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The Changing Phenotype of Academic Nephrology— A Future at Risk?

Donald E. Kohan and Bradley C. Baird
CJASN December 2009, 4 (12) 2051-2058; DOI: https://doi.org/10.2215/CJN.05340709
Donald E. Kohan
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Bradley C. Baird
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    Figure 1.

    Number of total, U.S. medical graduate (US) and international medical graduate (IMG) full-time nephrology MD faculty in the United States from 1998 to 2008. Data are individually shown as total number, male gender, or female gender.

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    Figure 2.

    Demographics of full-time MD faculty in eight internal medicine subspecialties in 1998 and 2008. Data are reported as total faculty number, ratio of international medical graduates to total faculty, or ratio of female gender to total faculty. Endo, endocrinology; GI, gastroenterology; Heme/Onc, hematology/oncology; ID, infectious diseases; Neph, nephrology; Pulm, pulmonary/critical care; Rheum, rheumatology.

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    Figure 3.

    Academic rank of full-time MD nephrology faculty in the United States from 1998 to 2008. Data are individually shown as total number, male gender, female gender, and U.S. or international medical graduates.

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    Figure 4.

    Tenure status of full-time MD nephrology faculty in the United States from 1998 to 2008. Data are individually shown as total number, male gender, female gender, and U.S. or international medical graduates.

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    Figure 5.

    Racial demographics of full-time MD nephrology faculty in the United States from 1998 to 2008. Data are individually shown as total number, male gender, or female gender.

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    Figure 6.

    Racial demographics of full-time MD nephrology faculty in the United States from 1998 to 2008. Data are individually shown according to academic rank.

Tables

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    Table 1.

    Percent change in nephrology and other internal medicine subspecialty MD faculty number from 1998 to 2008

    Nephrology (% of 1998)Other IM Subspecialties (% of 1998)
    Total MD−4.9−2.8
    USMG−11.9−8.5
    IMG+13.2+22.4
    Female gender+14.3+18.2
    USMG female gender+2.0+9.7
    IMG female gender+54.1+56.7
    Male gender−9.5−7.9
    USMG male gender−15.4−13.0
    IMG male gender+5.0+14.7
    Instructor−54.8−56.0
    Assistant professor−8.3−21.4
    Associate professor−10.9+4.5
    Professor+8.4+15.8
    Tenured−12.4−6.1
    Tenure track−22.3−17.1
    Not on tenure track+11.5+12.3
    Tenure not available+6.5+8.0
    Asian+41.3+36.0
    African American−4.5−8.8
    Hispanic/Latino0.0+24.9
    Caucasian−15.2−10.1
    • The subspecialties included are cardiology, endocrinology, gastroenterology, hematology/oncology, infectious diseases, pulmonary/critical care, and rheumatology.

    • IM, internal medicine; USMG, United States medical graduates; IMG, international medical students.

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    Table 2.

    Percent change in nephrology and other internal medicine subspecialty MD faculty number from 1998 to 2008, subdivided according to whether or not the faculty was a member of one of the 20 institutions with the highest research expenditures

    Research ProgramsTop 20Not in Top 20
    Nephrology (% of 1998)Other IM Specialties (% of 1998)Nephrology (% of 1998)Other IM Specialties (% of 1998)
    Total MD−9.8−6.8−3.2−0.8
    USMG−12.0−9.5−11.3−17.9
    IMG+1.2+9.9+18.8+30.6
    Female gender+13.9+13.3+25.5+34.8
    USMG female gender+3.7+5.9+0+12.9
    IMG Female gender+28.6+35.5+66.7+73.0
    Male gender−12.9−8.6−3.0−2.4
    USMG male gender−18.1−13.5−14.3−12.8
    IMG male gender−4.3+4.5+9.1+21.3
    Instructor−51.2−63.7−11.3+8.2
    Assistant professor−25.0−33.6+9.7−5.4
    Associate professor−6.7+12.5−10.8+5.2
    Professor+15.5+28.4+8.4+13.0
    Tenured+4.3+17.4−16.7−14.1
    Tenure track−28.0−29.3−13.8−5.0
    Not on tenure track−3.0+0.8+33.7+30.7
    Tenure not availableNANA+11.5+19.0
    Asian+44.1+33.3+53.2+33.3
    Aftican American−21.1−14.1+8.5−3.6
    Hispanic/Latino+0+10.4+4.0+34.9
    Caucasian−15.3−9.8−10.9−6.6
    • NA, numbers were too small to be useful. The nonnephrology subspecialties are itemized in Table 1.

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Clinical Journal of the American Society of Nephrology
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1 Dec 2009
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The Changing Phenotype of Academic Nephrology— A Future at Risk?
Donald E. Kohan, Bradley C. Baird
CJASN Dec 2009, 4 (12) 2051-2058; DOI: 10.2215/CJN.05340709

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The Changing Phenotype of Academic Nephrology— A Future at Risk?
Donald E. Kohan, Bradley C. Baird
CJASN Dec 2009, 4 (12) 2051-2058; DOI: 10.2215/CJN.05340709
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