Perceptions of Gender and Race Equality in Leadership and Advancement Among Military Family Physicians

• Published in: Military medicine Vol. 186; no. Supplement_1; pp. 762 - 766
• Main Authors: Massaquoi, Mariama A, Reese, Tyler R, Barrett, John, Nguyen, Dana
• Format: Journal Article
• Language: English
• Published: US Oxford University Press 25-01-2021
• Subjects: Armed forces; Female; Gender; Humans; Leadership; Military Personnel; Perception; Physicians, Family; Physicians, Women; Questionnaires; United States > US
• ISSN: 0026-4075; 1930-613X
• DOI: 10.1093/milmed/usaa387

ABSTRACT
Introduction
There is increasing interest in assessing gender and race-based disparities in academic medicine and healthcare leadership in civilian medicine and the U.S. Military Health System. Approximately 15% of U.S. active duty service members are women, and racial minorities are 30% of the total active duty force. This study evaluates the following factors among uniformed services family physicians: gender and race representation in attaining early career leadership positions during training and 2 years postresidency; perceptions regarding leadership opportunities and career advancement.
Methods
Registered attendees (n = 300) of the 2016 Uniformed Services Academy of Family Physicians Annual Meeting were given a voluntary and anonymous online questionnaire. The main outcomes measured were early leadership assignments and perceptions about command/leadership support, gender roles in leadership assignment, confidence to achieve leadership goals, and being passed over for leadership positions.
Results
Sixty-eight percent of registered attendees completed the study questionnaire. Statistically significant results, adjusting for service, grade, race, and gender, were that non-Caucasian family physicians were less likely to be chief residents (odds ratio 0.23, 95% CI 0.01-1.00) and less likely to have leadership positions within 2 years postresidency (odds ratio 0.30, 95% CI 0.10-0.91). Female family physicians were more likely to agree that gender has a role in assigning leadership positions (odds ratio 2.33, 95% CI 1.01-5.39). There were no differences in perceptions of command support for leadership; confidence in achieving desired leadership level; or in being passed over for leadership positions.
Conclusions
This study provides important information about perceived gender and race equality among uniformed services family physicians. Key findings included that non-Caucasian military family physicians were less likely to attain junior leadership positions or be assigned to academic settings; and female respondents were more likely to agree that gender has a role in assignment of leadership positions. Evaluating composite personnel records of services’ family physicians would provide invaluable information to complement this study.