Underrepresented Minority Faculty Research Articles

Group peer mentoring is effective for different demographic groups of biomedical research faculty: A controlled trial.

Improved mentoring of midcareer researchers in medical schools has been identified as an important potential avenue for addressing low vitality and high burnout rates in faculty, and the scarcity of both underrepresented minority (URM) faculty and women in biomedical research. To address the need for widescale effective mentoring, we sought to determine whether a group peer mentoring intervention (C-Change Mentoring and Leadership Institute) for early midcareer research faculty was effective for different demographic groups in a controlled trial. Thirty-five diverse early midcareer faculty and 70 propensity-matched (PM) control subjects matched to intervention subjects on a) study inclusion criteria; b) gender, race, and ethnicity, degree, rank, years of experience, publications, grants; and c) pretest survey outcome variables, participated in the intervention. The C-Change Participant Survey assessed vitality, self-efficacy in career advancement, research success, mentoring others, valuing diversity, cognitive empathy, and anti-sexism/anti-racism skills at pretest and intervention completion. Analysis using multiple regression models included outcome pretest values and indicator variables for intervention, gender, URM status, and MD vs. PhD. Hypotheses regarding differential effectiveness of the intervention by demographic group were tested by including cross-product terms between the demographic indicator variables and the intervention indicator. Missing data were addressed using chained equations to create 100 data sets. The intervention participants had significantly higher (favorable) scores than PM controls for: self-assessed change in vitality; self-efficacy for career advancement, research, and mentoring others; cognitive empathy; and anti-sexism/racism skills. The benefits of the intervention were nearly identical across: gender, URM vs non-URM faculty, and degree MD/PhD, except vitality significantly increased for non-URM subjects, and not for URM faculty. Self-assessed change in vitality increased for URM and non-URM. The intervention worked successfully for enhancing vitality, self-efficacy and cross-cultural engagement across different demographic groups of biomedical research faculty.

Assessing departmental readiness to support minoritized faculty

AbstractThough increasing numbers of racially and ethnically minoritized (REM) individuals earn PhDs and national initiatives focus on faculty diversity, challenges persist in recruiting, hiring, and retaining REM faculty. While a pervasive issue nationally, the literature predominantly focuses on faculty diversity at research‐intensive institutions. This exploratory case study pilots a readiness instrument to evaluate the commitment and willingness of a biomedical department at a primarily undergraduate institution to embrace faculty diversity before initiating a postdoctoral faculty conversion program. We introduce the Community Readiness Model (CRM) into an academic context, offering academic departments a robust framework and tool to evaluate readiness and capacity to recruit, retain, and support REM faculty.Practical Takeaways Academic departments can be conceived of as a type of community. The adapted Department Readiness Tool can be a valuable method of evaluating a department's readiness to support the success of underrepresented minority faculty. Departments may score highly on some areas of readiness but relatively low on others, which provides insight into where time and resources should be invested to improve readiness.

Recognizing and Mitigating Racial and Ethnic Interview-Associated Microaggressions Across the Academy

The impact of microaggressions in pharmacy education interviews reinforces a message of assimilation for acceptance rather than inviting a potential underrepresented minority (URM) colleague’s authentic identity they could bring to diversify and strengthen the institution. Interviewers may ask inappropriate questions or make offensive comments without intending to cause harm; however, the impact of the words on the interviewee are valid and cannot be ignored. This text focuses on the challenges faced by URM faculty in the context of academic pharmacy interviews which potentially contribute to their underrepresentation in academic pharmacy. The authors provide examples of perspectives and experiences from URM pharmacy faculty when interviewing for academic pharmacy positions. This text proposes several recommendations such as microaggression prevention strategies, bias training, and institutional culture improvement. These solutions can help institutions achieve a sustainable means of recruiting and retaining URM faculty.

The Effect of Underrepresented Minority Mentorship on Orthopaedic Spine Surgery Recruitment and Diversity: A 20-Year Analysis at a Single Institution.

