Vol. 70 No. 3 (2022): Names: A Journal of Onomastics
Articles

Using Onomastics to Inform Diversity Initiatives: Race, Gender, and Names in Academic Radiology in Canada

Sohrab Towfighi
University of British Columbia
Adrian Marcuzzi
University of British Columbia
Salman Masood
University of British Columbia
Mohsin Yakub
California University of Science and Medicine
Jessica B. Robbins
University of Wisconsin
Faisal Khosa
University of British Columbia

Published 2022-08-22

Keywords

  • anthroponymy,
  • gender equality,
  • racism,
  • radiology,
  • surnames,
  • medicine,
  • Canada
  • ...More
    Less

Abstract

In multiracial societies, the diversity of names in the workforce may reflect racial inclusivity. There is scant data on racial representation among Canadian physicians, prompting our analysis of naming diversity. We profiled the race and gender demographics of the names of physicians in Canadian academic radiology departments. Further, we devised a structured classification methodology using a commercial artificial intelligence and naming database to classify 1,727 names according to national origin and gender. The names were retrieved from faculty websites. A Z-test of proportions was used to compare radiologists’ name demographics to demographics from the 2016 Canadian census. In close agreement with much of the literature on gender demographics, 31.99% of names were classified as female. Names that were classified as belonging to Indigenous, Black, Latin American, and Filipino name-bearers were underrepresented. Names classified as belonging to the following groups were overrepresented: South Asian, Chinese, Arab, Southeast Asian, West Asian, and Korean. Names associated with White subjects in the corpus were proportionally represented for full names and overrepresented for given names. Faculty with full names classified as Southeast Asian, Korean, and Chinese often had given names that fell into the White category. The structured methodology showed high inter-rater reliability for race classifications. The racial disparities we observed mirrored those found in surveys of medical students, suggesting that the bottleneck occurs at the level of medical school admissions. Thus, onomastics can provide valuable data to diversity initiatives.

