Medical School Research Articles

The Relationship Between Coping and Stress Levels in Students from The Class of 2020 at The Faculty of Medicine, Palangka Raya University, During Their Thesis Preparation

Introduction: Academic stress is prevalent among final-year students, with thesis preparation being a significant source of this stress. Coping are essential as they effectively represent the body’s conscious adaptive responses to reduce stress through self-adaptation. This research determines the relationship between coping and stress levels in students from the class of 2020 at the Faculty of Medicine, Palangka Raya University, during their thesis preparation. Methods: The study employs a quantitative analytical observational design with a cross-sectional approach. Simple random sampling was utilized for participant selection. The research instruments comprised coping questionnaires and the Perceived Stress Scale (PSS-10). Data were analyzed using Charles Spearman’s correlation analysis with a confidence interval of 95%. Results: Out of all 96 respondents, 49 individuals (51%) had good coping skills, and 80 individuals (83.3%) experienced moderate stress levels. Notably, among the 49 participants exhibiting good coping, a majority (42 individuals or 85.71%) experienced moderate stress levels. The Charles Spearman test findings revealed a significant value of 0,013 (p < 0.05) with a weak correlation and the opposite direction (r = -0.252). Conclusion: There is a significant relationship between coping and stress levels in students from the class of 2020 at the Faculty of Medicine, Palangka Raya University, during their thesis preparation.

Perceptions of homelessness: Is there variation across medical careers and specialties?

Medical students, residents and faculty are all capable of holding biases towards stigmatised groups like people experiencing homelessness. This study sought to investigate how the level of training may influence perceptions of homelessness among medical students, residents and faculty. Additionally, we sought to understand how different specialities perceive people experiencing homelessness and whether this changes at various points in a career. The Health Professionals' Attitudes Towards the Homeless Inventory (HPATHI) was administered to medical students, residents and faculty at one institution in the United States. Basic demographics as well as length of time spent in practice were collected in addition to HPATHI responses. A total of 1,141 individuals were invited to complete the survey, including 736 medical students, 214 residents and 191 faculty. Two hundred and ninety individuals participated in the survey and 238 recorded complete responses were analysed for a sample response rate of 238/1141 (20.9%.) Overall perceptions of homelessness across the entire sample were positive and not greatly influenced by the level of training during a medical career. Medical students across classes were largely in agreement and there was a noticeable increase in positive perceptions for students engaged in clinical rotations. However, clinical specialties demonstrated wide variation in perceptions, with the most prominent differences amongst individuals from surgical subspecialties of General Surgery and Obstetrics & Gynaecology. Our study demonstrates the largely favourable attitudes physicians, residents and students have towards people experiencing homelessness with implications for future work to support greater exposure to underserved populations during training. Specialty choice appears to play a larger role in the formation of attitudes towards underserved populations rather than the length of time spent in a particular specialty.

Correlates of perceived stress with anxiety symptoms sleep quality and academic performance among Moroccan students

IntroductionThe main objective of this study was to verify the association of perceived stress with anxiety, sleep quality, and academic performance among Moroccan medical students. MethodsThis cross-sectional study included 222 students enrolled at the Faculty of Medicine and Pharmacy of Fez in Morocco. An online self-administrated questionnaire, for the sociodemographic characteristics, Perceived Stress Scale (PSS-10), Test Anxiety Scale, and Pittsburgh Sleep Quality Index questionnaire were used for the assessment. A descriptive and correlational design was used in this investigation. ResultsOne hundred and thirty-two students completed the survey. A high level of stress was found. A significant positive correlation was observed between the stress level among our population and their levels of anxiety. Stress was also positively correlated with the decrease of students’ sleep quality and academic performance. ConclusionThe results of this investigation present worthy data that highlight the need for this subset of students to anti-stress programs that must be integrated into their curriculum to help them to better manage this psychological issue.

First person – Brittany Carr

ABSTRACT First Person is a series of interviews with the first authors of a selection of papers published in Journal of Cell Science, helping researchers promote themselves alongside their papers. Brittany Carr is first author on ‘ prominin-1-null Xenopus laevis develop subretinal drusenoid-like deposits, cone-rod dystrophy and RPE atrophy’, published in JCS. Brittany is an Assistant Professor in the Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Canada, where her lab investigates frog models of inherited and age-related blindness.