Despite national efforts to increase diversity and inclusion, underrepresented minority (URM) representation among orthopaedic spine surgery faculty remains low. Research has shown that URM trainees are more likely to pursue surgical careers when they have access to URM mentors. The purpose of this study was to explore the influence of URM representation among spine faculty on the rate of URM orthopaedic residents pursuing spine surgery fellowships. From 2004 to 2023, data were collected from each residency class at our academic institution: residency year, number of residents per class (total and URM), and number of residents applying to spine surgery fellowships. These ethnicities were considered URM: Black or African American, Hispanic or Latino, and Native American. In 2018, two African American spine faculty were hired. Data were compared between Before and After their arrival. A subanalysis was done to include a period of increasing URM recruitment (2012 to 2018). Binary logistic regression analysis evaluated associations between appointment of URM faculty and fellowship choice of URM residents. Two hundred fifty-six residents were included. Thirty-one total URM residents were in the program during the study period (12.1%). Overall, URM representation in the program increased over time [OR: 1.1, 95% CI: 1.1 to 1.2], whereas residents applying to spine surgery fellowships did not change [OR: 1.0, 95% CI: 1.0 to 1.1]. Comparing Before-2012 and 2012 to 2018 groups with the After-2018 group demonstrated a significant difference in the proportion of URM residents applying to spine surgery fellowships after the hiring of URM spine faculty (0.0% versus 23.1% versus 74.1%; P = 0.001). This retrospective study provides empirical evidence of the importance of URM representation among orthopaedic spine surgery faculty and the potential effect on URMs pursuing orthopaedic fellowships. Institutions should consider prioritizing the representation of URM faculty in spine surgery to address the lack of current and future diversity in the field. III.

Examining Underrepresented Minority STEM Faculty Members’ Motivation for Research

Underrepresented minority (URM) university faculty can be identified as those whose representation based on gender, race, and/or ethnicity in particular fields, such as Science, Technology, Engineering, and Math (STEM), are smaller than in the US population. Studies on URM faculty have found discrimination and affiliated stress impact faculty in many aspects of their work, such as performance in research. In the current study, we examined STEM faculty who self-identify as URM, their experiences of workplace discrimination, and how these encounters affect their self-determined motivation to conduct research. Six-hundred and fifty-one faculty from 10 US institutions completed an online survey. Of the participants, 37.5% self-identified as URM, of which 81% were women, 20% non-white, and 6% Hispanic/Latinx ethnicity; notably, the data shows that 24% of women and 56% of non-white faculty did not self-identify as URM. More than 87% of URM reported workplace bias, which correlated with significantly lower autonomy and relatedness with coworkers. URM women reported gender discrimination at work was common and upsetting, which related to greater amotivation. Non-white and Hispanic/Latinx/Spanish URM who reported high success in research also cited more discrimination. URM faculty motivation was fostered by autonomy and competence, and much more by relatedness compared to non-URM faculty. For non-URM, autonomous motivation (enjoyment, value) positively related to research success, whereas for URM faculty a lack of introjected motivation (guilt) was the strongest predictor. Discussion focuses on implications for future studies of faculty motivation and strategies to promote URM faculty research productivity.

Diversity of the US Public Health Workforce Pipeline (2016-2020): Role of Academic Institutions.

Objectives. To develop a diversity index (DI) comparing the diversity of graduates across public health schools and programs in the United States and to examine characteristics associated with institutions' graduate diversity. Methods. We analyzed longitudinal data from the Association of Schools and Programs of Public Health (ASPPH) across 5 academic years (2016-2017 to 2020-2021) for 109 ASPPH members. The outcome was the percentage of underrepresented minority (URM) students among those with bachelor's and graduate degrees in public health. The DI was constructed by dividing the percentage of URM graduates by the percentage of URM residents 20 to 35 years of age in the state where the ASPPH member was located. Results. The mean DI score increased from 0.7 in 2016 to 0.8 in 2020, but URM students remain underrepresented. A 1-percentage-point increase in the proportion of URM faculty members was associated with a 0.7-percentage-point increase in the proportion of URM graduates (P < .001). Conclusions. Although the diversity of the public health educational pipeline shows an upward trend, racial/ethnic minority students remain underrepresented in public health. We found that institutional characteristics such as faculty diversity, program degree level, and area of study were associated with student diversity. (Am J Public Health. Published online ahead of print July 13, 2023:e1-e9. https://doi.org/10.2105/AJPH.2023.307352).

