The Philadelphia Agreement for Gender Equity (PAGE)

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Systems-based inequities are highly prevalent in Internal Medicine (IM) training and education. These span across race, gender, sexual orientation and cultural background amongst other areas, and may influence the trajectory and outcomes of training in IM, both in the short and long term. Gender-based disparities in IM training have historically been highly prevalent and continue to be so despite increasing representation of women in medical training. These disparities extend across several domains including recruitment, career advancement, family leave/parental support policies as well as sexual harassment. There are no current models for standardizing regional best practices to reduce and ultimately eliminate gender-based disparities in IM training.

To fill this gap, the American College of Physicians’ (ACP) Pennsylvania Chapter convened a leadership group in July 2019 with the goal of developing a regional consensus on best practices to reduce gender-based disparities in IM training.  This working group identified key focus areas of gender disparities and invited IM training program leadership from across the Philadelphia region to attend a consensus conference on January 8th, 2020. This face to face conference included representation from academic IM training programs in the Philadelphia area and its proximity, including programs from Delaware, New York, and New Jersey. The conference group was given a timeline of 1 year from the starting point to produce a regional consensus agreement on best practice measures to reduce gender disparities in IM training.

The current climate of race-based inequalities and violence across the country during 2020 are closely linked to this group’s underlying commitment to identifying and addressing structural inequities across the system in IM training. To this end, the consensus conference attendees, conference leadership, as well as the ACP condemn the current events of race-based violence and discrimination in the strongest terms, and strongly support the recent policy statement issued by the ACP on racism and health in the United States (Serchen J et al., Annals of Internal Medicine, June 2020). We believe that the output from this coalition of regional program leaders and the ACP represents a first step in a long journey towards ensuring equality across several domains in IM training, and we are confident that lessons learned from a consensus conference such as the present one will support, catalyze and amplify equity work in other areas to bring about a just, equitable, diverse, and inclusive environment for IM trainees . We are committed to supporting future work in a collaborative manner similar to the current gender equity conference format and sharing the knowledge gained from this project to ensure equality across domains in IM.


DOCUMENT 1: Best Practices to Reduce Gender based Disparities in Internal Medicine Trainees: Summary Recommendations from a Consensus Conference from the American College of Physicians’ Pennsylvania Chapter

DOCUMENT 2: Implementation Strategies for Best Practices Towards Reduction in Gender Disparity in Internal Medicine Training: Summary Recommendations from a Consensus Conference from the American College of Physicians

Mission Statement

The Philadelphia Agreement for Gender Equity (PAGE) serves to call attention to the gender-based disparities relevant to internal medicine residency training and to collaboratively address these inequities both locally and nationally.

To execute our purpose, we have identified four key areas of focus: recruitment, career advancement, family leave/parental support policies, and sexual harassment.

Participating Programs:

  1. Abington Memorial Hospital
  2. Christiana Care Health System
  3. Cooper University Health Care
  4. Einstein Medical Center
  5. Lankenau Medical Center
  6. Mount Sinai Morningside-West
  7. Penn Medicine
  8. Temple University Hospital
  9. Thomas Jefferson University

Upcoming Events:
January 6:
Sexual Harassment webinar
March 4: Career Advancement webinar
May 6: Family Leave/Support Policies webinar

Contact Us

Dr. Janani Rangaswami:
Dr. Elizabeth Leilani Lee:
Dr. Tamara Goldberg:
Dr. Alexandra Lane:

Resources for our participants:

Program Self-Assessment Survey:
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Dropbox link:

View Program Videos

Gender Equity MoU meeting, 1-6-21, hosted by Janani Rangaswami, MD, FACP, FCRS, FAHA

Gender Inequity in Career Development & Advancement of Residents, 3-3-21, hosted by Elizabeth L. Lee, MBS, MD, FACP