Esketamine administered epidurally as an adjuvant to epidural ropivacaine for labour analgesia: a prospective, double-blind dose-response study.

To investigate the efficacy of esketamine as an adjuvant to epidural ropivacaine for labour analgesia by determining its effect on the median effective concentration (EC50) in a 20 ml volume of ropivacaine. A prospective, double-blind dose-response study. This study was conducted in Women's Hospital, School of Medicine, Zhejiang University, China. One hundred and fifty parturients who requested epidural analgesia were recruited in this study to randomly receive epidural ropivacaine alone or with esketamine of 0.2 mg ml-1, 0.3 mg ml-1, 0.4 mg ml-1 or 0.5 mg ml-1, respectively. The primary outcome, EC50 of ropivacaine, was determined using an up-down sequential allocation technique. The secondary outcomes were analgesia characteristics, Ramsay Sedation Scale score, labour duration, caesarean section rate and adverse effects. The EC50 of ropivacaine with the addition of esketamine at concentrations of 0.3 mg ml-1, 0.4 mg ml-1 and 0.5 mg ml-1 resulted in significant reductions in the EC50 of ropivacaine to 0.050%, 0.044% and 0.043%, respectively, from baseline (esketamine 0 mg ml-1) (p<0.0001). However, reductions of the EC50 of ropivacaine were similar among the groups with esketamine of 0.3 mg ml-1, 0.4 mg ml-1 and 0.5 mg ml-1 (p>0.05). The Ramsay Sedation Scale score was higher and more dizziness was observed in the Group of esketamine 0.5 mg ml-1 compared with all other groups (p<0.0001). During the peripartum period, no differences in sensory blockade level, Bromage score, labour duration and percentage of caesarean delivery were found among the groups. Under the conditions of this study, the addition of epidural esketamine of 0.3 mg⋅mL-1, 0.4 mg⋅mL-1 and 0.5 mg⋅mL-1 offered a similar ropivacaine dose-sparing effect; 0.5 mg⋅mL-1 of esketamine produced more adverse effects. ChiCTR2100054348.

Leveraging digital skills to reduce cognitive strain: Implications for academic self-efficacy in medical education

BackgroundDigital literacy influences academic behaviors, especially in medical education, where students encounter considerable academic challenges. However, the effects of this phenomenon on academic self-efficacy and cognitive load remain inadequately understood. ObjectivesThis research explores the relationships between digital literacy and academic self-efficacy, emphasizing the mediating role of cognitive load and its various dimensions among medical students in Islamabad, Pakistan. MethodsA descriptive cross-sectional survey was conducted from seven medical colleges in Islamabad, Pakistan, from October to December 2023. The research employed meticulously validated measurement tools encompassing a digital literacy scale, academic self-efficacy scale, and cognitive load scale and collected data on 633 medical students. Descriptive statistics and inferential testing (mediation analysis) were performed to investigate the direct and indirect relationships of the study variables. ResultsThe empirical results revealed that digital literacy significantly enhances academic self-efficacy both directly and indirectly. First, the total cognitive load score showed partial mediation (β = 0.165, p < 0.001). Then, individual subscale analysis revealed that intrinsic cognitive load (β = 0.147, p < 0.001) and extraneous cognitive load (β = 0.144, p < 0.001) were significant mediators. However, the mediation effect through self-perceived learning (β = 0.105, p = 0.361) was not supported, suggesting variability in how students perceive their learning gains or other influencing factors influencing this relationship, which warrants further investigation. ConclusionThe research finding underscores the crucial integration of digital literacy instruction into medical curriculums to bolster students' academic self-efficacy by adeptly managing cognitive load. While digital literacy notably reduces intrinsic and extraneous cognitive loads, its impact on perceived learning appears context-dependent and requires further exploration. Additional studies are needed to understand these relationships across educational settings and identify other potential influencing factors.