Locally Connected Underrepresented Minority Faculty in Academic Medicine.

Locally Connected Underrepresented Minority Faculty in Academic Medicine.

The future of the U.S. safety & health workforce: Opportunities for academic diversity, equity, and inclusion through a leak-proof career pathway

Introduction: In this commentary, we explore safety and health career pathways in the U.S. and discuss the future of work through the lens of diversity, equity, and inclusion. We address occupational safety and health inequities, including underrepresentation of racial and ethnic groups in academic disciplines, which impacts workers' safety and the future of work. We introduce the Accessibility, Sustainability, and Knowledge-Generation (ASK) framework to broaden minority participation in occupational safety and health (OSH) education. Method: The ASK framework integrates insights from learned experiences, research literature, accreditation knowledge, and community feedback to identify strategies for dismantling barriers to workforce diversity and promoting equitable participation and access to opportunities in OSH education. We conducted a US based survey to gain insights into the minority experience and the role of students, faculty, and academia in mitigating disparities and creating pathways of opportunities. Results: The survey results highlight the need for pedagogic improvements in OSH academic programs to attract more minorities. The appreciation of cultural competence across universities and changes to current systemic funding mechanisms are identified as crucial factors. We acknowledge that existing interventions have been less effective due to a lack of tangible actions. However, we emphasize that solutions exist, and meaningful support is required to drive change. Conclusions: The study underscores the importance of addressing occupational safety and health inequities and the underrepresentation of minority groups in OSH education. The ASK framework provides a comprehensive approach to broaden minority participation and promote diversity in the field. Pedagogic improvements, cultural competence, and changes to funding mechanisms are necessary steps to attract and retain underrepresented minorities in OSH academic programs. Practical Applications: The findings of this study have practical implications for institutions and stakeholders involved in occupational safety and health education. It emphasizes the need for proactive strategies to attract and support underrepresented minority students and faculty. Promoting cultural competence and making changes to funding mechanisms can contribute to creating more equitable and inclusive pathways for diverse groups in OSH education. Tangible actions and meaningful support are essential for driving change and achieving workforce diversity and equity.

Asserting Accountability to Address Diversity: Report Card as a System of Measurement.

To the best of our knowledge, there are no standard accountability measures for diversity efforts at the departmental level. Therefore, the purpose of this study is to evaluate a multiprong report card as a structure for evaluation, tracking, and reporting as well as to examine any relationships between expenditures and outcomes. We instituted an intervention that offered leadership a report card of metrics related to diversity efforts. Included are diversity expenditures, benchmark demographic and departmental data, applications to support faculty salaries, participation in clerkship programs focused on attracting diverse candidates, and requests for candidate lists. The purpose of this analysis is to demonstrate the impact of the intervention. A significant relationship was found between faculty funding applications and under-represented minority (URM) representation in a department (0.19; confidence interval [95% CI] 0.17-0.21; p<0.001). An association was also found between total expenditures and URM representation in a department (0.002; 95% CI 0.002-0.003; p<0.001). Other outcomes include the following: (1) women, URM, and minority faculty have all increased in representation since tracking began; (2) diversity expenditures and faculty opportunity fund and presidential professorship applications have increased over time; and (3) a steady decline in departments with zero URM representation after the tracking of diversity expenditures in both clinical and basic science departments. Our findings suggest that standardized metrics for inclusion and diversity initiatives promote accountability and buy-in from executive leadership. Departmental detail enables tracking of progress longitudinally. Future work will continue to evaluate the downstream effects of diversity expenditures.

Peer mentoring to support career advancement among underrepresented minority faculty in the programs to increase diversity among individuals engaged in health-related research (PRIDE).

