Pathways to Parity: Navigating Financial and Non-financial Compensation

The evidence supporting the value of gender equity in academic medicine is unquestionable. Yet gender inequity persists in academic medicine and emergency medicine specifically in terms of salary, advancement, and leadership roles, despite steady progress in the admission and recruitment of women into the field. General recommendations to achieve gender equity, such as advocacy, mentorship, bias training, and structural changes to policies and practices (i.e., parental leave policy, lactation facilities, recruitment and hiring practices, extension of tenure clock) remain vitally important and often demonstrate successful institutional commitment and allyship. However, it’s time we address the elephants in the room: why aren’t there more women leaders and why hasn’t salary equity been achieved? Using a large academic department as a case-study, we will discuss the current state and future directions to achieve gender equity through the following objectives:

1) Equip participants with key background knowledge to advance gender equity,

2) Learn to use specific criteria to assess each participants current work-place climate to advance gender equity, and

3) Engage in a real-world example of how to transparently review salaries, protected time, promotion rates and leadership roles.

This didactic will equip both advanced and early career faculty on how to address a significant unmet need in academic emergency medicine: achieving gender equity. Speakers are nationally known for their work to advance gender equity and have real-world experience in implementation.

Presenters:

  • Peter S. Pang, MD MS
  • Julie Welch, MD
  • Katie Pettit, MD
  • Angela M. Mills, MD
  • Neha P. Raukar, MD MS CAQSM
  • Tala Elia, MD
  • Elizabeth S. Temin, MD, MPH
  • Sharon Chekijian, MD, MPH
Authors

  • Peter S. Pang, MD MS

    Indiana University School of Medicine

    Peter S. Pang MD MS FAHA FACC FAAEM is the Rolly McGrath Professor and Chair of Emergency Medicine, with a joint appointment in Medicine at the Indiana University School of Medicine. He moved to Indiana in 2014 after 10 years at Northwestern University in Chicago as Associate Chief and Associate Director of Experimental Therapeutics in the Center for Cardiovascular Innovation. Dr. Pang went to medical school at the University of Texas Health Science Center at San Antonio and then completed residency and chief residency at the Brigham and Women’s / Massachusetts General Hospital combined program in Emergency Medicine. His primary research area is acute heart failure with past funding from NIH, AHA, and the AHRQ. He has published extensively in this area and served as Associate Editor of the Journal of the American College of Cardiology-Heart Failure and a member of the editorial board of the Journal of Cardiac Failure. He still loves medicine and the privilege and opportunity to improve health. He has two wonderful sons, and the greatest wife and partner ever.

  • Julie Welch, MD

    Indiana University School of Medicine

    Dr. Julie Welch is Professor of Emergency Medicine (EM) and Vice Chair (VC) of Faculty Affairs and Development in the Department of EM at Indiana University School Medicine (IUSM). She completed a Faculty Fellowship in Mentoring with the IUSM Office of Faculty Affairs and Professional Development where she served as an Assistant Dean overseeing centralize mentoring initiatives and Programs for Women in Medicine and Science (2013-2015). She was appointed Director of Mentoring Training for the Indiana Clinical and Translational Sciences Institute (ICTSI) where she served for a decade. As a founding member of the IUPUI Mentoring Academy, she continues to serve as the faculty mentoring liaison for IUSM. Dr. Welch studies and champions issues surrounding physician wellness, faculty development, mentoring, work-life policies, and women in medicine. She currently divides her time between academic EM at IU Health Methodist Hospital and initiatives at the local and national levels. She has been recognized with the IUSM Clinical Excellence in Faculty Mentoring Award, IU Trustee Teaching Award, EMRA National Mentorship Award, IUPUI Outstanding Women Leader Award, and AMA Inspirational Physician Honoree. In addition, under her VC leadership, the department received the 2021 ACEP Emergency Medicine Wellness Center of Excellence Award.

