学術医学における教員の昇進における人種的,民族的格差
1Association of American Medical Colleges, 2450 N St NW, Washington, DC 20037, USA. emoy@aamc.org
JAMA
|September 7, 2000
まとめ
少数派医学部の教員は,白人教員と比較して,より遅い昇進率に直面しています. 黒人とヒスパニックを含む少数派 (URM) の教員は,学術医学における持続的な格差を強調する,著しく低い昇進率を経験しました.
科学分野:
- 医療教育 医療教育について
- 学術医学は,学術医学である.
- 学部開発学部開発について
背景:
- 過去の研究は,少数派の医学部教員にとって,昇進に関する潜在的なデメリットを示しています.
- これらの格差を理解することは,学術医学における多様性と公平性の促進に不可欠です.
研究 の 目的:
- 米国全土のマイノリティと白人医学部教員の昇進率の比較分析を行う.
- 学術医療機関におけるキャリアの進歩における人種/民族の違いを特定し,定量化する.
主な方法:
- 1980年から1989年の間に任命された50,145人のフルタイムの教員を含む,アメリカ医学大学協会の教員リストシステムからのデータを利用しました.
- 白人,アジア系/太平洋諸島人 (API),少数派 (URM),その他のヒスパニック系教員に対して,1997年までに准教授または常任教授に昇格した.
- コホート,性別,任期状況,学位,部門,機関タイプ,および国立衛生研究所 (NIH) の賞状などの変数によって制御されます.
主要な成果:
- 白人の教員は,URMの教員 (それぞれ30%,36%) と比べて,より高い昇進率 (助教授の46%,准教授の50%) を示した.
- 統計的調整を行った後も,URMの教員は昇進する可能性が著しく低いままでした (RR 0.68はアシスタント,RR 0.81は准教授).
- APIのアシスタント教授も昇進率が低い (RR 0.91),API副教授や他のヒスパニック系教員は白人教員と同等の昇進率を示した.
結論:
- この研究は,マイノリティの教員,特にURMの個人が,米国の医学部で白人同級生よりも低い割合で昇進していることを確認しています.
- これらの発見は,さまざまな影響要因を考慮した後でも,学術的な進歩における持続的な人種的/民族的格差を強調しています.
- これらの不平等に対処することは,医学部におけるより大きな多様性と包摂を達成するために不可欠です.
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