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      Evaluation of Equitable Racial and Ethnic Representation Among Departmental Chairs in Academic Medicine, 1980-2019

      research-article
      , MD 1 , , MD, DPhil 2 , , MD, MPH 1 , , MD 3 , , MD, PhD 1 , , PhD 4 , , MD, PhD 1 ,
      JAMA Network Open
      American Medical Association

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          Abstract

          This cross-sectional study evaluates racial and ethnic representation among departmental chairs and faculty in academic medicine in the US from 1980 to 2019.

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          Minorities struggle to advance in academic medicine: A 12-y review of diversity at the highest levels of America's teaching institutions.

          Blacks, Hispanics, and women are underrepresented in academic medicine. This study sought to identify recent trends in the academic appointments of underrepresented groups at all levels of academic medicine.
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            Projected Estimates of African American Medical Graduates of Closed Historically Black Medical Schools

            Key Points Question What are the projected estimates of the number of African American students who would have graduated from historically Black medical schools that were closed during the period surrounding the publication of the 1910 Flexner report? Findings In this economic evaluation of 13 historically Black medical schools that were closed and 4 historically Black medical schools that remained open after the 1910 Flexner report, an extrapolation based on data from the medical schools that remained open indicated that 5 of the closed medical schools might have collectively provided training to an additional 35 315 graduates by 2019. If these 5 closed schools had remained open, they could have produced a 29% increase in the number of graduating African American physicians in 2019 alone. Meaning The study’s findings suggest that consideration should be given to the creation of medical education programs at historically Black colleges and universities in an effort to increase the number of African American graduates from medical schools and the number of African American physicians in the workforce.
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              Diversity in Medical Schools—Need for a New Bold Approach

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                Author and article information

                Journal
                JAMA Netw Open
                JAMA Netw Open
                JAMA Netw Open
                JAMA Network Open
                American Medical Association
                2574-3805
                19 May 2021
                May 2021
                19 May 2021
                : 4
                : 5
                : e2110726
                Affiliations
                [1 ]Ohio State University James Cancer Center, Columbus
                [2 ]Department of Radiation Oncology, University of Michigan, Ann Arbor
                [3 ]Department of Cardiology, Ohio State University, Columbus
                [4 ]Ohio State University College of Public Health, Columbus
                Author notes
                Article Information
                Accepted for Publication: March 29, 2021.
                Published: May 19, 2021. doi:10.1001/jamanetworkopen.2021.10726
                Open Access: This is an open access article distributed under the terms of the CC-BY License. © 2021 Odei BC et al. JAMA Network Open.
                Corresponding Author: Darrion Mitchell, MD, PhD, Ohio State University James Cancer Center, 460 W 10th Ave, Columbus, OH 43210 ( darrion.mitchell@ 123456osumc.edu ).
                Author Contributions: Drs B. C. Odei and Mitchell had full access to all of the data in the study and take responsibility for the integrity of the data and the accuracy of the data analysis.
                Concept and design: B. C. Odei, Jagsi, Arnett, J. B. Odei, Mitchell.
                Acquisition, analysis, or interpretation of data: B. C. Odei, Jagsi, Diaz, Addison, J. B. Odei, Mitchell.
                Drafting of the manuscript: B. C. Odei, Diaz, Mitchell.
                Critical revision of the manuscript for important intellectual content: All authors.
                Statistical analysis: J. B. Odei, Mitchell.
                Administrative, technical, or material support: B. C. Odei, Addison, Mitchell.
                Supervision: B. C. Odei, Diaz, Arnett, Mitchell.
                Conflict of Interest Disclosures: Dr Jagsi reported receiving grants from the National Institutes of Health, Genentech, the Doris Duke Foundation, and the Komen Foundation; receiving grants and personal fees from the Greenwall Foundation; receiving personal fees from Amgen, Sherinian & Hasso, and Dressman, Benzinger, and Lavelle law firm; receiving stock options from Equity Quotient for service as advisor; and being an uncompensated founding member of Time’s Up Healthcare and a member of Board of Directors of American Society of Clinical Oncology. No other disclosures were reported.
                Article
                zld210084
                10.1001/jamanetworkopen.2021.10726
                8134999
                34009350
                5bc9f061-d8ea-4f6b-a9cc-64c4bf3164dc
                Copyright 2021 Odei BC et al. JAMA Network Open.

                This is an open access article distributed under the terms of the CC-BY License.

                History
                : 22 January 2021
                : 29 March 2021
                Categories
                Research
                Research Letter
                Online Only
                Medical Education

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