  • Katie Pettit, MD

    Indiana University

    Dr. Pettit is an Associate Professor of Clinical Emergency Medicine at Indiana University School of Medicine. She current serves as the Vice Chair of Education for the Department of Emergency Medicine. She has been a member of the faculty since 2009. Prior to serving as Vice Chair of Education, she was a member of the residency leadership team for seven years. She has a special interest in medical education, wellness, gender equity, communication, and biases in medicine. She currently serves as a mentor to multiple faculty involved in medical education, educational research, gender equity, and wellness. She has been recognized for her role in the above areas with several awards including the Trustees Teaching Award, the Resident Teacher of the Year for Emergency Medicine, the Emergency Medicine residency Impact Award and the IUPUI Women's History Month Recognition Award.

  • Angela M. Mills, MD

    Immediate Past President

    Columbia University Vagelos

    Angela M. Mills, MD is the J. E. Beaumont Professor and Chair of the Department of Emergency Medicine at Columbia University Vagelos College of Physicians and Surgeons and Chief of Emergency Services for NewYork-Presbyterian (NYP) – Columbia. Dr. Mills graduated with Alpha Omega Alpha distinction from Temple University Medical School and completed the University of Pennsylvania Emergency Medicine residency program serving as Chief Resident. As a University of Pennsylvania faculty member, she advanced academically being promoted to Professor of Emergency Medicine and served in several capacities including Medical Director and Vice Chair of Clinical Operations.

    In January 2018, Dr. Mills joined NYP-Columbia as the founding Chair of the newly formed Department of Emergency Medicine leading all academic and operational activities for the four emergency department sites caring for over 240,000 patients annually. As Chair, Dr. Mills has worked to successfully advance education, research, clinical care, and diversity and inclusion efforts while building a premier nationally recognized academic department of emergency medicine.

    For her accomplishments, Dr. Mills has been honored with several prestigious national awards including the Arnold P. Gold Foundation Humanism in Medicine Award from SAEM, the Mid-Career Award from the Academy for Women in Academic Emergency Medicine (AWAEM), and the 2020 Chair of the Year Inaugural Award from the Emergency Medicine Residents’ Association. Under her leadership, the Columbia Department of Emergency Medicine has been awarded the Outstanding Department Award from AWAEM, as well as the Exemplary Commitment to Physician Well-Being Inaugural Award from the New York Chapter of the American College of Emergency Physicians. Dr. Mills has served as an elected member of the SAEM Board of Directors for the past six years, most recently in the position of President-Elect. She has authored over 110 scientific publications, has received federal and industry research funding, and has influenced the careers of numerous faculty and trainees.

  • Neha P. Raukar, MD MS CAQSM

    Mayo Clinic & Mayo Clinic Health System

    Dr. Raukar is an Associate Professor and Vice Chair for Academic Advancement and Faculty Development within the Department of Emergency Medicine at Mayo Clinic Rochester. She is actively involved in the teaching and supervision of medical students and residents and is also interested in resident and faculty education, development, wellness, burnout and resilience. She is particularly interested in finding solutions unique to women in medicine. As a grant funded researcher in these areas, she has presented at several national meetings on these topics and especially the use of coaching to enhance physician and learner engagement.
    Her areas of scholarship are in sports and emergency medicine and has served on national committees creating policies to ensure the health and safety of athletes. Her sideline experiences include caring for athletes of all levels and ages including high school, college, professional, masters, Olympic, and extreme athletes. She has worked with the US Ski and Snowboard Team, the UCI BMX team, the Winter Dew Tour, the Women's US Golf Tour, and mass participation events. Her primary areas of research focus are innovations to mitigate life threatening injuries in athletes. She was a member of the Institute of Medicine/National Academy of Science Committee on Sports Related Concussion in Youth and served on the Sports Medicine Advisory Committee for the National Federation of State High School Associations.

  • Tala Elia, MD

    University of Massachusetts Medical School - Baystate

    Tala Elia is an Associate Professor of Emergency Medicine at University of Massachusetts Medical School-Baystate Health. She has served as the Medical Director of the Advanced Practitioner Service for 4 years, as well as the Program Director of the Physician Assistant Residency from 2015 to 2018. She is dedicated to resident and ultrasound education.