Although mentoring is critical for career advancement, underrepresented minority (URM) faculty often lack access to mentoring opportunities. We sought to evaluate the impact of peer mentoring on career development success of URM early career faculty in the National Heart Lung and Blood Institute-sponsored, Programs to Increase Diversity Among Individuals Engaged in Health-Related Research-Functional and Translational Genomics of Blood Disorders (PRIDE-FTG). The outcome of peer mentoring was evaluated using the Mentoring Competency Assessment (MCA), a brief open-ended qualitative survey, and a semi-structured exit interview. Surveys were completed at baseline (Time 1), 6 months, and at the end of PRIDE-FTG participation (Time 2). The following results were obtained. Between Time 1 and Time 2, mentees' self-assessment scores increased for the MCA (p < 0.01) with significant increases in effective communication (p < 0.001), aligning expectations (p < 0.05), assessing understanding (p < 0.01), and addressing diversity (p < 0.002). Mentees rated their peer mentors higher in the MCA with significant differences noted for promoting development (p < 0.027). These data suggest that PRIDE-FTG peer mentoring approaches successfully improved MCA competencies among URM junior faculty participants with faculty ranking peer mentors higher than themselves. Among URM faculty, peer mentoring initiatives should be investigated as a key strategy to support early career scholar development.

Undue burden: Black faculty, COVID-19, and the racial justice movement.

A crucial reckoning was initiated when the COVID-19 pandemic began to expose and intensify long-standing racial/ethnic health inequities, all while various sectors of society pursued racial justice reform. As a result, there has been a contextual shift towards broader recognition of systemic racism, and not race, as the shared foundational driver of both societal maladies. This confluence of issues is of particular relevance to Black populations disproportionately affected by the pandemic and racial injustice. In response, institutions have initiated diversity, equity, and inclusion (DEI) efforts as a way forward. This article considers how the dual pandemic climate of COVID-19-related health inequities and the racial justice movement could exacerbate the "time and effort tax" on Black faculty to engage in DEI efforts in academia and biomedicine. We discuss the impact of this "tax" on career advancement and well-being, and introduce an operational framework for considering the interconnected influence of systemic racism, the dual pandemics, and DEI work on the experience of Black faculty. If not meaningfully addressed, the "time and effort tax" could contribute to Black and other underrepresented minority faculty leaving academia and biomedicine - consequently, the very diversity, equity, and inclusion work meant to increase representation could decrease it.

Retention and Career Success of Faculty: The Case for Building a Sense of Belonging to the Academic Medicine Community

As attrition in the healthcare workforce rises, factors that positively impact retention, engagement, work satisfaction, and vitality for faculty in Colleges of Medicine are of critical importance. One important factor that is less often discussed is the need to develop a sense of belonging and connectedness to the institutional community. Underrepresented minority faculty particularly feel the benefit of feeling like they belong. Recommendations for enhancing faculty connectedness to a community in support of developing a sense of belonging to that community are offered.

Beyond role strain: Work–family sacrifice among underrepresented minority faculty

AbstractObjectiveThis study describes the perceived work demands and family caregiving obligations associated with work–family life among URM faculty and the coping strategies used to negotiate the integration of roles.BackgroundPast research on families focuses primarily on professional majority‐culture families and often fails to include traditionally and historically underrepresented minority (URM) families. The study of how URM professionals negotiate work and family obligations and economic and institutional constraints remains relatively absent in the family science discourse.MethodIn‐depth individual and group interviews (N = 58) were conducted with US‐born African American, Mexican American, and Puerto Rican faculty at research universities.ResultsThe overarching theorizing anchor that grounded the themes was sacrifice. Three themes emerged: excessive work demands/role strain; commitments and caregiving obligations to family of origin and nuclear family; and few coping strategies and resources to maintain a balanced life.ConclusionThis analysis offers insight into the multiple factors that affect the experiences of URM academics in their workplaces that deeply influence work roles and self‐care and its impact on family roles. These data fill a gap by applying alternative frameworks to explore the work–family nexus among racialized groups.ImplicationsNew research frontiers are offered to study the work–family nexus for URM faculty and how higher education can respond to alleviate excessive work demands and work–family life conflicts.

