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Record W4415189824 · doi:10.1136/leader-2025-001283

Diversity in US medical school department chairs: 45-year retrospective analysis

2025· article· en· W4415189824 on OpenAlex
Milin Patel, Nachiket Patel, Jeffrey Ding, Shaheer Mujahid, Nancy D. Spector, Sophia C. Kamran, Javed Siddiqi, Faisal Khosa

Why this work is in the frame

A frame that forgets how it found something cannot be audited. These are the routes that admitted this work.

affAt least one author lists a Canadian institution in the pinned OpenAlex snapshot.

Bibliographic record

VenueBMJ Leader · 2025
Typearticle
Languageen
FieldSocial Sciences
TopicDiversity and Career in Medicine
Canadian institutionsUniversity of British ColumbiaToronto Metropolitan UniversityUniversity of British Columbia HospitalUniversity of Ottawa
Fundersnot available
KeywordsDiversity (politics)Medical schoolAffirmative actionAction (physics)Health departmentMEDLINE

Abstract

fetched live from OpenAlex

OBJECTIVE: To evaluate the trends in sex and race/ethnicity demographics of department chairs at US medical schools over 45 years. DESIGN: This was a longitudinal retrospective analysis of the Association of American Medical Colleges database. SETTING: The study analysed the sex and race/ethnicity of department chairs in US medical schools. PARTICIPANTS: Department chairs were classified by sex and self-reported race/ethnicity. Data from 1977 to 2022 were used to evaluate changes in the demographic composition of leadership roles over time. EXPOSURE: Identifying as female and/or as part of an under-represented in medicine group. MAIN OUTCOMES AND MEASURES: The outcome measures were demographic (ie, sex, race and ethnicity) trends among department chairs. RESULTS: The analysis depicted under-representation of women and racial minorities in department chairs. A notable increase was noted in the number of Asian, Black or African American, and Hispanic or Latino department chairs. However, this was outnumbered by the number of white individuals in leadership positions. CONCLUSION AND RELEVANCE: The end of affirmative action is expected to jeopardise the progress made and has the potential to perpetuate the lack of diversity in the department chair positions.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.002
metaresearch head score (Gemma)0.001
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesInsufficient payload (model declined to judge)
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: Observational
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.241
Threshold uncertainty score0.999

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0020.001
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0000.001
Science and technology studies0.0010.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0030.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.032
GPT teacher head0.350
Teacher spread0.318 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it