Abstract Details

Title Diversity and Inclusion: a Snapshot of the Academic Neurology Workforce

Topic Practice, Policy, and Ethics

Presentation(s) P8 - Poster Session 8 (8:00 AM-9:00 AM)

Poster/Presentation
Number 7-004

Objective Diversity and inclusion constitute core markers of excellence and necessary elements to improve healthcare equity.

Background The �鶹��ýӳ�� 2018 Diversity Leadership Program cohort investigated the existence of racial/ethnic- and gender-associated disparities in academic neurology.

Design/Methods We extracted data from the 2018 AAMC report and the US Census Bureau. The demographic characteristics of the general US population and US Medical School enrollees, graduates, and neurology faculty were compared. Academic neurologists were subdivided based on rank, tenure status, completion of advanced education (MD plus another doctoral degree) and leadership role (department chair). Results are presented as percentages and ratios. Significance was determined using Chi square or ANOVA.

Results There were 91391 medical school enrollees, 19553 graduates, and 6078 neurology faculty. The percentage of blacks in the general population, medical school enrollees, graduates, and neurology faculty decreased progressively from 13% to 2% (R²=0.80). Similarly, the percentage of Hispanics/Latinos decreased from 18% to 3% (R²=0.94). Among the neurology faculty, whites were more likely than Hispanics/Latinos and blacks to have advanced education (19% vs. 13% vs. 10%; p<0.0001), to achieve tenure status (18% vs. 11% vs. 5%; p<0.0001), and to be professor (30% vs. 17% vs. 7% p<0.0001). Chairs were preponderantly white (94%). Males accounted for 60% of the neurology faculty. The female-to-male ratio decreased progressively from 2.6 for the rank of instructor to 0.6 for the rank of professor (p<0.0001). Males were 1.4 times more likely to have advanced education and 2.7 times more likely to be tenured than females. Only 12% of the chairs were females and all of them were white.

Conclusions Significant disparities exist in academic neurology. Females, Hispanics/Latinos and blacks do not achieve the same degree of professional advancement as white males.

Authors/Disclosures
Camilo A. Gutierrez, MD, F�鶹��ýӳ�� (University of Maryland) PRESENTER	Dr. Gutierrez has nothing to disclose.
Alyx B. Porter, MD, F�鶹��ýӳ�� (Mayo Clinic)	Dr. Porter has a non-compensated relationship as a Board Member with American Brain Foundation that is relevant to �鶹��ýӳ�� interests or activities.
Norman Ajiboye, MD, F�鶹��ýӳ�� (Memorial Neuroscience Institute)	Dr. Ajiboye has nothing to disclose.
Jennifer Armstrong, MD, MPH (Children's Hospital Colorado/University of Colorado Anschutz Medical Campus)	Dr. Armstrong has received personal compensation in the range of $500-$4,999 for serving on a Scientific Advisory or Data Safety Monitoring board for Ionis. Dr. Armstrong has received personal compensation in the range of $0-$499 for serving as an Editor, Associate Editor, or Editorial Advisory Board Member for Journal of Developmental Origins of Health and Disease. Dr. Armstrong has received personal compensation in the range of $0-$499 for serving as an Editor, Associate Editor, or Editorial Advisory Board Member for Frontier in Neurology.
Nicte Mejia, MD, MPH, F�鶹��ýӳ�� (Massachusetts General Hospital)	Dr. Mejia has received personal compensation in the range of $5,000-$9,999 for serving on a Scientific Advisory or Data Safety Monitoring board for Biogen. Dr. Mejia has received personal compensation in the range of $500-$4,999 for serving as an Editor, Associate Editor, or Editorial Advisory Board Member for Neurology. The institution of Dr. Mejia has received research support from Biogen Foundation.
Karen A. Spencer, MD, MPH (Boston Children'S Hospital)	Dr. Spencer has nothing to disclose.
Nicole B. Sur, MD (University of Miami)	Dr. Sur has received personal compensation in the range of $0-$499 for serving as an Editor, Associate Editor, or Editorial Advisory Board Member for Stroke. The institution of Dr. Sur has received research support from Florida Stroke Registry. The institution of Dr. Sur has received research support from Miami CTSI & NIH/NINDS.
Shawniqua Williams Roberson, MD	Dr. Williams Roberson has received personal compensation in the range of $0-$499 for serving as an Editor, Associate Editor, or Editorial Advisory Board Member for Neurology Today. The institution of Dr. Williams Roberson has received research support from the National Institute on Aging. The institution of Dr. Williams Roberson has received research support from Brain & Behavior Research Foundation. The institution of Dr. Williams Roberson has received research support from National Institute on Mental Health . The institution of Dr. Williams Roberson has received research support from Ceribell, Inc.. Dr. Williams Roberson has received personal compensation in the range of $500-$4,999 for serving as a Visiting Speaker with University of Toronto.
Dylan P. Wint, MD, F�鶹��ýӳ�� (Cleveland Clinic Lou Ruvo Center for Brain Health)	Dr. Wint has received personal compensation in the range of $500-$4,999 for serving as a Consultant for Biogen Pharmaceuticals. Dr. Wint has received personal compensation in the range of $5,000-$9,999 for serving on a Speakers Bureau for Biogen. The institution of Dr. Wint has received research support from National Institutes of Health (NIH). The institution of Dr. Wint has received research support from Health Resources and Services Administration (HRSA).
Fernando D. Testai, MD, PhD, F�鶹��ýӳ�� (University of Illinois at Chicago)	Dr. Testai has received personal compensation in the range of $10,000-$49,999 for serving as an Editor, Associate Editor, or Editorial Advisory Board Member for Elsevier. Dr. Testai has received personal compensation in the range of $5,000-$9,999 for serving as an Expert Witness for Livingston, Barger, Brandt & Schroeder, L.L.P.. Dr. Testai has received publishing royalties from a publication relating to health care.