Rationale and Objectives
Diagnostic radiology remains one of the least diverse medical specialties. Recent
reports have found that the number of female and under-represented in medicine (URiM)
residents have not increased despite efforts to increase representation over the last
decade. Given the critical role of residency program directors in selecting diverse
applicants, this study was performed to identify which strategies were most preferred
to increase the number of female and/or URiM residents by directors of diagnostic
radiology residency training programs.
Materials and Methods
This was an anonymous, cross-sectional study of diagnostic radiology residency program
directors that included a survey about program characteristics, demographics, and
strategies to increase the number of female and/or URiM residents.
Results
The questionnaire was submitted to 181 potential participants with a 19.9% response
rate. The most preferred strategies to increase diversity involved directly recruiting
medical students, promoting mentorship, increasing the number of diverse teaching
faculty, and unconscious bias training. The least supported strategies included deemphasizing
exam scores, accepting more international graduates, accepting a minimum number of
female and/or URiM applicants, and de-identifying applications. Female and/or URiM
program directors indicated a statistically significant preference for medical student
recruitment and providing an opportunity to discuss workplace issues for female and/or
URiM trainees (p < 0.05).
Conclusion
Diagnostic radiology residency program directors endorsed a wide variety of strategies
to increase diversity. Recruitment of female and/or URiM medical students and promoting
the number of diverse faculty members and mentorship of trainees by these faculty
appear to be the most preferred strategies to increase female and/or URiM residents.
Female and/or URiM program directors placed a greater importance on recruiting diverse
applicants and supporting safe discussion of workplace issues faced by female and/or
URiM radiology residents.
Key Words
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REFERENCES
- Increasing diversity in radiology and molecular imaging: current challenges.Mol Imaging Biol. 2021; : 1-14https://doi.org/10.1007/s11307-021-01610-3
- Analysis of gender disparity in US and Canadian radiology residency programs.Curr Probl Diagn Radiol. 2021; (S0363-0188(21)00040-2)https://doi.org/10.1067/j.cpradiol.2021.03.002
- Improving diversity, inclusion, and representation in radiology and radiation oncology part 1: why these matter.J Am Coll Radiol. 2014; 11: 673-680https://doi.org/10.1016/j.jacr.2014.03.007
- Current status of diversity by race, Hispanic ethnicity, and sex in diagnostic radiology.Radiology. 2014; 270: 232-240https://doi.org/10.1148/radiol.13130101
- Diversity, inclusion, and representation: it is time to act.J Am Coll Radiol. 2016; 13: 1421-1425https://doi.org/10.1016/j.jacr.2016.08.008
- Surveying academic radiology department chairs regarding new and effective strategies for medical student recruitment.AJR Am J Roentgenol. 2016; 207: 1171-1175https://doi.org/10.2214/AJR.16.16445
- “What Program Directors Think” V: results of the 2019 spring survey of the Association of Program Directors in Radiology (APDR).Acad Radiol. 2021; 28: 718-725https://doi.org/10.1016/j.acra.2020.06.035
- Residency match during the COVID-19 pandemic: the clear and present danger of the remote interview.Am Coll Radiol. 2021; 18: 438-441
- Increasing diversity in cardiology: a fellowship director's perspective.Cureus. 2021; 13: e16344https://doi.org/10.7759/cureus.16344
- National survey to assess gender, racial, and ethnic differences among radiology residency applicants regarding factors impacting program selection.Acad Radiol. 2020; (S1076-63332(20)30449-9)https://doi.org/10.1016/j.acra.2020.07.026
