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      Diversity and Professional Advancement in Medical Physics

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          Abstract

          Purpose

          While disparities in the inclusion and advancement of women and minorities in science, technology, engineering, mathematics, and medical fields have been well documented, less work has focused on medical physics specifically. In this study, we evaluate historical and current diversity within the medical physics workforce, in cohorts representative of professional advancement (PA) in the field, and within National Institutes of Health (NIH)–funded medical physics research activities.

          Methods and Materials

          The 2020 American Association of Physicists in Medicine (AAPM) membership was queried as surrogate for the medical physics workforce. Select subsets of the AAPM membership were queried as surrogate for PA and early career professional advancement (ECPA) in medical physics. Self-reported AAPM-member demographics data representative of study analysis groups were identified and analyzed. Demographic characteristics of the 2020 AAPM membership were compared with those of the PA and ECPA cohorts and United States (US) population. The AAPM-NIH Research Database was appended with principal investigator (PI) demographics data and analyzed to evaluate trends in grant allocation by PI demographic characteristics.

          Results

          Women, Hispanic/Latinx/Spanish individuals, and individuals reporting a race other than White or Asian alone comprised 50.8%, 18.7%, and 32.4% of the US population, respectively, but only 23.9%, 9.1%, and 7.9% of the 2020 AAPM membership, respectively. In general, representation of women and minorities was further decreased in the PA cohort; however, significantly higher proportions of women ( P < .001) and Hispanic/Latinx/Spanish members ( P < .05) were observed in the ECPA cohort than the 2020 AAPM membership. Analysis of historical data revealed modest increases in diversity within the AAPM membership since 2002. Across NIH grants awarded to AAPM members between 1985 and 2020, only 9.4%, 5.3%, and 1.7% were awarded to women, Hispanic/Latinx/Spanish, and non-White, non-Asian PIs, respectively.

          Conclusions

          Diversity within medical physics is limited. Proactive policy should be implemented to ensure diverse, equitable, and inclusive representation within research activities, roles representative of PA, and the profession at large.

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          Most cited references33

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          Patient-centered communication, ratings of care, and concordance of patient and physician race.

          African-American patients who visit physicians of the same race rate their medical visits as more satisfying and participatory than do those who see physicians of other races. Little research has investigated the communication process in race-concordant and race-discordant medical visits. To compare patient-physician communication in race-concordant and race-discordant visits and examine whether communication behaviors explain differences in patient ratings of satisfaction and participatory decision making. Cohort study with follow-up using previsit and postvisit surveys and audiotape analysis. 16 urban primary care practices. 252 adults (142 African-American patients and 110 white patients) receiving care from 31 physicians (of whom 18 were African-American and 13 were white). Audiotape measures of patient-centeredness, patient ratings of physicians' participatory decision-making styles, and overall satisfaction. Race-concordant visits were longer (2.15 minutes [95% CI, 0.60 to 3.71]) and had higher ratings of patient positive affect (0.55 point, [95% CI, 0.04 to 1.05]) compared with race-discordant visits. Patients in race-concordant visits were more satisfied and rated their physicians as more participatory (8.42 points [95% CI, 3.23 to 13.60]). Audiotape measures of patient-centered communication behaviors did not explain differences in participatory decision making or satisfaction between race-concordant and race-discordant visits. Race-concordant visits are longer and characterized by more patient positive affect. Previous studies link similar communication findings to continuity of care. The association between race concordance and higher patient ratings of care is independent of patient-centered communication, suggesting that other factors, such as patient and physician attitudes, may mediate the relationship. Until more evidence is available regarding the mechanisms of this relationship and the effectiveness of intercultural communication skills programs, increasing ethnic diversity among physicians may be the most direct strategy to improve health care experiences for members of ethnic minority groups.
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            Association of Racial/Ethnic and Gender Concordance Between Patients and Physicians With Patient Experience Ratings

            Key Points Question Is patient-physician racial/ethnic or gender concordance associated with the patient experience as measured by scores on the Press Ganey Outpatient Medical Practice Survey? Findings In this cross-sectional analysis of 117 589 Press Ganey surveys completed for the adult outpatient practices of an urban, academic health system from 2014 to 2017, physicians among racially/ethnically discordant patient-physician dyads had significantly lower odds of receiving the maximum patient experience score compared with those among concordant dyads. Meaning In this study, higher Press Ganey survey scores were associated with racial/ethnic concordance between patients and their physicians; thus, efforts to improve the patient experience among racially/ethnically discordant patient-physician dyads may be necessary to improve health care delivery.
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              Minority physicians' role in the care of underserved patients: diversifying the physician workforce may be key in addressing health disparities.

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                Author and article information

                Contributors
                Journal
                Adv Radiat Oncol
                Adv Radiat Oncol
                Advances in Radiation Oncology
                Elsevier
                2452-1094
                27 August 2022
                Jan-Feb 2023
                27 August 2022
                : 8
                : 1
                : 101057
                Affiliations
                [a ]Emory University School of Medicine, Department of Radiation Oncology, Atlanta, GA
                [b ]University of Sydney, Australia
                [c ]The University of Texas MD Anderson Cancer Center, Department of Radiation Physics, Houston, TX
                [d ]University of Michigan, Department of Radiation Oncology, Ann Arbor, MI
                [e ]Purdue University, School of Health Sciences, West Lafayette, IN
                [f ]Emory University, Rollins School of Public Health, Department of Biostatistics and Bioinformatics, Atlanta, GA
                [g ]Emory University School of Medicine, Department of Medicine, Division of Infectious Diseases, Atlanta, GA
                [h ]National Cancer Institute, Center for Biomedical Informatics and Information Technology, Bethesda, MD
                Author notes
                [* ]Corresponding author richard.castillo@ 123456emory.edu
                Article
                S2452-1094(22)00163-4 101057
                10.1016/j.adro.2022.101057
                9539787
                36213550
                2905edba-722c-4ecb-ae4e-deb8097671b2
                © 2022 The Author(s)

                This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).

                History
                : 29 March 2022
                : 10 August 2022
                Categories
                Physics Contribution

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