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Gender Diversity Among U.S. Allopathic Medical School Graduates, 2016-2023
Elle Lett1,2,3, Renée Brown4,5, Asa Radix2,6,7
1Department of Emergency Medicine, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Health Equity
|July 31, 2026
Summary
Transgender and nonbinary (trans) medical students report lower satisfaction with their education and longer times to graduation compared to cisgender peers. Further research is needed to improve trans medical student training experiences.
Area of Science:
- Medical Education
- Health Disparities
- Demographic Analysis
Background:
- Understanding the experiences of transgender and nonbinary (trans) individuals in medical school is crucial for promoting inclusivity.
- Existing data on the specific challenges faced by trans medical students during their training is limited.
Purpose of the Study:
- To characterize the demographic profile of transgender and nonbinary (trans) medical students.
- To assess the medical training experiences of trans medical students, including satisfaction and time to graduation.
- To compare these characteristics and experiences with those of their cisgender peers.
Main Methods:
- Cross-sectional analysis of data from the Association of American Medical Colleges Graduation Questionnaire (2016-2023).
- Inclusion of 121,291 respondents, with 837 identified as trans.
- Statistical comparison of demographic factors, educational satisfaction, and time to graduation between trans and cisgender medical students.
Main Results:
- Trans medical students were more likely to be unsatisfied with their education (aOR: 2.64, 95% CI: 2.08, 3.29).
- Trans graduates had a higher likelihood of taking longer than 4 years to complete medical school (aOR: 1.55, 95% CI: 1.32, 1.82).
- Demographic characteristics such as race, ethnicity, age, and medical school region were also analyzed.
Conclusions:
- Transgender and nonbinary medical students face significant challenges in their training, reporting lower satisfaction and extended graduation timelines.
- These findings underscore the need for targeted interventions to enhance the educational experiences and support systems for trans medical students.
- Further research is essential to identify and implement effective strategies for improving medical training for all students, irrespective of gender identity.
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