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Record W4417168576 · doi:10.1136/leader-2025-001395

Assessing gender and racial disparities in medical education leadership: the role of academic credentials

2025· article· en· W4417168576 on OpenAlex
Stephanie Quon, 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.
aboutThe title or abstract carries a Canadian signal from the geographic lexicon.

Bibliographic record

VenueBMJ Leader · 2025
Typearticle
Languageen
FieldSocial Sciences
TopicDiversity and Career in Medicine
Canadian institutionsVancouver General HospitalUniversity of British Columbia
Fundersnot available
KeywordsHealth equityAcademic medicineUnderrepresented MinorityHigher educationMEDLINEEthnic group

Abstract

fetched live from OpenAlex

Introduction Despite growing attention to diversity in academic medicine, gender and racial disparities persist in medical school leadership. This study examined how advanced academic qualifications, such as graduate degrees and additional certifications, intersect with these disparities in Canadian medical school leadership positions. Methods We conducted a cross-sectional analysis across 17 accredited Canadian medical schools, categorising faculty by qualifications, medical school leadership roles and academic rank. Data sources included institutional faculty directories, LinkedIn and Scopus. Race and gender were inferred using NamSor. We used the χ 2 tests and effect size reporting for analyses. Results Across qualification levels, gender and racial disparities in leadership and academic rank remained evident. Men and White faculty were disproportionately represented in senior roles, particularly among MDs who also held additional graduate degrees such as a master’s or PhD, where disparities were most pronounced. In contrast, women and racialised faculty were more frequently found in mid-level or junior roles, even when holding multiple advanced degrees. These findings indicate that additional credentials alone do not mitigate inequities in academic advancement. Conclusion Our findings suggest that while advanced qualifications may enhance access to leadership roles, they do not close gender and racial gaps. These persistent disparities highlight the need for systemic reforms and targeted policies to ensure equitable leadership opportunities in academic medicine.

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 categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Qualitative · Consensus signal: none
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.718
Threshold uncertainty score0.271

Codex and Gemma teacher scores by category

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

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 head0.111
GPT teacher head0.434
Teacher spread0.323 · 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