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Research ArticleOriginal Research

Racial/Ethnic Representation Among American Board of Family Medicine Certification Candidates from 1970 to 2020

Ting Wang, Thomas R. O'Neill, Warren P. Newton, Kennedi Hall and Aimee R. Eden
The Journal of the American Board of Family Medicine January 2022, 35 (1) 9-17; DOI: https://doi.org/10.3122/jabfm.2022.01.210322
Ting Wang
From the American Board of Family Medicine, Lexington, KY (TW, TON, WPN, KH, ARE).
PhD
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Thomas R. O'Neill
From the American Board of Family Medicine, Lexington, KY (TW, TON, WPN, KH, ARE).
PhD
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Warren P. Newton
From the American Board of Family Medicine, Lexington, KY (TW, TON, WPN, KH, ARE).
MD, MPH
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Kennedi Hall
From the American Board of Family Medicine, Lexington, KY (TW, TON, WPN, KH, ARE).
MPH
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Aimee R. Eden
From the American Board of Family Medicine, Lexington, KY (TW, TON, WPN, KH, ARE).
PhD, MPH
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    Figure 1.

    Choropleth maps of logRQ for initial certification candidates by race/ethnicity and States. Note. A logRQ greater than 0 indicates that a group is overrepresented among family medicine initial certification candidates relative to the US population, and a logRQ less than 0 indicates that a group is underrepresented. The gray-colored States indicate no candidates identify with the corresponding race/ethnicity. Abbreviation: RQ, representation quotient.

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    Table 1.

    Demographic Information of Initial and Continuing Certification Candidates

    Initial Certification Candidates
    (N = 26,368)
    n (%)
    Continuing Certification Candidates
    (N = 55,347)
    n (%)
    Sex
        Female14319 (54.3)23010 (41.6)
        Male12049 (45.7)32337 (58.4)
    Degree
        MD20834 (79.0)50195 (90.7)
        DO5534 (21.0)5152 (9.3)
    Medical Training*
        United States†17572 (66.5)44860 (81.5)
        International8796 (33.4)10353 (18.7)
    Year
        20143939 (14.9)10690 (19.3)
        20153606 (13.7)8413 (15.2)
        20163604 (13.7)8445 (15.3)
        20173606 (13.7)8560 (15.5)
        20183887 (14.7)7643 (13.8)
        20193821 (14.5)8539 (15.4)
        20203905 (14.8)3057 (5.5)
    • Abbreviations: DO, Doctor of Osteopathic Medicine; MD, Doctor of Medicine.

    • ↵* Candidates who graduated from Canadian medical school are categorized in U.S. training for training and performance similarities.

    • ↵† There were 134 continuing certification candidates without medical training country records, not shown in this table.

    • View popup
    Table 2.

    Race/Ethnicity Proportion and logRQ of Initial Certification and Continuing Certification Candidates, Relative to the National Population Race/Ethnicity Proportion

    National Population*Initial Certification Candidates†Continuing Certification Candidates‡
    %%logRQ%logRQ
    Race%%logRQ%logRQ
        White72.061.9−0.1575.90.04
        Black or African American12.88.2−0.455.4−0.84
        Asian5.723.71.4314.20.93
        American Indian or Alaska Native0.90.90.000.8−0.12
        Native Hawaiian or Other Pacific Islander0.20.50.920.60.92
        Other5.04.9−0.023.1−0.42
    Ethnicity
        Hispanic or Latino18.49.3−0.686.2−1.07
    • Abbreviation: RQ, representation quotient.

    • ↵* National Population is from the 2019 Census Bureau (N = 328.2 Million).

    • ↵† Initial Certification Candidates are those that applied to ABFM from 2014 to 2020 (N = 26,368).

    • ↵‡ Continuing Certification Candidates are those that applied to ABFM from 2014 to 2020 (N = 55,347).

    • View popup
    Table 3.

    Race/Ethnicity Proportion and logRQ of Initial Certification Candidates Compared to National Population Race/Ethnicity Proportion by Decades

    Race/EthnicityYearsInitial Certification Candidates (%)National Population (%)logRQ
    White1970 to 197992.683.10.11
    1980 to 198991.680.30.13
    1990 to 199980.975.10.07
    2000 to 200966.472.4−0.09
    2010 to 2020*61.672−0.16
    Black or African American1970 to 19791.411.7−2.12
    1980 to 19892.812.1−1.46
    1990 to 19994.812.3−0.94
    2000 to 20097.112.6−0.57
    2010 to 202018.112.8−0.46
    Asian1970 to 19794.01.50.98
    1980 to 19893.52.90.19
    1990 to 199911.13.81.07
    2000 to 200920.54.91.43
    2010 to 2020*23.75.71.43
    American Indian or Alaska Native1970 to 19790.70.60.15
    1980 to 19890.60.8−0.29
    1990 to 19990.90.90.00
    2000 to 20090.90.90.00
    2010 to 2020*0.90.90.00
    Hispanic or Latino1970 to 19792.06.4−1.16
    1980 to 19894.29.0−0.76
    1990 to 19995.812.5−0.77
    2000 to 20097.512.5−0.51
    2010 to 2020*9.318.4−0.68
    • Abbreviation: RQ, representation quotient.

    • ↵* 2019 Census Bureau's American Community Survey (ACS) was used for the population proportion for this decade to be consistent with Table 2 population proportions.

    • View popup
    Table 4.

    Race/Ethnicity Proportion and logRQ of 2020 Initial Certification Candidates, Relative to AAMC Matriculants from 2013–2014 (School Year) Race/Ethnicity Proportion

    RaceMatriculants (%)Initial Certification Candidates (%)logRQ
    White56.960.10.1
    Black or African American7.07.40.1
    Asian20.823.20.1
    American Indian or Alaska Native0.90.5−0.6
    Native Hawaiian or Other Islander0.30.40.3
    Hispanic or Latino9.19.30.1
    • Abbreviations: AAMC, Association of American Medical Colleges; RQ, representation quotient.

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The Journal of the American Board of Family     Medicine: 35 (1)
The Journal of the American Board of Family Medicine
Vol. 35, Issue 1
January/February 2022
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Racial/Ethnic Representation Among American Board of Family Medicine Certification Candidates from 1970 to 2020
Ting Wang, Thomas R. O'Neill, Warren P. Newton, Kennedi Hall, Aimee R. Eden
The Journal of the American Board of Family Medicine Jan 2022, 35 (1) 9-17; DOI: 10.3122/jabfm.2022.01.210322

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Racial/Ethnic Representation Among American Board of Family Medicine Certification Candidates from 1970 to 2020
Ting Wang, Thomas R. O'Neill, Warren P. Newton, Kennedi Hall, Aimee R. Eden
The Journal of the American Board of Family Medicine Jan 2022, 35 (1) 9-17; DOI: 10.3122/jabfm.2022.01.210322
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