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Promotion Disparities in Academic Urology

Published:January 06, 2020DOI:https://doi.org/10.1016/j.urology.2019.10.042

      ABSTRACT

      Objective

      To better understand promotion timelines across gender and race/ethnicity and how academic output impacts promotion in urology.

      Methods

      We examined the 2017 census. An academic subset was asked questions regarding their promotion timeline. We obtained demographic, academic output, and family responsibility data.

      Results

      Of 2926 academic urologists who identified a position of Assistant, Associate, or Full professor, 11.2% were women, 75% were White, and 94% were non-Hispanic. Men authored more papers and achieved principal investigator status more often than women. Non-Hispanics authored more papers than Hispanics. On average, women took 1.2 years longer than men to advance from Assistant to Associate Professor (7.3 years [95% CI: 6.8-7.8] vs 6.1 years, [95% CI: 5.8-6.6, P <.001]). Advancement from Associate to Full Professor was similar between women and men (6.0 years [95% CI: 5.1-6.9] vs 6.6 [95% CI: 6.1-7.1, P = .25]). Compared to women, men were more likely to experience rapid promotion (≤4 years) to Associate Professor (odds ratio 3 [95% CI: 1.8-5.1]). There was no statistical difference across race/ethnicity for promotion from Assistant to Associate, Associate to Full Professor, or rapid promotion.

      Conclusion

      We identified disparities in promotion times based on gender but not race and ethnicity. The number of under-represented minority faculty in urology is low. Understanding the causes of disparities should be a priority in order to support fair promotion practices and retention of diverse faculty.
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      References

        • Jayne MEA
        • Dipboye RL
        Leveraging diversity to improve business performance: research findings and recommendations for organizations.
        Hum Resour Manage. 2004; 43: 409
        • Kaplan SE
        • Raj A
        • Carr PL
        • et al.
        Race/ethnicity and success in academic medicine: findings from a longitudinal multi-institutional study.
        Acad Med. 2018; 93: 616-622
        • Cooper-Patrick L
        • Gallo JJ
        • Gonzales JJ
        • et al.
        Race, gender, and partnership in the patient-physician relationship.
        JAMA. 1999; 282: 583-589
        • Laveist TA
        • Nuru-Jeter A
        Is doctor-patient race concordance associated with greater satisfaction with care?.
        J Health Soc Behav. 2002; 43: 296-306
        • Abelson JS
        • Symer MM
        • Yeo HL
        • et al.
        Surgical time out: our counts are still short on racial diversity in academic surgery.
        Am J Surg. 2018; 215: 542-548
        • Hughes TB
        • Varma VR
        • Pettigrew C
        • et al.
        African Americans and clinical research: evidence concerning barriers and facilitators to participation and recruitment recommendations.
        Gerontologist. 2017; 57: 348-358
        • Marrast LM
        • Zallman L
        • Woolhandler S
        • et al.
        Minority physicians' role in the care of underserved patients: diversifying the physician workforce may be key in addressing health disparities.
        JAMA Intern Med. 2014; 174: 289-291
        • Moy E
        • Bartman BA
        Physician race and care of minority and medically indigent patients.
        JAMA. 1995; 273: 1515-1520
      1. AAMC Faculty Data,https://www.aamc.org/data/facultyroster/reports/486050/usmsf17.html, Accessed December 20, 2018.

      2. US Census Quick Facts, https://www.census.gov/quickfacts/fact/table/US/PST045217, December 20, 2018.

      3. The State of the Urology Workforce and Practice in the United States 2017. http://www.auanet.org/research/research-resources/aua-census/census-results (Accessed November 2017).

        • Washington SL
        • Baradaran N
        • Gaither TW
        • et al.
        Racial distribution of urology workforce in United States in comparison to general population.
        Transl Androl Urol. 2018; 7: 526-534
        • Bradbury CL
        • King DK
        • Middleton RG
        Female urologists: a growing population.
        J Urol. 1997; 157: 1854-1856
        • Han J
        • Stillings S
        • Hamann H
        • et al.
        Gender and subspecialty of urology faculty in department-based leadership roles.
        Urology. 2017; 110: 36-39
        • Carr PL
        • Gunn CM
        • Kaplan SA
        • Raj A
        • Freund KM
        Inadequate progress for women in academic medicine: findings from the national faculty study.
        J Womens Health. 2015; 24: 190-199
        • Yang G
        • Villalta JD
        • Weiss DA
        • Carroll PR
        • Breyer BN
        Gender differences in academic productivity and academic career choice among urology residents.
        J Urol. 2012; 188: 1286-1290
        • Awad MA
        • Gaither TW
        • Osterberg EC
        • et al.
        Gender differences in promotions and scholarly productivity in academic urology.
        Can J Urol. 2017; 24: 9011-9016
        • Porten SP
        • Gaither TW
        • Greene KL
        • et al.
        Do women work less than men in urology: data from the American Urological Association Census.
        Urology. 2018; 118: 71-75
        • Mayer EN
        • Lenherr SM
        • Hanson HA
        • Jessop TC
        • Lowrance WT
        Gender differences in publication productivity among academic urologists in the United States.
        Urology. 2017; 103: 39-46
      4. The State of the Urology Workforce and Practice in the United States 2018.https://www.auanet.org/Documents/research/census/2018%20The%20State%20of%20the%20Urology%20Workforce%20Census%20Book.pdf (Accessed March 2019)

        • Amir H
        • Beri A
        • Yechiely R
        • Amir Levy Y
        • Shimonov M
        • Groutz A
        Do urology male patients prefer same-gender urologist?.
        Am J Mens Health. 2018; 12: 1379-1383