Supporting Historically Underrepresented Groups in STEM Higher Education: The Promise of Structured Mentoring Networks

Although institutions of higher education have placed a large emphasis on increasing the number of underrepresented minority (URM) students matriculating in higher education, the disparities in STEM retention and graduation rates between URM and non-URM students emphasize the dire need for increased support to help URM students navigate challenges including stereotype threat, impostor phenomenon, and lack of social connectedness that disproportionately affect URM students in majority-dominated fields. Prior research has demonstrated that structured mentoring has the potential to generate substantial improvements in academic, social, and career outcomes for URM STEM students. In particular, network-based mentoring approaches that allow for students to receive both professional and peer mentoring, as well as the opportunity to mentor other students, have demonstrated success in this realm. In this article, we discuss how the current state of academia often fails URM STEM students and faculty, review literature regarding the ways in which structured mentoring approaches can alleviate barriers to success among URM groups in STEM fields, and offer recommendations regarding how academic institutions can successfully implement holistic student and faculty mentoring programs.

EDITORIAL COMMENT

I would like to commend the authors for addressing this seminal issue in Urology. This manuscript is a critical starting point in understanding the lack of underrepresented minorities (URM) in the leadership positions within academic urology. Using Survey Data from 320 academic urologist with a response rate of 41.6%, the authors identify that 13.6% (18) of these respondents were URM are in leadership positions. In their discussion, the authors describe a top down approach in which more URM in leadership roles would provide “increase in mentorship, improved retention of URM faculty, attraction of URM students to our specialty, and fostering of a psychologically safe workplace where diversity is embraced”.

Underrepresented faculty mentoring at a distance: program implementation and evaluation

ABSTRACT Underrepresented minority (URM) faculty hold about 10% of tenured positions, despite URM comprising more than 30% of the United States population; thus, disparities remain in the recruitment, development, retention and promotion of diverse faculty in large part because of a lack of mentoring. Research suggests that mentoring from senior URM faculty will lower URM faculty attrition rates and lead to success in tenure and promotion. The purpose of this study was to evaluate the effectiveness of a mentoring program for new URM faculty in the areas of teaching, advising, research, service, and mastery of subject matter. New URM faculty were matched with URM mentors and received monthly virtual mentoring. Results demonstrated substantial growth in each area post-program, with statistically significant outcomes in the areas of teaching and advising. Faculty reported substantial benefits including sharing experiences, relationship building, lessened feelings of isolation, and increased knowledge of tenure and promotion expectations.

Mentoring Underrepresented Minority Physician-Scientists to Success.

As the nation seeks to recruit and retain physician-scientists, gaps remain in understanding and addressing mitigatable challenges to the success of faculty from underrepresented minority (URM) backgrounds. The Doris Duke Charitable Foundation Fund to Retain Clinical Scientists program, implemented in 2015 at 10 academic medical centers in the United States, seeks to retain physician-scientists at risk of leaving science because of periods of extraordinary family caregiving needs, hardships that URM faculty-especially those who identify as female-are more likely to experience. At the annual Fund to Retain Clinical Scientists program directors conference in 2018, program directors-21% of whom identify as URM individuals and 13% as male-addressed issues that affect URM physician-scientists in particular. Key issues that threaten the retention of URM physician-scientists were identified through focused literature reviews; institutional environmental scans; and structured small- and large-group discussions with program directors, staff, and participants. These issues include bias and discrimination, personal wealth differential, the minority tax (i.e., service burdens placed on URM faculty who represent URM perspectives on committees and at conferences), lack of mentorship training, intersectionality and isolation, concerns about confirming stereotypes, and institutional-level factors. The authors present recommendations for how to create an environment in which URM physician-scientists can expect equitable opportunities to thrive, as institutions demonstrate proactive allyship and remove structural barriers to success. Recommendations include providing universal training to reduce interpersonal bias and discrimination, addressing the consequences of the personal wealth gap through financial counseling and benefits, measuring the service faculty members provide to the institution as advocates for URM faculty issues and compensating them appropriately, supporting URM faculty who wish to engage in national leadership programs, and sustaining institutional policies that address structural and interpersonal barriers to inclusive excellence.

