Background I conducted a study to determine whether women whograduate from medical schools are more or less likely than theirmale counterparts to pursue full-time careers in academic medicineand to advance to the senior ranks of medical school faculties.
Methods The rates of advancement to the ranks of assistant,associate, and full professor for all U.S. medical school graduatesfrom 1979 through 1993 and for all members of U.S. medical schoolfaculties from 1979 through 1997 were studied. Cohorts weredefined on the basis of the year of graduation from medicalschool, track (tenure or nontenure), and academic department.Within each cohort, the number of women who advanced to a seniorrank was compared with the number that would be expected onthe basis of parity between men and women, and 95 percent confidenceintervals were calculated.
Results Women were significantly more likely than men to pursuean academic career. During the study period, 634 more womenbecame faculty members than expected. The numbers were higherin the older cohorts than in the younger cohorts. The numbersof women who advanced to the ranks of associate and full professorwere significantly lower than the expected numbers. This wastrue for both tenure and nontenure tracks, even after adjustmentfor the department. A total of 334 fewer women advanced to associateprofessor than expected, and 44 fewer women advanced to fullprofessor than expected.
Conclusions Disparities persist in the advancement of men andwomen on medical school faculties. However, the numbers of womenphysicians at all levels of academic medicine are increasing.
Source Information
From the Center for the Assessment and Management of Change in Academic Medicine, Association of American Medical Colleges, Washington, D.C.
Address reprint requests to Dr. Nonnemaker at the Center for the Assessment and Management of Change in Academic Medicine, Association of American Medical Colleges, 2450 N St., NW, Washington, DC 20037, or at lnonnemaker{at}aamc.org.
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