Students’ safety culture at tertiary level academic institutes in Bangladesh: A cross-sectional study

This study aims to investigate the safety culture of tertiary-level students in Bangladesh and identify the factors that influence it. A cross-sectional survey was conducted among 1676 students from 16 universities and medical colleges in Bangladesh to gather data. The survey consisted of a paper-based structured questionnaire with three scales: a 17-item safety beliefs and values scale, a 10-item safety perception and awareness scale, and a 14-item safety attitudes scale. The results showed that tertiary-level students generally exhibit moderate levels of safety beliefs and values, safety perception and awareness, and safety attitudes. Female students had better safety perception and awareness [β = -0.083; 95%CI = -0.140, -0.025] and safety attitudes [β = -0.173; 95%CI = -0.230, -0.117], while male students had stronger safety beliefs and values [β = 0.047; 95%CI = 0.005, 0.089]. Students with physical disabilities and those who had experienced accidents had significantly higher levels of safety perception and awareness, as well as safety attitudes, compared to their peers. Additionally, students in private institutions had lower levels of safety perception and awareness [β = -0.130; 95%CI = -0.189, -0.070] as well as safety attitudes [β = -0.058; 95%CI = -0.116, -0.001], than public institution students. Age, gender, and type of institute were significantly associated with all three components of safety culture. Accident experience was also significantly linked to safety perception and awareness [β = 0.054; 95%CI = 0.002, 0.105], and safety attitudes [β = -0.093; 95%CI = -0.143, 0.043]. Based on these findings, it is recommended that tertiary educational institutions in Bangladesh develop intervention strategies that consider the age, gender, and physical disability of students to enhance their safety culture.

Student Urology Conference Increases Participant Knowledge of Urology Match and Confidence in Research.

To study the impact of a student-specific urology conference for students considering a career in urology. The first symposium specifically for medical students interested in urology was designed to provide an opportunity to present their research, explore urological subspecialties, and network with faculty members, residents, and other students. Medical students and faculty at a U.S. medical school organized the inaugural New England Student Urology Symposium (NESUS). The conference consisted of presentations from faculty members on various urology subspecialties, invited keynote speakers from regional Urology faculty, student poster and oral presentations, a surgical skills fair, and student and faculty panels surrounding the Urology Match and impact on career decision-making. Surveys were administered both before and after the conference to assess student perspectives. 42 medical students attended the conference, representing 21 medical schools from 15 states across all major U.S. regions. Attending the conference was associated with increased knowledge surrounding the Urology Match for students at schools without urology clinical rotations and decreased certainty about pursuing urology as a specialty along with increased comfort with presenting research for all attendees. 100% of student attendees recommended the conference to medical students interested in urology. Our study demonstrates that conference attendees found NESUS to be a valuable opportunity to gain confidence in presenting research, strengthen knowledge about the match process and its competitiveness, and network with faculty, residents, and fellow students. Future student-focused conferences in urology and other specialties should be considered at the regional or national level.

How Does Lacking a Home Program Impact Otolaryngology Applicants?

To compare otolaryngology interview and match outcomes between applicants with and without home residency programs. Otolaryngology applicants from US allopathic medical schools during the 2019-2023 cycles who responded to the Texas Seeking Transparency in Application to Residency (STAR) survey were identified. Students were stratified based upon whether their medical school had an affiliated otolaryngology residency program. The primary outcomes were number of interviews and match rate. Wilcoxon-rank sum and χ2 testing was used to assess associations between home program status and interview and match outcomes. Of the 633 fourth-year medical students applying to otolaryngology during the 2019-2023 application cycles, 89 had no home program (NHP) and 544 had a home program (HP). Applicants with NHP completed significantly more away rotations than applicants with a HP (2.2 vs. 1.5; p < 0.01). There was no difference in mean number of applications submitted between applicants with NHP and applicants with a HP. However, applicants with a HP received a significantly greater number of interviews (14.7 vs. 11.8; p < 0.01), attended more interviews (12.4 vs. 11.3; p = 0.02), attended a lower percentage of their offered interviews (84.4% vs. 95.8%), and had a higher match rate (81.8% vs. 70.8%; p = 0.02) than applicants with NHP. Applicants with NHP interviewed at (1.9 vs. 1.3; p < 0.01) and matched at (33.7% vs. 23.9%; p = 0.048) significantly more away rotation institutions than applicants with a HP. Applicants with NHP received fewer interviews and had lower match rates. Away rotations may be especially important for applicants with NHP. NA Laryngoscope, 134:4494-4500, 2024.

Advancement of a Vertically Integrated Training Program (VITP): Introspective Assessment and Expansion.