26669 Addressing diversity in dermatology: How to be an ally

Dermatology is currently the second least diverse medical specialty, after orthopedic surgery. The need to increase diversity in dermatology has resulted in the initiation of diversity programs, skin of color curriculum, and reformed residency selection processes. Still, however, underrepresented minorities (URMs) continue to be underrepresented at all levels of training. The 2018-2019 academic training demographic data from the Association of American Medical Colleges revealed that of the 2019 U.S. Medical student population, only 7.42% and 6.63% of students reported race/ethnicity as Black/African American and Hispanic/Latino, respectively. In the same data set, 2.70% and 2.90% of U.S. medical school dermatology faculty were reported to be Black/African American and Hispanic/Latino, respectively. This indicates a disproportionate amount of URM mentors for URM medical students. This disparity highlights the need for allied non-URM faculty and resident mentorship for Black/African American and Hispanic/Latino medical students in order to successfully prepare more URM students for a career in dermatology. Moreover, URM residents and faculty are consistently overly-tasked with mentoring URMs by spearheading outreach, and championing diversity initiatives. Strategies are proposed to promote allyship and mentorship by non-URMs to increase diversity in dermatology. Allies can help formalize mentorship and outreach initiatives in order to expose URM students to more research opportunities and shadowing experiences that will have lasting impressions. Increasing allyship can help alleviate the burden that URM faculty and residents face in mentoring in academic settings as well as expedite the process of increasing diversity in dermatology.

Increasing Diversity in Cardiology: A Fellowship Director’s Perspective

BackgroundUnderrepresented-minorities (URM) remain few in number amongst practicing cardiologists and across cardiology fellowship training programs in the U.S. Increased diversity is needed across the entire field and is particularly necessary within graduate medical education cardiology fellowship training programs.ObjectivesThis cross-sectional study was performed to identify which strategies were supported and implemented by cardiology fellowship program directors (PDs) to increase URM representation, to determine which entities hold the responsibility to increase diversity according to program directors, and to quantify URM representation in cardiology fellowship programs.MethodsA 15-item survey was submitted to all American College of Graduate Medical Education (ACGME) accredited cardiology fellowship programs via electronic mail.ResultsOf 250 cardiology fellowship programs, 71 responses were received (28.4%). The number of URM faculty varied from 0-1 to more than six, and URM faculty held leadership roles in most programs (62.0%). A total of 16 respondents (22.5%) were URM program directors. Most respondents agreed that diversity was important to their training program (85.9%). The majority endorsed direct recruitment of URM applicants (60.6%), opportunities for applicants to connect with (54.9%) or be recruited by URM fellows (54.9%), holistic application review (67.6%), promoting mentorship by URM faculty (69.0%), URM faculty involvement in applicant interviewing (54.9%), and increased recruitment of URM faculty members (73.2%). Program directors allocated major responsibility to increase diversity to fellowship programs (71.8%), residency programs (63.3%), and medical schools (53.5%).ConclusionsThis study found that most cardiology programs have URM faculty in leadership roles, and nearly a quarter of the surveyed program directors were URMs. Cardiology program directors endorsed and employed numerous strategies to increase diversity and URM representation in fellowship programs. Additionally, program directors held fellowship training programs most responsible for increasing URM representation in the field of cardiology.

How organizational culture influences holistic review: a qualitative multiple case study.

Studies primarily involving single health professions programs suggest that holistic review in admissions can increase underrepresented minority (URM) representation among admitted students. However, data showing little improvement in the overall proportion of URMs in many health professions, despite widespread use of holistic review, suggest that relatively few programs using holistic review admit substantial proportions of underrepresented minorities. Therefore, more research is needed to understand factors that facilitate holistic review practices that successfully promote diverse student enrollment. The literature suggests that a supportive organizational culture is necessary for holistic review to be effective; yet, the influence of culture on admissions has not been directly studied. This study employs a qualitative, multiple case study approach to explore the influence of a culture that values diversity and inclusion (‘diversity culture’) on holistic review practices in two physician assistant educational programs that met criteria consistent with a proposed conceptual framework linking diversity culture to holistic admissions associated with high URM student enrollment (relative to other similar programs). Data from multiple sources were collected at each program during the 2018–2019 admissions cycle, and a coding manual derived from the conceptual framework facilitated directed content analysis and comparison of program similarities and differences. Consistent with the conceptual framework, diversity culture appeared to be a strong driver of holistic admissions practices that support enrolling diverse classes of students. Additional insights emerged that may serve as propositions for further testing and include the finding that URM faculty ‘champions for diversity’ appeared to strongly influence the admissions process.