Original Research Original ResearchDoc head & section head both text are the same. please check|Articles in Press, 100919

Racial and Sex Disparities in the Selection of Chief Residents in Obstetrics and Gynecology



      Racial and ethnically minoritized individuals and women are underrepresented in leadership roles in academic medicine. Little is known about whether and to what extent these racial and sex disparities exist in graduate medical education (GME).


      To determine whether race-ethnicity and/or the intersection of race-ethnicity and sex impacts the likelihood of selection as chief resident (CR) in obstetrics and gynecology (OBGYN) residency programs.


      We performed cross-sectional analyses using data from GME Track, a national resident database and tracking system. Those included in this analysis were final-year OBGYN residents in U.S.-based residency programs from 2015-2018. Exposure variables were self-reported race-ethnicity and sex. The outcome was designation as CR. Logistic regression was used to estimate the odds of being CR. We tested the following variables for potential confounding: survey year, U.S. citizenship, medical school type, geographic region of residency, and Alpha Omega Alpha (AOA) status.


      There were 5,128 residents included. Black residents were 21% less likely to be selected as CR compared to White residents (OR 0.79, 95% CI 0.65-0.96). Females were 19% more likely to be CR than males (OR 1.19, 95% CI 1.02-1.38). When examining the intersection of race-ethnicity by sex subgroup, the results revealed some heterogeneity: Among males, Black individuals had the lowest odds of being CR (OR 0.32, 95% CI 0.17-0.63; referent White males), while among females, Hispanic individuals were the least likely to be CR (OR 0.69, 95% CI 0.52-0.92; referent White females). White females were almost 4 times more likely to be CR compared to Black males (OR 3.79, 95% CI 1.97-7.29).


      The odds of being selected chief resident differ significantly by race-ethnicity, sex and their intersectionality.

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