With the number of medical school applicants more than doubling during the past 30 years, there has been an increased need to mentor premedical undergraduate students. The Vertically Integrated Training Program at the University of South Carolina School of Medicine, Columbia, was created to provide direct mentoring for college students interested in a career as a physician. Online surveys were distributed at the beginning and end of the Fall 2023 semester to gain insight into the success of the program's events from the undergraduate perspective. Data suggest a trend toward positive change in terms of increased confidence of undergraduate students regarding the process of applying to and finding success in medical school. This article reviews the development of the Vertically Integrated Training Program, evaluates the success of the program, and suggests next steps for the organization.

Assessing the Readability of Online English and Spanish Resources for Polydactyly and Syndactyly.

Online patient education materials (PEMs) that are difficult to read disproportionately affect patients with low health literacy and educational attainment. Patients may not be fully informed or empowered to engage meaningfully with providers and advocate for their goals. We aim to assess the readability of online PEMs regarding polydactyly and syndactyly. Google was used to query "polydactyly" and "syndactyly" in English and Spanish. The first 50 results were categorized into institutional (government, medical school, teaching hospital), noninstitutional (private practice, blog), and academic (journal articles, book chapters). Readability scores were generated using the Simple Measure of Gobbledygook and Spanish Simple Measure of Gobbledygook scales. All polydactyly PEMs and >95% of syndactyly PEMs exceeded the National Institutes of Health recommended 6th-grade reading level. Altogether, English PEMs had an average reading level of a university freshman and Spanish PEMs had an average reading level of nearly a high school sophomore. For both diagnoses, English PEMs were harder to read than Spanish PEMs overall and when compared across the 3 categories between the 2 languages. Generally, noninstitutional PEMs were more difficult to read than their institutional counterparts. To improve patient education, health literacy, and language equity, online resources for polydactyly and syndactyly should be written at the 6th-grade level. Currently, these PEMs are too advanced, which can make accessing, understanding, and pursuing healthcare decisions more challenging. Understanding health conditions and information is crucial to empower patients, regardless of literacy.

The Business of Healing: Medical Students’ Opinions on the Need for Formal Business Training in the Medical School Curriculum

Mounting evidence suggests physicians struggle with the increasing corporatization of healthcare. Currently, most medical programs offer only an MBA program for students interested in business of medicine principles, resulting in more debt or independent information search. A brief survey of a sampling of U.S. first-through fourth-year medical students (MD/DO) revealed that 90% indicated having either “no,” “minimal,” or “basic” perceived knowledge in the field of the business of medicine; 21.5% of students indicated they were “somewhat likely” or “very likely” to pursue an MBA. Furthermore, 58.2% of respondents indicated they were “very likely” or “somewhat likely” to take a business and medicine course during medical school if offered. Despite the limitations of the study, the results indicate that medical students would be interested in a dedicated business and medicine course and believe it necessary to learn the basic principles of business.

Comparative Education in the Health Professions

As the academe in health professions institutions pursue educational reforms that anchors on the systems approach to healthcare, collaborative efforts are essential to establish more responsive and dynamic professional education systems. This paper highlights comparative education as a tool to strengthen health professions education around the world by reviewing previous and the most recent studies done, and showcase how this can improve the current pedagogical landscape. Through comparative education, a holistic approach to health professions education ensures that the learner’s training is not only comprehensive but also responsive to the dynamic needs of the country, the region, and the rest of the world by the sharing of best practices, challenges, and opportunities for collaboration. The opportunities that international comparative education provide to the health professions education include the sharing of best practices and difficulties encountered, and the enhanced viewpoint from considering different perspectives. On the other hand, the main challenges include ethnocentrism and the limited resources that majority of institutions face globally especially those from the low- and middle-income countries. Truly, once the lessons learned from comparative educational engagements are integrated into the philosophical and educational foundations in our medical schools, then we are one step closer to becoming responsive to the call for a more holistic and systems – centered health professions education.

From curriculum to clinic: a qualitative study of junior doctors’ perceptions of global health and sustainable development

IntroductionThe role of global health and sustainable development in medical education is often debated. However, research regarding medical doctors’ views on the application of their global health knowledge in the...

