OBJECTIVE: To determine the frequency of self-reported experience of racial/ethnic discrimination among faculty of U.S. medical schools, as well as associations with outcomes, such as career satisfaction, academic rank, and number of peer-reviewed publications.

DESIGN: A 177-item self-administered mailed survey of U.S. medical school faculty.

SETTING: Twenty-four randomly selected medical schools in the contiguous United States.

PARTICIPANTS: A random sample of 1,979 full-time faculty, stratified by medical school, specialty, graduation cohort, and gender.

MEASUREMENTS: Frequency of self-reported experiences of racial/ethnic bias and discrimination.

RESULTS: The response rate was 60%. Of 1,833 faculty eligible, 82% were non-Hispanic white, 10% underrepresented minority (URM), and 8% nonunderrepresented minority (NURM). URM and NURM faculty were substantially more likely than majority faculty to perceive racial/ethnic bias in their academic environment (odds ratio [OR], 5.4; P<.01 and OR, 2.6; P<.01, respectively). Nearly half (48%) of URM and 26% of NURM reported experiencing racial/ethnic discrimination by a superior or colleague. Faculty with such reported experiences had lower career satisfaction scores than other faculty (P<.01). However, they received comparable salaries, published comparable numbers of papers, and were similarly likely to have attained senior rank (full or associate professor).

CONCLUSIONS: Many minority faculty report experiencing racial/ethnic bias in academic medicine and have lower career satisfaction than other faculty. Despite this, minority faculty who reported experiencing racial/ethnic discrimination achieved academic productivity similar to that of other faculty.