Importance Faculty diversity has important implications for improving the cultural competency and diversity of medical students and residents. However, dermatology is one of the least diverse fields in medicine. Objectives To measure faculty diversity by sex, race, and ethnicity in academic dermatology departments in US medical schools and to evaluate how this representation compares with the diversity of the US population, medical students, department chairs, and faculty in other clinical departments. Design, Setting, and Participants In this cross-sectional study, data from the Association of American Medical Colleges Faculty Roster were evaluated to differentiate full-time faculty by sex and designation as a minority underrepresented in medicine (URM; currently including black, Hispanic, American Indian/Alaska Native, Native Hawaiian, and Pacific Islander individuals). Trends in female and URM representation among academic dermatology departments were analyzed from 1970 to 2018. Main Outcomes and Measures The numbers and proportions of US dermatology department faculty by sex, race, and ethnicity. Results The number of full-time US dermatology department faculty increased from 167 in 1970 to 1464 in 2018. The number of female faculty increased from 18 (10.8%) in 1970 to 749 (51.2%) in 2018; the number of URM faculty grew from 8 (4.8%) in 1970 to 109 (7.4%) in 2018. Proportions of female and white dermatology department faculty were similar to the US population in 2018; however, like other clinical departments, the proportion of URM faculty was lower than in the general population. There was an inverse association between increasing faculty rank and the proportion of female faculty overall, but this was not the case among URM faculty. At every rank, there was a proportionately low number of URM faculty represented. Across all specialties, department chairs were least diverse, with white individuals representing 79.7% (n = 2856 of 3585) of all chairs in 2018 and women representing 19.4% (n = 694 of 3585) of all chairs. Conclusions and Relevance Expansion of faculty in US dermatology departments over the past half century has led to greater female representation, now similar to that in the general population. Higher-ranking faculty is associated with lower diversity. Although dermatology department faculty diversity by sex, race, and ethnicity has partially improved over the past 49 years, continued attention to the lagging representation of URM faculty should be a priority for the field of academic dermatology.

中文翻译：

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1970年至2018年，美国皮肤病学系按性别和医学代表性不足所得出的教职人员多样性趋势。

重要性教师的多样性对于提高医学生和居民的文化能力和多样性具有重要意义。但是，皮肤病学是医学领域中种类最少的领域之一。目的评估美国医学院中皮肤病学部门按性别，种族和种族划分的教职员工多样性，并评估该代表人数与美国人口，医学生，系主任和其他临床部门教职员工的多样性之间的比较。设计，设置和参与者在本横断面研究中，对美国医学院学院教职员名册的数据进行了评估，以按性别和名称将全职教职人员区分为医学上代表性不足的少数群体（URM；目前包括黑人，西班牙裔，美洲印第安人/阿拉斯加原住民，夏威夷原住民，和太平洋岛民个人）。分析了1970年至2018年女性皮肤病学部门中女性和URM代表的趋势。主要成果和衡量指标美国皮肤病学系按性别，种族和种族划分的人数和比例。结果全职美国皮肤病学系教师从1970年的167名增加到2018年的1464名。女教师的数量从1970年的18名（10.8％）增加到2018年的749名（51.2％）；URM教职员工人数从1970年的8（4.8％）增长到2018年的109（7.4％）。2018年女性和白人皮肤病学系员工的比例与美国相似。但是，像其他临床科室一样，URM教师的比例低于普通人群。教职员工的增加与女性教职员工的整体比例之间存在反比关系，但URM教职员工并非如此。在每个级别，代表的URM教职员工人数都相对较少。在所有专业中，部门主席的多元化程度最低，白人占2018年所有主席的79.7％（n = 2856/3585），女性占19.4％（n = 694/3585）。结论和相关性在过去的半个世纪中，美国皮肤病学系的教职员工人数增加，导致女性代表人数增加，现在与普通人群中的人数相似。较高的教师与较低的多样性相关。尽管在过去49年中，皮肤科的教职员工按性别，种族和种族划分的多样性有所改善，