Objectives. We compared faculty promotion rates by race/ethnicity across US academic medical centers. Methods. We used the Association of American Medical College's 1983 through 2000 faculty roster data to estimate median institution-specific promotion rates for assistant professor to associate professor and for associate professor to full professor. In unadjusted analyses, we compared medians for Hispanic and Black with White faculty using the Wilcoxon rank sum test. We compared institution-specific promotion rates between racial/ethnic groups with data stratified by institutional characteristic (institution size, proportion racial/ethnic minority faculty, and proportion women faculty) using the χ(2) test. Our sample included 128 academic medical centers and 88?432 unique faculty. Results. The median institution-specific promotion rates for White, Hispanic, and Black faculty, respectively, were 30.2%, 23.5%, and 18.8% (P?.01) from assistant to associate professor and 31.5%, 25.0%, and 16.7% (P?.01) from associate to full professor. Conclusions. At most academic medical centers, promotion rates for Hispanic and Black were lower than those for White faculty. Equitable faculty promotion rates may reflect institutional climates that support the successful development of racial/ethnic minority trainees, ultimately improving healthcare access and quality for all patients.
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机译:目标。我们比较了美国学术医学中心按种族/民族划分的教职晋升率。方法。我们使用了美国医学院协会(American Association of College)1983年至2000年的教师名册数据来估计助理教授到副教授和副教授到正教授的特定于机构的晋升率。在未经调整的分析中,我们使用Wilcoxon秩和检验比较了西班牙裔和黑人与白人教职员工的中位数。我们使用χ(2)检验比较了种族/族裔群体之间特定于机构的晋升率与按制度特征(机构规模,种族/少数民族教职员工比例和女性教职员工比例)分层的数据。我们的样本包括128个学术医学中心和88?432个独特的教职员工。结果。从助理教授到副教授的白人,西班牙裔和黑人教职员工的机构特定提升率中位数分别为30.2%,23.5%和18.8%(P?. 01),分别为31.5%,25.0%和16.7。 %(P?. 01)从副教授到正式教授。结论在大多数学术医疗中心,西班牙裔和黑人的晋升率低于白人教职人员。合理的教职晋升率可能反映了支持种族/族裔少数见习生成功发展的机构环境,最终改善了所有患者的医疗保健机会和质量。
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