Gender, racial inequities persist in academic ED settings

Despite efforts to increase diversity, a new study finds gender, racial and ethnic disparities continue among emergency medicine physicians in academic settings.

The study found, for instance, that women doctors earned less than men regardless of their rank, clinical hours or training. While the mean salary was $278,631, women earned an average of $19,418 less.

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It also found that the failure to advance or receive a promotion to leadership roles may play a role in why women leave careers in academic medicine.

The study also found that underrepresented minorities make up a small proportion of the academic medicine workforce, and they are less likely to hold senior positions and less likely to be promoted, regardless of gender, tenure, status, degree or National Institutes of Health award status.

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The study, published in Academic Emergency Medicine, said the disparities exist despite efforts of leading organizations in the emergency medicine field to make increasing diversity a priority.

"This study again highlights the necessity for bold interventions and solutions. Expecting changes using the same strategies will only ensure the existing inequities," Gail D'Onofrio, M.D., professor and chair in the department of emergency medicine at Yale University School of Medicine, said in an announcement about the study.

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It’s not just women in emergency medicine who say they are paid less than male counterparts.

Pay inequity is a top concern for women physicians, according to an American Medical Association survey. Nearly two-thirds of 500 women physicians said that they feel disadvantaged when it comes to negotiating contracts, while almost half said they were evaluated using different criteria than men during the hiring process. Only 44% agreed that pay levels are gender-neutral at their workplace.