Faculty self-reported experience with racial and ethnic discrimination in academic medicine
Faculty self-reported experience with racial and ethnic discrimination in academic medicine
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DOI：
10.1111/j.1525-1497.2004.20409.x
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发表时间：
2004-03-01
影响因子：
5.7
通讯作者：
Carr, PL
中科院分区：
文献类型：
--
作者：
Peterson, NB;Friedman, RH;Carr, PL
背景技术背景：尽管需要招聘和保留少数民族教师在学术医学，鲜为人知的是少数民族教师的经验，特别是他们自我报告的种族和民族歧视的经验，在他们的机构。确定美国医学院教师自我报告的种族/民族歧视经历的频率，以及与结果的关联，如职业满意度，学术排名，设计：一项对美国医学院教师的177项自我管理的邮寄调查。设置：在美国本土随机选择的24所医学院。参与者：随机抽取1，979名全职教师，按医学院、专业、毕业队列和性别分层。测量：自我报告的种族/民族偏见和歧视经历的频率。结果：应答率为60%。在1，833名符合条件的教师中，82%为非西班牙裔白色，10%为代表性不足的少数民族（URM），8%为非代表性不足的少数民族（URM）。URM和CIMM教师比大多数教师更有可能在他们的学术环境中感知种族/民族偏见（比值比[OR]，5.4; P <0.01和OR，2.6; P <0.01）。近一半（48%）的URM和26%的CRM报告说，他们受到过上级或同事的种族/民族歧视。有这种经历的教师职业满意度得分低于其他教师（P < .01）。然而，他们收到了可比的工资，发表论文的数量相当，同样有可能达到高级职称（全职或副教授）。结论：许多少数民族教师报告遇到种族/民族偏见的学术医学和有较低的职业满意度比其他教师。尽管如此，少数民族教师谁报告经历种族/民族歧视取得了类似于其他教师的学术生产力。
BACKGROUND: Despite the need to recruit and retain minority faculty in academic medicine, little is known about the experiences of minority faculty, in particular their self-reported experience of racial and ethnic discrimination at their institutions.OBJECTIVE: To determine the frequency of self-reported experience of racial/ethnic discrimination among faculty of U.S. medical schools, as well as associations with outcomes, such as career satisfaction, academic rank, and number of peer-reviewed publications.DESIGN: A 177-item self-administered mailed survey of U.S. medical school faculty.SETTING: Twenty-four randomly selected medical schools in the contiguous United States.PARTICIPANTS: A random sample of 1,979 full-time faculty, stratified by medical school, specialty, graduation cohort, and gender.MEASUREMENTS: Frequency of self-reported experiences of racial/ethnic bias and discrimination.RESULTS: The response rate was 60%. Of 1,833 faculty eligible, 82% were non-Hispanic white, 10% underrepresented minority (URM), and 8% nonunderrepresented minority (NURM). URM and NURM faculty were substantially more likely than majority faculty to perceive racial/ethnic bias in their academic environment (odds ratio [OR], 5.4; P < .01 and OR, 2.6; P < .01, respectively). Nearly half (48%) of URM and 26% of NURM reported experiencing racial/ethnic discrimination by a superior or colleague. Faculty with such reported experiences had lower career satisfaction scores than other faculty (P < .01). However, they received comparable salaries, published comparable numbers of papers, and were similarly likely to have attained senior rank (full or associate professor).CONCLUSIONS: Many minority faculty report experiencing racial/ethnic bias in academic medicine and have lower career satisfaction than other faculty. Despite this, minority faculty who reported experiencing racial/ethnic discrimination achieved academic productivity similar to that of other faculty.