are many papers describing this problem, there is little evidence for potential solutions. We aimed to describe the current evidence for interventions to enhance gender equality in academic medicine, and to compare interventions pre, during and post-COVID-19. We also wished to characterise the nature of the interventions, who delivered them, and whether they seek to “fix the women”, or target issues at organisational and systemic levels. Methods We searched five electronic databases in November 2022 and August 2023 and undertook hand-searching. We extracted data using a form developed for the study, and applied the TIDieR and Morahan frameworks to describe and characterise interventions. We used the QUADs tool to critically appraise included studies. Results The search of electronic databases yielded 1,747 studies. A further 62 were identified through hand-searching. Following removal of duplicates, 764 articles were screened for eligibility, and 199 full-text articles were screened. Of these, 27 met the inclusion criteria. The most commonly reported interventions were career development or leadership skills programmes, followed by mentorship and multi-faceted interventions. Most papers reported positive findings, but many relied on subjective measures. Robustly designed studies often reported mixed findings. The majority of interventions aimed to “fix the women”, with few addressing inequality at organisational level. We found no studies describing interventions aimed specifically at mitigating the effects of the COVID pandemic, and none describing the effects of the pandemic on their interventions. Conclusion Acknowledging the possibility of publication delay, we found that despite strong evidence of the negative effects of the pandemic on women’s research productivity, there were no new interventions designed to mitigate this. Many existing interventions create “institutional housekeeping” by relying on women for their delivery, this can result in failure, especially during a crisis like COVID. Most studies were low to moderate quality. More robust research, and a more holistic approach is needed, moving away from “fixing the women” to address the organisational and systemic structures which underpin inequality.

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The Coronavirus Disease 2019 Pandemic Unmasked the Challenges Faced by Early-Stage Faculty in Infectious Diseases: A Call to Action

Cited by 2 publications

References 38 publications

Child Health Needs and the Pediatric Infectious Diseases Workforce: 2020–2040

Child Health Needs and the Pediatric Infectious Diseases Workforce: 2020–2040

Gender equality in academic medicine before, during and after COVID: what have we learned? A systematic review.

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