Male and female faculty members’ perceptions of organisational culture in academic medicine at 26 representative US academic health centres: implications for delivering the future hospital

摘要

AimVital and productive academic faculty are critical to the futurehospital, yet studies indicate high dissatisfaction and burnout,and a lack of advancement and senior roles for women. Thisstudy sought to identify personal and cultural factors associatedwith vitality and intention to leave academic medicine, andsimilarity and dissimilarity between perceptions of the cultureby male and female faculty, and racial/ethnic minority faculty(URMM).MethodsThe C – Change Faculty Survey was used to collect data onperceptions of organisational culture in a stratifi ed randomsample of 4,578 full-time faculty in a stratifi ed randomlyselected sample of 26 US medical schools during 2007–9. Thesurvey asked about advancement, engagement, relationships,collaboration, diversity and equity, leadership, mentoring,institutional values and practices, and work–life integration.Factor analysis and expert review created scales assessing 12dimensions of the culture, which served as the key outcomes.Regression analysis identifi ed gender and minority differenceswhile controlling for other demographic characteristics.