Available online 17 August 2022

This study documents for the first time the extent to which diversity, equity, and inclusion training is being incorporated across U.S. endocrinology fellowship programs

The majority of endocrinology fellows and program leaders are female and heterosexual

Black physicians are under-recruited into endocrinology and Hispanic/Latinx endocrinologists are under-represented in endocrinology program leadership

Most fellowship programs report institutional diversity and inclusion training

The majority of fellows and program leaders want further health equity training in endocrinology

The ACGME has instituted common program requirements related to diversity, equity, and inclusion (DEI) for post-graduate trainees in the United States; however, the extent to which DEI training is being incorporated across endocrinology fellowship programs is unknown.

Describe the socio-demographic representation, and DEI training experiences within endocrinology fellowship programs.

Design, setting and participants: National cross-sectional survey study of fellows and fellowship program leaders in the United States whose fellowships were members of the Association of Program Directors in Endocrinology and Metabolism (APDEM).

1) Demographics of fellows and program leaders.

2) Programs’ experience, confidence, and interest in formal DEI training.

A total of 108 and 106 fellow and faculty respectively responded to the survey, respectively. The majority of fellows and faculty are female. Less than 3% of fellows and 3.7% of faculty identify as Black. More than 90% of fellows/faculty are heterosexual and no respondents identified as transgender/non-binary; however, 5% and 2% of all respondents preferred not to disclose their sexual orientation and gender identity, respectively. While 85% of faculty received institutional diversity and inclusion training, 67.6% of fellows did. Fellows are more likely to have received training in health equity than program leaders. Both fellows and program leaders express a high interest in health equity curriculum.

Within the diversity of endocrinology training programs, Black physicians are under-represented in medicine, which persists in endocrinology fellowships. Fellowship programs express enthusiasm for national diversity and health equity curricula with the majority of programs reporting institutional DEI training.

endocrinology fellowship

diversity

health equity

medical education

© 2022 Published by Elsevier Inc. on behalf of the AACE.