  • Elizabeth S. Temin, MD, MPH

    Harvard Medical School/Massachusetts General Hospital

    I am an Emergency Physician at Massachusetts General Hospital (MGH). I completed my Emergency Medicine Residency at Boston Medical Center in 2004. I then went on to complete a fellowship in Emergency Medical Services at Boston EMS in 2006, during which I obtained my MPH from Boston University School of Public Health. I joined the faculty at MGH in July 2006 where I provide clinical care, supervise trainees including residents, medical students and advanced practice providers (APPs), conduct research, and provide administrative leadership for my department as the first Division Chief for Advanced Practice Provider Affair.

    I have been the medical director for APPs in the MGH Emergency Department (ED) since 2009. I currently supervise over 70 APPs including hiring, training, direct observation, chart review, didactic and simulation teaching, bedside teaching and ongoing quality assessment. I have created multiple educational opportunities for our APPs including simulation, didactic and ultrasound teaching at each stage of their careers, including onboarding, work in the Acute area of the ED, the pediatric area of the ED, and the ED observation unit, as well as continuing education with monthly simulation sessions and procedural training. I have published on this work, including papers on best practices, educational and integrational initiatives, In 2016 I started the interest group at SAEM for Medical Directors of Advanced Practice Providers, since combined with the SAEM Operations interest group, and sat on the SAEM APP task force which published a national survey of all academic ED chairs and program directors on their views and use of APPs in 2021. In 2021 I became chief of the first national Division of APP Affairs in an academic ED. In this role I lead our staff in research, national leadership positions, educational initiatives and clinical care. Many of the APPs I have trained have gone on to start and lead clinical programs in other EDs, to sit on national organization boards, and teach in national and international ultrasound programs and to publish in national journals.
    In other areas of interest I spent 10 years as the assistant director for Quality and Safety in our department, spearheading initiatives on patient and staff safety, leading simulation session on implicit bias, and taking the lead to write a code of conduct for patients and visitors. I also co-lead the MGH ED women's group and have initiated a salary and leadership role review by gender of our department.
    During my years at MGH I have strived for excellence in my clinical care, research, teaching and department administration to contribute to the intellectual pursuits of the MGH.

  • Sharon Chekijan, MD, MPH

    Yale School of Medicine

    Dr. Chekijian joined the Yale School of Medicine faculty in 2007 where she works full time as an Associate Professor in the Department of Emergency Medicine. She is faculty member in the Section of Global Health and International Emergency Medicine as well as in the Section of Administration. She has served as the inaugural Medical Director of patient experience since 2011. She is also the Medical Director of the Physician Assistant and Nurse Practitioner group in the Department of Emergency Medicine. Dr. Chekijian is a seasoned educator and is the founding Medical Director of the APP residency program which admitted its 1st cohort in 2015. She completed the Yale Medical Education Fellowship in 2014.
    Her research interests lie in global emergency medicine and include emergency care systems' development in low and middle-income countries, unintentional injury prevention in low and middle-income countries, as well as stroke and cardiac care in low and middle-income countries. Dr. Chekijian has led and participated in projects in the Republic of Armenia, Uganda, and Iraq. She has consulted for the World Bank and the US Department of State. She is an active member of the Stroke Initiative Advisory Task-Force for Armenia (SIATA). Dr. Chekijian was awarded a Fulbright in 2020 for her work to improve emergency care in Armenia by the establishment of a new emergency medicine residency program in cooperation with the National Institutes of Health of Armenia and supported from a research standpoint by the School of Public Health at the American University of Armenia.
    She is deeply committed to patient experience, communication and humanism in medicine. Dr. Chekijian co-produced a film that addresses human rights as it relates to the Armenian Genocide of 1915 under the working title “The Hidden Map” that premiered at the Toronto Pomegranate Film Festival in 2019.

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