1. An Exploration of Diversity in Faculty and Chair Positions at US Allopathic Medical Schools Presenting: Emily M. Mader, MPH MPP SUNY Upstate Medical University Department of Family Medicine Collaborators: SUNY Upstate Medical UniversityFlorida State UniversityRobert Graham Center Christopher P. Morley, PhDJosé E. Rodríguez, MDAndrew Bazemore, MD MPH Timothy Smilnak, MSIIIKendall M Campbell, MDStephen Petterson, PhD

2. Disclosures No conflicting or competing interests This work was support by HRSA Grant #D54HP23297, Christopher P. Morley, PhD, PI/PD

3. Introduction Low numbers Underrepresented Minorities in Medicine (URMM) o General physician workforce o Academic medicine URMM o Black o Latino/Hispanic o Native American

4. Introduction Clinical implications of URMM underrepresentation 1,2 o Non-white physicians tend to care for minority patient groups o Increasing diversity physician workforce may help eliminate health disparities

5. Introduction Academic implications of URMM underrepresentation 3-5 o URMM faculty play important role by establishing mutually beneficial relationships with URMM medical students o Currently URMMs make up 8% of all medical faculty positions 6,7 Only 1% increase since 1993

6. Purpose Increasing proportion of URMM and women in faculty and chair positions requires assessment of current performance We compared racial and ethnic faculty and chair composition o Historically Black Medical Universities (HBCU) o Puerto Rico (PR)

7. Methods *Morley CP, et al. Social mission in medical school mission statements: associations with graduate outcomes. Fam Med. 2015; In Press.

8. Methods Basic descriptive statistics Bivariate analyses o Independent samples t-test Ordinary least squares regression URMM ratio = β 0 (Constant) + HBCUX 1 ± PRX 2 ± Public/PrivateX 3 ± SMCX 4

9. Results: Descriptives

10. Results: Faculty Regression

11. Results: Chair Regression

12. Results Both HBCU and PR medical schools more strongly reflect the social mission of medical education in mission statements

13. Discussion HBCU -- larger proportion of African Americans in faculty and chair positions o Not replicated with other URMM groups PR -- larger proportion of Latino/Hispanic faculty and chair positions o Not replicated with other URMM groups

14. Discussion Both HBCU and PR -- larger proportion of women in faculty and chair positions Both HBCU and PR – mission statements more strongly reflect the social mission of medical education to reduce inequities in care o Reflective of institutional orientation

15. Discussion These results do not tell us WHY HBCU and PR medical schools hire more women and URMMs in faculty/chair positions o Explicit practices at each institution? o Personal preferences of individuals hired? o Pool of eligible candidates? o Institution’s historical/cultural context?

16. Conclusion If we are to expand… o Diversity of faculty and leadership in academic medicine o Diversity of general physician workforce in the US …we may need to explicitly expand who we recruit and encourage more institutions to adopt a broader social mission

17. Conclusion Allopathic peer institutions may learn from the recruitment and hiring procedures, institutional support structures and policies at HBCU and PR medical schools as they seek to promote gender and racial/ethnic diversity

18. Limitations AAMC faculty roster o Use of term African American o Race and ethnicity data sets separated Unable to evaluate representation of women- URMMs in faculty and leadership positions

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