Background: Three national career development programs (CDPs)-Early and Mid-Career Programs sponsored by the Association of American Medical Colleges and the Hedwig van Ameringen Executive Leadership in Academic Medicine sponsored by Drexel University-seek to expand gender diversity in faculty and institutional leadership of academic medical centers. Over 20 years of success and continued need are evident in the sustained interest and investment of individuals and institutions. However, their impact on promotion in academic rank remains unknown. The purpose of the study is to compare promotion rates of women CDP participants and other faculty of similar institutional environment and initial career stage. Methods: The study examined retrospective cohorts of 2,719 CDP participants, 12,865 nonparticipant women, and 26,810 men, from the same institutions, with the same degrees, and first years of appointment in rank. Rates of promotion to Associate and Full Professor ranks in respective cohorts of Assistant and of Associate Professors were compared using Kaplan-Meier survival curves and log-rank tests, and logistic regression adjusting for other predictors of academic success. Results: In adjusted analyses, participants were more likely than men and non-participant women to be promoted to Associate Professor and as likely as men and more likely than non-participant women to be promoted to Full Professor within 10 years. Within 5 years, CDP participants were more likely than nonparticipant women to be promoted to Associate Professor and as likely as to be promoted to Full Professor; in the same interval, participants were promoted to both higher ranks at the same rates as men. For both intervals, nonparticipant women were significantly less likely than men to be promoted to either rank. Conclusions: The higher rates of promotion for women participating in national CDPs support the effectiveness of these programs in building capacity for academic medicine.

译文


背景:
由美国医学院协会赞助的三个国家职业发展计划(CDP)-早期和中级职业计划,以及由Drexel大学赞助的Hedwig van Ameringen学术医学行政领导力-寻求扩大教职员工和学术机构的性别多样性医疗中心。个人和机构的持续兴趣和投资体现了超过20年的成功和持续的需求。但是,它们对晋升学术排名的影响仍然未知。这项研究的目的是比较女性CDP参与者和其他具有类似制度环境和初始职业阶段的教师的晋升率。
方法:
该研究回顾了来自同一机构,相同学位,任职第一年的2,719名CDP参与者,12,865名非参与者女性和26,810名男性的回顾性队列。使用Kaplan-Meier生存曲线和对数秩检验,并通过逻辑回归对其他学术成就预测因子进行调整,比较了助理和副教授各自的队列中副教授和正式教授的晋升率。
结果:
在调整后的分析中,与男性和非参与女性相比,参与者在10年内被提升为副教授的可能性更大,与男性和非参与女性相比,被提升为正教授的可能性更大。在5年内,CDP参与者比非参与者女性更有可能被提升为副教授,并有可能被提升为正教授。在相同的时间间隔内,参与者以与男性相同的比率晋升到两个较高的级别。在这两个时间间隔中,未参与调查的女性晋升到任一级别的可能性均明显低于男性。
结论:
妇女参加国家CDP的晋升率更高,支持了这些方案在提高学术医学能力方面的有效性。

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