- Design, implementation, and evaluation of a diversity program for radiology.J Am Coll Radiol. 2019; 16: 983-991https://doi.org/10.1016/j.jacr.2018.12.007
- Views of radiology program directors on the role of mentorship in the training of radiology residents.AJR Am J Roentgenol. 2010; 194: 704-708https://doi.org/10.2214/AJR.09.3403
- Women in radiology: exploring the gender disparity.J Am Coll Radiol. 2016; 13 (P344-P350.E1)https://doi.org/10.1016/j.jacr.2015.10.019
- Impact of biases in selection and evaluation on the composition of the radiology physician workforce.Acad Radiol. 2021; (S1076-6332(21)00133-1)https://doi.org/10.1016/j.acra.2021.03.013
- Factors influencing the gender breakdown of academic radiology residency programs.J Am Coll Radiol. 2017; 14: 958-962https://doi.org/10.1016/j.jacr.2017.02.045
- Diversity matters in academic radiology: acknowledging and addressing unconscious bias.J Am Coll Radiol. 2016; 13: 1426-1432https://doi.org/10.1016/j.jacr.2016.08.016
- Bias in radiology resident selection: do we discriminate against the obese and unattractive?.Acad Med. 2019; 94: 1774-1780https://doi.org/10.1097/ACM.0000000000002813
- Use of the implicit association test to improve diversity in radiology.J Am Coll Radiol. 2021; 16: P976-P979https://doi.org/10.1016/j.jacr.2019.01.010
- Five years later: impact of a focused women in radiology program.J Am Coll Radiol. 2022; 19: 389-400https://doi.org/10.1016/j.jacr.2021.08.032
- Historically Black schools of medicine radiology residency programs: contributions and lessons.Acad Radiol. 2021; (S1076-6332(21)00141-0)https://doi.org/10.1016/j.acra.2021.03.201
- Diversity in radiology starts at the top.RSNA News. 2020; 28: 7
- Surveying fourth-year medical students regarding the choice of diagnostic radiology as a specialty.J Am Coll Radiol. 2016; 13: 188-195https://doi.org/10.1016/j.jacr.2015.08.005
- Pass/fail USMLE step 1 scoring-a radiology program director survey.Acad Radiol. 2021; 28: 1622-1625https://doi.org/10.1016/j.acra.2020.08.010
- The contribution of international medical graduates to diversity in the U.S. physician workforce: graduate medical education.J Health Care Poor Underserved. 2008; 19: 493-499https://doi.org/10.1353/hpu.0.0015
- A 15-year analysis of international medical graduates matching into diagnostic radiology residency programs in the United States.Acad Radiol. 2022; 29: 137-143
- The influence of gender on the choice of radiology as a specialty among medical students in Saudi Arabia: cross-sectional study.Interact J Med Res. 2020; 9: e14666https://doi.org/10.2196/14666
- Family and medical leave for diagnostic radiology, interventional radiology, and radiation oncology residents in the United States.Radiology. 2021; 300: 31-35
- The design and preliminary experience with a virtual diversity visiting student acting internship in radiology for underrepresented minority medical students.Acad Radiol. 2021; (S1076-6332(21)00092-1)https://doi.org/10.1016/j.acra.2021.02.021
- Interview techniques utilized in radiology resident selection-a survey of the APDR.Acad Radiol. 2019; 26: 989-998https://doi.org/10.1016/j.acra.2018.11.002
- Video interviewing: a review and recommendations for implementation in the era of COVID-19 and beyond.Acad Radiol. 2020; 27: 1316-1322https://doi.org/10.1016/j.acra.2020.05.020
- Women in radiology: gender diversity is not a metric—it is a tool for excellence.European Radiology. 2020; 30: 1644-1652
- Dear medical students: it's time to join the #Twitterverse.J Am Coll Radiol. 2021; 18: 309-311https://doi.org/10.1016/j.acr.2020.08.008
- Gender bias in diagnostic radiology resident selection, does it exist?.Acad Radiol. 2016; 23: 101-107https://doi.org/10.1016/j.acra.2015.10.018
Article info
Publication history
Published online: May 15, 2022
Accepted:
March 24,
2022
Received in revised form:
March 22,
2022
Received:
February 17,
2022
Identification
Copyright
© 2022 The Association of University Radiologists. Published by Elsevier Inc. All rights reserved.