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Trends in Tenure Status in Academic Family Medicine, 1977–2017: Implications for Recruitment, Retention, and the Academic Mission

机译:1977-2017的学术家庭医学中的任期状况的趋势:对招聘,保留和学术任务的影响

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Purpose Tenure status has important implications for medical school faculty recruitment and retention and may affect educational quality, academic freedom, and collegiality. However, tenure trends in academic family medicine are unknown. This study aimed to describe trends in tenure status of family medicine faculty overall and by gender and status of minorities underrepresented in medicine (URM) in Liaison Committee on Medical Education–accredited medical schools. Method Association of American Medical Colleges Faculty Roster data were used to describe trends in tenure status of full-time family medicine faculty, 1977 to 2017. Bivariate and trend analyses were conducted to assess associations and describe patterns between tenure status and gender, race, and ethnicity. Interdepartmental variations in tenure trends over the years were also examined. Results Among family medicine faculty, the proportions of faculty tenured or on a tenure track dropped more than threefold from 1977 (46.6%; n = 507/1,089) to 2017 (12.7%; n = 729/5,752). Lower proportions of women and URM faculty were tenured or on a tenure track than male and non-URM faculty, respectively. But the gaps among them were converging. Compared with other clinical departments, family medicine had the highest proportion of faculty (74.6%; n = 4,291/5,752) not on a tenure track in 2017. Conclusions Proportion of tenure positions significantly decreased among family medicine faculty in U.S. medical schools. While gaps between male and female faculty and among certain racial/ethnic groups remained for family medicine tenure status, they have decreased over time, mainly because of a substantial increase in nontenured positions.
机译:目的的任期状况对医学学院招募和保留的重要意义,可能影响教育质量,学术自由和合唱团。然而,学术家庭医学的任期趋势是未知的。本研究旨在描述家庭医学教师的任期状况以及医学教育认可医学院联络委员会的少数民族(URM)的性别和地位的趋势。美国医学院教师学位的方法用于描述全日制家庭医学教师的趋势,1977年至2017年。进行了生物和趋势分析,以评估协会,并描述有权地位和性别,种族之间的模式。种族。还检查了多年来的任期趋势的跨部门变异。结果在家庭医学系中,教师的比例或者在1977年下降超过三倍(46.6%; N = 507 / 1,089)到2017年(12.7%; n = 729 / 5,752)。较低比例的妇女和URM教师分别与男性和非URM教师分别抵决或在一个任职轨道上。但它们之间的差距正在收敛。与其他临床部门相比,家庭医学的教师比例最高(74.6%; n = 4,291 / 5,752),于2017年不在一个任期赛道上。结论美国医学院的家庭医学教师在家庭医学系中得出明显下降。虽然男性和女性教师和某些种族/族群之间的差距仍然适用于家庭医学任期状态,但它们随着时间的推移而减少,主要是因为未列的职位大幅增加。

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