According to the American Association of Medical Colleges, women comprise 26% of full professors and 19% of medical school department chairs. African American and Latino faculty comprise 4.6% of full professors and 6.9% of department chairs.
Because of the lack of representation of women and racial/ethnic minority faculty at the highest levels of academic medicine, this study examines the perceptions of barriers to advancement by men and women academic medical school faculty of differing races and ethnicities to explore potential differences in perceptions by demographic group.
Semi-structured one-on-one interviews were conducted between July and September 2017.
In order to give all faculty a chance to participate, faculty of all ranks and specialties were recruited from one southeastern medical school to participate in the study.
Interviews were audio recorded, transcribed, and analyzed by 3 members of the research team using an inductive approach to thematic analysis. Participants were organized into 4 groups for analysis—underrepresented in medicine (URiM) women, majority women, URiM men, majority men.
Sixty-four faculty consented to participate in the study (56.2% women, 34.4% URiM). Subthemes were grouped under three main themes: Perceptions of Barriers to Advancement of Women Faculty, Perceptions of Barriers to Advancement of African American and Latino Faculty, and Perceptions of the Institutional Climate for Diversity. Majority men tended to voice distinctly different perspectives than the other three demographic groups, with the most notable differences between majority men and URiM women. Majority men tended to suggest that the advancement of women and URiM faculty was acceptable or getting better, the lack of URiM faculty in leadership was due mainly to pipeline issues, and women choose not to advance to leadership positions.
We found that participant gender and race/ethnicity shaped perspectives of medical school faculty advancement in distinct ways.
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This project was supported through an institutional grant from the University of Alabama at Birmingham Office of Diversity and Inclusion.
Conflict of Interest
The authors declare that they do not have a conflict of interest.
The study was approved by the Institutional Review Board for Human Use at The University of Alabama at Birmingham (UAB), June 21, 2017, Protocol # 170524006.
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
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Bateman, L.B., Heider, L., Vickers, S.M. et al. Barriers to Advancement in Academic Medicine: the Perception Gap Between Majority Men and Other Faculty. J GEN INTERN MED (2021). https://doi.org/10.1007/s11606-020-06515-5
- academic advancement
- academic medicine
- underrepresented in medicine