Evaluation of ADHD knowledge and awareness among healthcare college interns in Riyadh, Saudi Arabia

ABSTRACT Background: Attention deficit hyperactivity disorder (ADHD), a neuropsychiatric disorder, is common in children and can persist into adulthood. With or without hyperactivity, it involves chronic impulsivity and inattention. Despite being a widespread illness, there is little research on ADHD knowledge and awareness among health college interns in Riyadh, KSA. Therefore, this study examined health college interns’ knowledge and awareness in Riyadh, Saudi Arabia’s capital. Methods: A cross-sectional study using a self-administered validated survey was used to gather demographics as well as knowledge and awareness scores in King Saud University, King Saud Bin Abdulaziz University for Health Sciences (KSAU-HS), Imam Mohammed ibn Saud, and Princess Nourah Bint Abdulrahman, and one private Almaarefa University. Results: This study included 322 health college interns aged 18–24; 55% were males. The Saudi Professional Practice Licensure Exams (SPPLE) were passed by 65.5% of participants from King Saud University and KSAU-HS, Riyadh’s leading medical and pharmaceutical universities. They are evenly split throughout the four GPA categories. The interns knowledgeable and aware of ADHD (scored ≥ 13 on a 20-scale score) constituted 68% of the interns. Interns who passed Saudi Professional Practice Licensure Exams graduated from pharmacy and medicine schools, and had ≥4.5 or more GPAs were more knowledgeable than other interns. Conclusion: As per our research, most health college interns in Riyadh were aware of ADHD; however, medical and pharmacy interns were more knowledgeable than others. This suggests that other health colleges should revamp their ADHD and neurological illness topics curricula.

Knowledge of and access to contraceptive information and services among teenagers with child welfare involvement: A descriptive study across the transition to high school

Despite disproportionate rates of childbearing among youth with child welfare involvement, few studies have examined whether this population receives contraceptive information and knows how to access services. This longitudinal study examines responses from 245 youth with child welfare involvement (i.e., youth with an open child welfare case due to maltreatment) before and after the transition to high school. The same youth were interviewed at the end of 7th or 8th grade and roughly 2.5 years later about whether they received contraceptive information or education, if they knew how to access contraceptive services, if they received services, and sources of that information/services. By 10th /11th grade, most participants reported knowing how to access contraception and over half of females had received contraception. However, 18 % of females and 54 % of males had never received contraceptive education or information by 10th/11th grade. Schools were the dominant (often only) source of contraceptive education or information for males, while medical providers and schools were more common for females. Males were less likely than females to receive contraceptive education or information, know how to access services, or receive services. Contraception was perceived as, and in many cases was, accessible once youth were in high school. However, contraceptive information and education was received late and was incomplete for many youths irrespective of biological sex; for males, it was often never received. Implications for adults working with this population are discussed.

Multivariate analysis of blood parameters for predicting mortality in patients with hip fractures.

The present retrospective cross-sectional study aimed to evaluate the predictive value of blood parameters and ratios for predicting mortality in patients with hip fractures. In total, 758 patients with hip fractures attending the Department of Orthopedics and Traumatology, Kütahya Health Sciences University Faculty of Medicine (Kütahya, Turkey) between January 2016 and January 2023 were included in the present study. Patients were then divided into two groups, namely the mortality (n=464; 61.2%) and survivor (n=294; 38.8%) groups. Patients in the mortality group were further sub-divided into the following three subgroups: i) Those who succumbed in <1 month (n=117; 25.2%); ii) those who succumbed between 1 and 12 months (n=185; 39.9%); and iii) those who succumbed >12 months later (n=162; 34.9%). In addition, the RDW coefficient of variation, mean platelet volume (MPV), MPV/platelet ratio, neutrophil-to-lymphocyte ratio, monocyte-to-lymphocyte ratio, platelet-to-lymphocyte ratio (PLR), mean platelet volume-to-lymphocyte ratio and monocyte-to-eosinophil ratio means were all found to be significantly higher in the mortality group (P<0.05). MPV (P<0.01), HGB (P<0.05), eosinophil, EOS (P<0.01), HRR (P<0.01), and PLR (P<0.05) were all revealed to exert significant effects on mortality. An age cut-off of 74.50 years had a sensitivity of 81.5% and specificity of 37.1%, whereas an MPV cut-off of 8.85 yielded a sensitivity of 73.5% and specificity of 36.1%. By contrast, an HGB cutoff of 11.05 had a sensitivity of 55.6% and specificity of 35.7%, an eosinophil cut-off of 0.065 had a sensitivity of 47.6% and specificity of 35.4%, whilst a HRR cut-off of 0.7587 had a sensitivity of 55.2% and specificity of 30.3%. Furthermore, a PLR cut-off of 152.620 had a sensitivity of 67.2% and specificity of 41.8% for hip fracture-associated mortality. An age cut-off of 79.50 years had a sensitivity of 70.9% and specificity of 41.5%, while an age cut-off of 83.50 years had a sensitivity of 46.2% and specificity of 64.0% for mortality occurring <1 month after hip fractures. To conclude, results from the present study suggested that HRR has potential predictive value for hip fracture-associated mortality and 30-day mortality, whereas the PLR could only predict hip fracture-associated mortality.

