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Diversity in Radiology: Current Status and Trends Over the Past Decade.

Xiao Wu1, Suryansh Bajaj1, Mihir Khunte1

  • 1From the Department of Radiology and Biomedical Imaging, Yale School of Medicine, Box 208042, Tompkins East 2, 333 Cedar St, New Haven, CT 06520-8042 (X.W., S.B., M.K., M.R., H.F., A.M.); Department Radiology, University of Maryland School of Medicine, Baltimore, Md (D.G.); Department of Radiology, Stanford University, Stanford, Calif (M.W.); and Department of Radiology, Northwell Health, Manhasset, NY (P.S.).

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This summary is machine-generated.

Diversity in academic radiology has grown, but disparities persist. Female representation in radiology residency applications remains low despite a diverse medical student pipeline, and underrepresentation of Black and Hispanic individuals is evident at all faculty levels.

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Area of Science:

  • Medical Workforce Diversity
  • Academic Radiology
  • Physician Pipeline Analysis

Background:

  • Growing national and institutional focus on increasing diversity within the field of radiology.
  • Need to understand the representation of sex, race, and ethnicity in academic radiology.
  • Importance of analyzing the physician workforce in relation to the medical student and trainee pipeline.

Purpose of the Study:

  • To analyze trends in sex, racial, and ethnic diversity within the U.S. academic radiology physician workforce from 2010 to 2019.
  • To contextualize workforce diversity data with the available pipeline of medical students and trainees.
  • To identify potential bottlenecks or areas for improvement in diversity initiatives.

Main Methods:

  • Collected data on sex and race/ethnicity for medical school applicants, graduates, radiology residency applicants, residents, and academic radiology faculty.
  • Analyzed trainee data from two time points: 2010-2011 and 2019-2020.
  • Examined radiology faculty data from 2010 to 2019, comparing composition using chi-squared tests (P < .05).

Main Results:

  • Female faculty representation increased across all academic ranks between 2010 and 2019, with notable gains in senior positions, though department chair representation saw a smaller increase (13% to 17%).
  • A significant drop in female representation occurred from medical school matriculates (52%) to radiology residency applicants (29%), a gap that remained consistent from 2010 to 2019.
  • Underrepresentation of Black/African American and Hispanic faculty persisted across all academic levels (instructor to professor) and showed no significant change from 2010 to 2019.

Conclusions:

  • Addressing the low proportion of female radiology residency applicants, despite a diverse medical student pool, is crucial for improving female representation.
  • The persistent underrepresentation of Black and Hispanic individuals in academic radiology necessitates targeted interventions.
  • Diversity enhancement efforts should focus on the medical school and residency application stages to impact the academic radiology workforce.