References

  1. Abdellatif, Waleed, Michael Shao, Sabeena Jalal, Jeffrey Ding, Arvind Vijayasarathi, Pina C. Sanelli, Mauricio Castillo, et al. 2019. “Novel Geographic Thematic Study of the Largest Radiology Societies Globally: How Is Gender Structure Biased Within Editorial Boards?” American Journal of Roentgenology 213, no. 1: 1–6.
  2. Ahmad, Akhlaq. 2020. “When the Name Matters: An Experimental Investigation of Ethnic Discrimination in the Finnish Labor Market”. Sociological Inquiry 90, no. 3: 468–496.
  3. Andrew-Gee, Eric. 2016. “Changed Names Changed Identities”. The Globe and Mail September 9, 2016. Accessed July 11, 2021. https://www.theglobeandmail.com/news/national/why-and-how-ontarians-change-their-names-in-the-21stcentury/article31799805/
  4. Bertrand, Marianne, and Sendhil Mullainathan. 2004. “Are Emily and Greg More Employable Than Lakisha and Jamal? A Field Experiment on Labor Market Discrimination”. American Economic Review 94, no. 4: 991–1013.
  5. Betancourt, Joseph R., Aswita Tan-McGrory, Efren Flores, and Diego López. 2019. “Racial and Ethnic Disparities in Radiology: A Call to Action”. Journal of the American College of Radiology 16, no. 4: 547–553.
  6. Canadian Institute for Health Information. 2019. “Physicians in Canada, 2017: Summary Report”. Ottawa: Canadian Institute for Health Information, 2019. Accessed April 3, 2021. https://www.deslibris.ca/ID/10100535.
  7. Canadian Medical Association. 2019. “Physicians by Specialty, Province, Age and Sex (2000 to Present)”. Accessed April 10, 2021. https://www.cma.ca/physicians-specialty-province-age-and-sex-2000-present
  8. Carsenat, Elian. 2020. NamSor Applied Onomastics (version NamSorAPIv2.0.11B01). France: NamSor SAS. https://www.namsor.com/.
  9. Chapman, Christina H., Wei-Ting Hwang, Stefan Both, Charles R. Thomas, and Curtiland Deville. 2014. “Current Status of Diversity by Race, Hispanic Ethnicity, and Sex in Diagnostic Radiology”. Radiology 270, no. 1: 232–240.
  10. Chowdhary, Mudit, A. Chowdhary, Gavin P. Jones, T.J. Royce, K.R. Patel, A.M. Chhabra, M.A. Knoll, et al. 2020. “Gender and Racial/Ethnicity Dyad Disparities in Academic Radiation Oncology”. International Journal of Radiation Oncology, Biology, Physics 108, no. 3: e441.
  11. Claveria, Narciso y Zaldua. 1849. Catalogo alfabetico de apellidos. [Alphabetical catalog of surnames.] Manila: Filipinas Heritage Library. Accessed April 1, 2021. https://www.filipinaslibrary.org.ph/biblio/50226/.
  12. Dhalla, Irfan A., Jeff C. Kwong, David L. Streiner, Ralph E. Baddour, Andrea E. Waddell, and Ian L. Johnson. 2002. “Characteristics of First-Year Students in Canadian Medical Schools”. Canadian Medical Association Journal 166, no. 8: 1029–1035.
  13. Dion, Kenneth. 1983. “Names, Identity, and Self”. Names: A Journal of Onomastics 31, no. 4, 245–257.
  14. Edwards, Rachel. 2006. “What’s in a Name? Chinese Learners and the Practice of Adopting ‘English’ Names”. Language, Culture and Curriculum 19, no. 1: 90–103.
  15. Forebears DMCC. 2022. Forebears. Accessed November 10, 2020. https://forebears.io.
  16. Fortin, Yannick, Kulamakan (Mahan) Kulasegaram, Jesse N. Kancir, Geneviève Moineau, Ariane Carpentier, and Mark D. Hanson. 2018. “The Direct Economic and Opportunity Costs of the Medical College Admissions Test (MCAT) for Canadian Medical Students”. MedEdPublish 7, no. 4. Accessed March 8, 2021. https://doi.org/10.15694/mep.2018.0000243.1.
  17. Goldstein, Joshua R., and Guy Stecklov. 2016. “From Patrick to John F.: Ethnic Names and Occupational Success in the Last Era of Mass Migration”. American Sociological Review 81, no. 1: 85–106.
  18. Houle, René. 2020. “Changes in the Socioeconomic Situation of Canada’s Black Population, 2001 to 2016”. Accessed January 17, 2021. https://www150.statcan.gc.ca/n1/pub/89-657-x/89-657-x2020001-eng.htm.
  19. Joseph, Bob. 2016. “Opinion: 21 Things You May Not Know about the Indian Act”. CBC News April 14, 2016. Accessed April 1, 2021. https://www.cbc.ca/news/indigenous/21-things-you-may-not-know-about-the-indian-act-1.3533613.
  20. Jutras, Marc, Leilynaz Malekafzali, Sunghan Jung, Priya Das, Sadia Raheez Qamar, and Faisal Khosa. 2020. “National Institutes of Health: Gender Differences in Radiology Funding”. Academic Radiology, September. Accessed November 29, 2020. https://doi.org/10.1016/j.acra.2020.08.004.
  21. Kang, Sonia K, Katherine A DeCelles, András Tilcsik, and Sora Jun. 2016. “Whitened Résumés: Race and Self-Presentation in the Labor Market”. Administrative Science Quarterly 61, no. 3: 469–502. Accessed November 22, 2020. https://doi.org/10.1177/0001839216639577.
  22. Kenyan Association of Radiologists. 2021. “About Us”. Accessed July 11, 2021. https://kenyaradiologists.org/about-us
  23. Kenyan National Bureau of Statistics. 2019. “2019 Kenyan Population and Housing Census”. Table 2.31: Distribution of Population by Ethnicity/Nationality. Accessed July 11, 2021. www.sourceafrica.net/documents/119795/VOLUME-IV-KPHC-2019.pdf
  24. Khan, Rishad, Tavis Apramian, Joel Hosung Kang, Jeffrey Gustafson, and Shannon Sibbald. 2020. “Demographic and Socioeconomic Characteristics of Canadian Medical Students: A Cross-Sectional Study”. BMC Medical Education 20, no.1. Accessed February 2, 2021.
