Physician Workforce Diversity: Race and Ethnicity
Physician Demographics: A deep Dive into Racial and Ethnic Representation in the U.S.Medical field
Table of Contents
A recent analysis of U.S. physician workforce data reveals notable disparities in racial and ethnic representation, with Asian physicians broadly overrepresented across all states, while Hispanic and Black individuals are consistently underrepresented, notably in specialized medical fields. The findings highlight a complex landscape where demographic shifts in the general population are not always mirrored in the medical profession.
Asian Physicians: Overrepresentation Across the Nation
The data indicates a consistent pattern of overrepresentation for Asian physicians when compared to their share of the total population in nearly every state. This trend is particularly pronounced in states like California, New York, and New Jersey, where the Asian population constitutes a ample portion of both the general populace and the physician workforce. However, even in states with smaller Asian populations, their representation among physicians often exceeds their demographic share.
This overrepresentation is not confined to specific regions but is a nationwide phenomenon. As a notable example, in states like Hawaii, where the Asian population is a majority, their dominance in the physician workforce is even more pronounced. conversely,in states with a lower overall Asian population,their presence in the medical field still tends to be higher than their demographic percentage.
White Physicians: Varied representation Across States
In contrast to the broad overrepresentation of Asian physicians, the share of White physicians was generally similar to or higher than their share of the total population in most states. However, notable exceptions exist, indicating regional variations in physician demographics.
States where White individuals were most underrepresented among physicians relative to their population share included West Virginia, North Dakota, and Michigan. In these states, the higher representation of asian individuals among physicians contributed to the relative underrepresentation of White physicians.
Conversely, states like New Mexico, Alaska, and Mississippi showed the most significant overrepresentation of White physicians compared to their population share. This suggests a more complex interplay of demographic factors and physician recruitment in different parts of the contry.
Racial and Ethnic Disparities in Medical Specialties
The analysis extends to medical specialties, revealing that Hispanic and Black individuals face greater underrepresentation across a wider range of specialties compared to other racial and ethnic groups.While primary care specialties such as family medicine, pediatrics, and obstetrics/gynecology tend to better reflect the racial and ethnic distribution of the general population, certain specialized fields show significant demographic imbalances.
Providers in nephrology and interventional cardiology, such as, exhibited the least racial and ethnic representation when compared to the national population. the hispanic population was found to be the most underrepresented group in over half of the analyzed specialties (27 out of 51), while the Black population was the most underrepresented in 9 out of 51 specialties. This indicates that as medical fields become more specialized, the diversity seen in primary care often diminishes.
methods
The KFF collected U.S. Physician Workforce data from the Association of American Medical Colleges (AAMC) for 2023, aggregated by specialty and location. Race/ethnicity data, provided as “alone or in combination,” were treated as exclusive in the analysis due to the inclusion of a “multiracial” option. Respondents with unknown race/ethnicity were proportionally distributed within each state. For the provider specialty analysis, only Asian, Black, Hispanic, and White categories were used, and specialties with fewer than 5,000 active physicians were excluded.
To compare the physician population with the general population, 5-year estimates from the 2023 American Community Survey were utilized. The racial and ethnic distribution of the total population for each state was determined using single-response values for not Hispanic or Latino, and any response for Hispanic or Latino.
An index of dissimilarity was employed to assess how well the active physician population matched the national population for each specialty, calculated as the proportional total percentage point difference in the race/ethnicity share of providers and the country overall. The robustness of this method was further evaluated using Kullback-Leibler divergence, a measure of statistical distance between the race/ethnicity distribution among physicians and that of the national population.The rank order among specialties remained similar for both methods.