Медична освіта на тлі війни: приклад Каразінського університету

The article examines the global experience of the impact of military conflicts on medical education, with particular attention to the experience of Karazin University School of Medicine. It concludes that the impact of war on medical education is extremely negative and has always been characterized by interruptions or deterioration of learning conditions, its reorientation to meet war needs, the worsening physical and psychological state of students, and a decrease in the effectiveness of their learning. These factors pose a threat not only to education but also to the nation as a whole, as the decline in the quality of medical education creates a shortage of personnel in the healthcare system, which is critically needed during war and in post-wartime. Nevertheless, the Karazin University School of Medicine has met the challenges of wartime with dignity and managed to organize the education of medical students in both online and in-person formats, as well as to establish open courses for developing primary medical care skills for the wounded and those affected by the consequences of the war.

The relationship between sleep quality and quality of life in middle-aged and older inpatients with chronic diseases: Mediating role of frailty and moderating role of self-esteem

ObjectiveThis study aimed to investigate the influence of sleep quality on the quality of life in middle-aged and older inpatients with chronic diseases (MAOICDs) while examining the mediating role of frailty and the moderating role of self-esteem. MethodsThis study utilized a cross-sectional design. Between October 2021 and February 2022, we administered questionnaires to 319 subjects at the Second Hospital of Zhejiang University School of Medicine, Zhejiang Province, China. The questionnaire consisted of the General Information Scale, the Cumulative Disease Rating Scale, the Sleep Quality Questionnaire, the Frailty Scale, the Self-Esteem Scale, and the Quality of Life Questionnaire. Data were analyzed using SPSS 25.0 software and PROCESS3.5 macros for descriptive statistics, correlation analysis, and tests for mediating and moderating effects. ResultsThe results of this study suggest that sleep quality is negatively related to quality of life and mediated by frailty. Self-esteem plays a moderating role in the relationship between frailty and quality of life. ConclusionFrailty mediates the relationship between sleep quality and quality of life. Meanwhile, self-esteem plays a moderating role in the relationship between frailty and life quality. Specifically, the correlation between frailty and life quality becomes stronger at higher levels of self-esteem. Therefore, to improve the life quality of MAOICDs, interventions should focus not only on enhancing sleep quality and reducing frailty but also on helping patients maintain an appropriate level of self-esteem.

Intersection of Race and Gender in the Cardiothoracic Workforce: Study of Representation and Salary

Cardiothoracic surgery lacks gender and racial/ethnic diversity. Recent studies highlighted disparities based on gender and race/ethnicity among academic cardiothoracic surgeons. The impact of the intersection of these factors on representation and salary is unknown. A cross-sectional analysis of Accreditation Council for Graduate Medical Education and Association of American Medical Colleges data was performed on the number of trainees and clinical faculty stratified by race/ethnicity and gender using Chi-square testing. The number of women and underrepresented minorities was low in cardiothoracic surgery compared to other specialties, with lowest representation at the intersection of race/ethnicity and gender. Among trainees, 8% were Asian, 2% were Black/African American , and 1.5% were Hispanic/Latina women. Among cardiothoracic faculty, 3.4% were Asian, 0.8% were Black/African American, and 0.4% were Hispanic/Latina women. Women in academic medicine, surgery and cardiothoracic surgery earned 80-87% the salary of men of equal academic rank. White assistant professors earned more than their colleagues (all clinical faculty, surgeons and cardiothoracic surgeons), this difference was further compounded by gender. Salary disparities exist among cardiothoracic surgeons at the intersection of gender and race/ethnicity. Women experience salary disparity across all academic ranks and specialties. When considering the intersection of gender and race/ethnicity, gender is the predominant factor driving salary inequity.