• Yoshiko Iwai, Alice Yunzi L Yu, Samantha M Thomas, Stephanie Downs-Canner, Georgia M Beasley, Ranjan Sudan, and Oluwadamilola M Fayanju.
• School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC.
• Ann. Surg. 2024 Jan 1; 279 (1): 778777-87.

ObjectiveTo compare the representation of intersectional (ie, racial/ethnic and gender) identities among surgical faculty versus medical students.BackgroundHealth disparities are pervasive in medicine, but diverse physicians may help the medical profession achieve health equity.MethodsData from the Association of American Medical Colleges for 140 programs (2011/2012-2019/2020) were analyzed for students and full-time surgical faculty. Underrepresented in medicine (URiM) was defined as Black/African American, American Indian/Alaskan Native, Hispanic/Latino/Spanish Origin, or Native Hawaiian/Other Pacific Islander. Non-White included URiM plus Asian, multiracial, and non-citizen permanent residents. Linear regression was used to estimate the association of year and proportions of URiM and non-White female and male faculty with proportions of URiM and non-White students.ResultsMedical students were comprised of more White (25.2% vs 14.4%), non-White (18.8% vs 6.6%), and URiM (9.6% vs 2.8%) women and concomitantly fewer men across all groups versus faculty (all P < 0.01). Although the proportion of White and non-White female faculty increased over time (both P ≤ 0.001), there was no significant change among non-White URiM female faculty, nor among non-White male faculty, regardless of whether they were URiM or not. Having more URiM male faculty was associated with having more non-White female students (estimate = +14.5% students/100% increase in faculty, 95% CI: 1.0% to 8.1%, P = 0.04), and this association was especially pronounced for URiM female students (estimate = +46.6% students/100% increase in faculty, 95% CI: 36.9% to 56.3%, P < 0.001).ConclusionsURiM faculty representation has not improved despite a positive association between having more URiM male faculty and having more diverse students.Copyright © 2023 Wolters Kluwer Health, Inc. All rights reserved.

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