ArticleAcademic medicine : journal of the Association of American Medical Colleges2019
Competing Risks Analysis of Promotion and Attrition in Academic Medicine: A National Study of U.S. Medical School Graduates.
Article in Academic medicine : journal of the Association of American Medical Colleges, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.
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Who cites it
26 citing papers in PubMed.
- What breaks when federal commitments break: comment on Beccia et al.SSM. Mental health · 2026Article
- Career Advancement Challenges for Women in Tenure Versus Clinical Tracks in Academic Medicine: Cross-Sectional Survey Study.JMIR formative research · 2026Article
- Analysis of Career Outcomes and Practice Patterns After Microsurgery Fellowship.Plastic and reconstructive surgery. Global open · 2026Article
- Factors associated with academic-medicine faculty attrition before promotion to senior rank: A national-cohort study.PloS one · 2026Article
- Breaking Barriers: Advancing Equity and Support for Women in Plastic Surgery.Plastic and reconstructive surgery. Global open · 2025Article
- Intersectionality and diversity, equity, and inclusion in the healthcare and scientific workforces.Lancet regional health. Americas · 2025Review
- Race, Gender, and Faculty Retention in Academic Medicine.JAMA network open · 2024Article
- Early-Career Motivation: Strategies for Sustaining Drive and Restoring Meaning in Academic Medicine.Academic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry · 2024Article
- Does Sponsorship Promote Equity in Career Advancement in Academic Medicine? A Scoping Review.Journal of general internal medicine · 2024Article
- Faculty knowledge, actions, and perceptions of sponsorship: an institutional survey study.Medical education online · 2023Article
- Disparities by Sex in Promotion to Associate Professor Among a National Cohort of Academic Physicians: Causal Mediation Analysis.Academic medicine : journal of the Association of American Medical Colleges · 2023Article
- Gender and retention patterns among U.S. faculty.Science advances · 2023Article
- Predictive value of medical school ranking in the academic scholarship of ophthalmology residents.Surgery open science · 2023Article
- The Long Shadow: A Historical Perspective on Racism in Medical Education.Academic medicine : journal of the Association of American Medical Colleges · 2023Article
- US Medical School Admissions Leaders' Experiences With Barriers to and Advancements in Diversity, Equity, and Inclusion.JAMA network open · 2023Article
- Promotion in academic radiology: context and considerations.Pediatric radiology · 2023Article
- Differences In Debt Among Postgraduate Medical Residents By Self-Designated Race And Ethnicity, 2014-19.Health affairs (Project Hope) · 2023Article
- The Impacts of Engagement in the Latino Medical Student Association.Health equity · 2023Article
- Faculty Recruitment, Retention, and Representation in Leadership: An Evidence-Based Guide to Best Practices for Diversity, Equity, and Inclusion from the Council of Residency Directors in Emergency Medicine.The western journal of emergency medicine · 2022Review
- The impact of a faculty development program, the Leadership in Academic Medicine Program (LAMP), on self-efficacy, academic promotion and institutional retention.BMC medical education · 2021Article
Corrections and comments
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Authors and funding
3 authors.
Funding
Abstract
purposeCompeting risk methodology was used to identify variables associated with promotion and attrition of newly appointed full-time instructors or assistant professors in U.S. MD-granting medical schools.
methodA national sample of U.S. MD-granting medical school graduates in calendar years 1997-2004 who received initial full-time instructor or assistant professor appointments from January 1, 2000 through December 31, 2012, was followed through December 31, 2013. Adjusted proportional subdistribution hazard ratios (aSHRs) measured the effects of demographic, educational, and institutional variables on promotion and attrition.
resultsThe final study sample included 27,219 full-time instructors (n = 10,470) and assistant professors (n = 16,749). In all models (entire sample and stratified by initial rank), faculty who reported all other (vs. full-time faculty) career intentions at graduation and were underrepresented racial/ethnic minority (vs. white) faculty had lower aSHRs for promotion and greater aSHRs for attrition, whereas research-intensive (vs. non-research-intensive) medical school graduates, faculty at schools without a tenure track, and mentored K awardees had greater aSHRs for promotion and lower aSHRs for attrition. In all models, faculty with ≥ $100,000 (vs. no) debt at graduation had greater aSHRs for attrition. Among instructors, women had lower aSHRs for attrition than men, but among assistant professors, women had greater aSHRs for attrition.
conclusionsThis study adds new knowledge about career trajectories of academic medicine faculty initially appointed as full-time instructors. Career development interventions and research mentoring during and after medical school and debt reduction programs could help increase academic medicine faculty retention and promotion.
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Registered trials
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