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Research Letter |

Diversity in Graduate Medical Education in the United States by Race, Ethnicity, and Sex, 2012

Curtiland Deville, MD1; Wei-Ting Hwang, PhD2; Ramon Burgos, AB3; Christina H. Chapman, MD4; Stefan Both, PhD3; Charles R. Thomas Jr, MD5
[+] Author Affiliations
1Department of Radiation Oncology and Molecular Radiation Sciences, Johns Hopkins University, Baltimore, Maryland
2Department of Biostatistics and Epidemiology, University of Pennsylvania, Philadelphia
3Department of Radiation Oncology, University of Pennsylvania, Philadelphia
4Department of Radiation Oncology, University of Michigan, Ann Arbor
5Department of Radiation Medicine, Knight Cancer Institute, Oregon Health & Science University, Portland
JAMA Intern Med. 2015;175(10):1706-1708. doi:10.1001/jamainternmed.2015.4324.
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In this data analysis, graduate medical education diversity was assessed by race, ethnicity, and sex in 2012.

Diversification of the physician workforce in the United States remains an ongoing goal,1,2 yet assessments of graduate medical education (GME) diversity, overall and across specialties are lacking. We assessed GME diversity by race, ethnicity, and sex in 2012.

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Figure 1.
Distribution in the 2010 US Population, 2012 Medical School Graduates, 2012 Practicing Physicians, and the 2012 Graduate Medical Education (GME) Trainee Pool

When comparing the total GME percentage representation for each demographic with the other groups, representation was significantly different for all groups (P <.001 for all comparisons, except for the Hispanic medical school graduates and trainees [P = .85]). Not shown are the male sex, non-Hispanic ethnicity, “other” race, and white race categories. AI indicates American Indian; AN, Alaska Native, NH, Native Hawaiian; PI, Pacific Islander; URM, underrepresented minorities in medicine (non-URM category is not shown).

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Figure 2.
2012 Graduate Medical Education (GME) Trainee Specialty Distributions

Distributions in order of descending representation. A, Distribution by female sex. B, Distribution by black race. C, Distribution by Hispanic ethnicity. Ob/Gyn indicates obstetrics and gynecology; IM/Peds, internal medicine/pediatrics; PM&R, physical medicine and rehabilitation.

aSignificantly different proportion (P < .001) in comparison with the total GME pool.

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The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
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