For the first time in US history, first-year female medical
school matriculants (50.7%) outnumbered men (49.3%) in
2017 [1]. Moreover, in 2019, women accounted for 50.5%
of all medical students for the first time [1]. Yet, female faculty continue to be underrepresented at the highest rankings in
academic medicine as a whole and in psychiatry [2, 3].
Women represent only 26% and 32% of full professors among
all medical faculty and psychiatry faculty, respectively, with a
majority identified as White [3]. Structural racism, gender
bias, and discrimination, along with the lack of systematic
strategies that aim to achieve gender and racial equity, result
in persistent achievement and promotion disparities among
students, residents, and faculty, especially among those who
are underrepresented in medicine [4, 5].
We will review the barriers women face advancing their
careers in academic medicine in general, and academic psychiatry in particular, with specific attention paid to inequities
for Black, Indigenous, and People of Color (BIPOC) women
and especially underrepresented in medicine (URM) women
compared to White women based on race/ethnicity. We will
also consider the intersecting impact of sexual orientation and
gender identities on women. Although there is a substantial
body of research on academic medical career progression for
women and URM, research identifying strategies and challenges for URM women is limited. Challenges noted include
institutional barriers related to mentoring, time management,
influence of bias, exclusion from formal and informal networks, and involvement in committees and non-promotion
activities. Notably, the literature often considers women
homogenously and does not account for nuanced differences
between groups. Still, we propose solutions to narrow persistent gender and racial/ethnic disparity gaps for womenidentifying faculty.
The Association of American Medical Colleges defines
underrepresented in medicine (URM) as “those racial and ethnic populations that are underrepresented in the medical profession relative to their numbers in the general population”
[6].We use the term “URM women” to describe these women,
who include all who do not identify as exclusively White or
Asian [6]. We use the term “Black, Indigenous, and People of
Color (BIPOC) women” to describe women whose racial/
ethnic identities are non-White to recognize the significant
past and present history of violence, structural racism, and
injustice toward Black and Indigenous people in the USA.
We use the term “LGBTQIA+ women” to refer to lesbian,
bisexual, transgender, queer, intersex, asexual, and all sexual
and gender minoritized women in recognition of the discrimination and oppression they experience