  25. https://doi.org/10.1186/s12909-020-02056-x.
  26. Kim, Tae-Young. 2007. “The Dynamics of Ethnic Name Maintenance and Change: Cases of Korean ESL Immigrants in Toronto”. Journal of Multilingual and Multicultural Development 28, no. 2: 117–133.
  27. King, Eden B., Saaid A Mendoza, Juan M. Madera, Mikki R. Hebl, and Jennifer L. Knight. 2006. “What’s in a Name? A Multiracial Investigation of the Role of Occupational Stereotypes in Selection Decisions”. Journal of Applied Social Psychology 36, no. 5: 1145–1159.
  28. Lebel, Kiana, Elizabeth Hillier, Lucy B. Spalluto, Wan Yap, Kiera Keglowitsch, Kathryn E. Darras, and Charlotte J. Yong-Hing. 2020. “The Status of Diversity in Canadian Radiology—Where We Stand and What Can We Do About It”. Canadian Association of Radiologists Journal. Accessed March 10, 2021. https://doi.org/10.1177/0846537120978258.
  29. Matsuno, Emmie, and Stephanie L. Budge. 2017. "Non-binary/genderqueer Identities: A Critical Review of the Literature" Current Sexual Health Reports 9, no. 3: 116-120.
  30. Mazières, Antoine, and Camille Roth. 2018. “Large-scale Diversity Estimation through Surname Origin Inference”. Bulletin of Sociological Methodology/Bulletin de Méthodologie Sociologique 139, no. 1:59-73.
  31. Peterson, Neeraja B., Robert H. Friedman, Arlene S. Ash, Shakira Franco, and Phyllis L. Carr. 2004. “Faculty Self-Reported Experience with Racial and Ethnic Discrimination in Academic Medicine”. Journal of General Internal Medicine 19, no. 3: 259–265.
  32. Picot, Garnett, and Feng Hou. 2011. “Preparing for Success in Canada and the United States: The Determinants of Educational Attainment Among the Children of Immigrants”. SSRN Electronic Journal. Accessed March 3, 2021. https://doi.org/10.2139/ssrn.2016608.
  33. Pololi, Linda, Lisa A. Cooper, and Phyllis Carr. 2010. “Race, Disadvantage and Faculty Experiences in Academic Medicine”. Journal of General Internal Medicine 25, no. 12: 1363–1369.
  34. Qamar, Sadia Raheez, Kiran Khurshid, Sabeena Jalal, Matthew DF McInnes, Linda Probyn, Karen Finlay, Cameron J Hague, et al. 2020. “Gender Disparity among Leaders of Canadian Academic Radiology Departments”. American Journal of Roentgenology 214, no. 1: 3–9.
  35. Santamaría, Lucía and Helena Mihaljević. 2018. “Comparison and Benchmark of Name-to-Gender Inference Services”. PeerJ Computer Science 4:e156.
  36. Smith, Brandon T., Francesco M. Egro, Carolyn P. Murphy, Alexander G. Stavros, and Vu T. Nguyen. 2020. “An Evaluation of Race Disparities in Academic Plastic Surgery”. Plastic and Reconstructive Surgery 145, no. 1: 268–277.
  37. Statistics Canada. 2011. “Mixed Unions in Canada”. 99-010-X2011003. Accessed July 10, 2021. https://www12.statcan.gc.ca/nhs-enm/2011/as-sa/99-010-x/99-010-x2011003_3-eng.cfm.
  38. Statistics Canada. 2016. “150 years of immigration in Canada”. 11-630-x. Accessed July 11, 2021. https://www150.statcan.gc.ca/n1/pub/11-630-x/11-630-x2016006-eng.pdf.
  39. Statistics Canada. 2017a. “Visible Minority and Population Group Reference Guide, Census of Population, 2016”. 98-500-X2016006. Accessed January 12, 2021. https://www12.statcan.gc.ca/census-recensement/2016/ref/guides/006/98-500-x2016006-eng.cfm.
  40. Statistics Canada. 2017b. “Canada [Country] and Canada [Country]” 98-316-X2016001. Ottawa. Accessed December 5, 2020. https://www12.statcan.gc.ca/census-recensement/2016/dp-pd/prof/details/page.cfm?
  41. Lang=E&Geo1=PR&Code1=01&Geo2=PR&Code2=01&SearchText=Canada&SearchType=Begins&SearchPR=01&B1=Visible%20minority&TABID=1&type=0.
  42. Statistics Canada. 2017c. “Immigration and Ethnocultural Diversity in Canada”. 99-010-X2011001. Accessed April 3, 2021. https://www12.statcan.gc.ca/nhs-enm/2011/as-sa/99-010-x/99-010-x2011001-eng.cfm.
  43. Steinpreis, Rhea E., Katie A. Anders, and Dawn Ritzke. 1999. “The Impact of Gender on the Review of the Curricula Vitae of Job Applicants and Tenure Candidates: A National Empirical Study”. Sex Roles 41, no. 7: 509–528.
  44. Vowel, Chelsea. 2018. “Opinion: Giving My Children Cree Names Is a Powerful Act of Reclamation”. CBC News, November 4, 2018. Accessed April 1, 2021. https://www.cbc.ca/news/indigenous/opinion-cree-names-reclamation-chelsea-vowel-1.4887604.
  45. Widner, Daniel, and Stephen Chicoine. 2011. “It’s All in the Name: Employment Discrimination Against Arab Americans”. Sociological Forum 26, no. 4: 806–823.
  46. Wilson, Daniel and David Macdonald, 2010. The Income Gap between Aboriginal Peoples and the Rest of Canada. Ottawa: Canadian Centre for Policy Alternatives. Accessed November 5, 2021.
  47. https://www.policyalternatives.ca/sites/default/files/uploads/publications/reports/docs/Aboriginal%20Income%20Gap.pdf
  48. Young, Meredith E., Saleem Razack, Mark D. Hanson, Steve Slade, Lara Varpio, Kelly L. Dore, and David McKnight. 2012. “Calling for a Broader Conceptualization of Diversity: Surface and Deep Diversity in Four Canadian Medical Schools”. Academic Medicine: Journal of the Association of American Medical Colleges 87, no. 11: 1501–1510.
  49. Zhao, Xian, and Monica Biernat. 2017. “‘Welcome to the US’ but ‘Change Your Name’? Adopting Anglo Names and Discrimination”. Journal of Experimental Social Psychology 70: 59–68.