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diversity in med school

Diversity in Med School: Why It’s Important and What Minority Applicants Need to Know

Created June 22, 2016 by Brian Wu
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While getting accepted into medical school is more difficult than ever in America, there are some particular challenges facing would-be medical students from certain ethnic groups that have been traditionally underrepresented on medical school campuses across the country. For many reasons, the American Association of Medical Colleges (AAMC) is heading a multi-faceted campaign to increase racial diversity among would-be doctors.

Part One: Medical Diversity Past, Present and Future

Diversity in US History
The healthcare profession has traditionally been culturally skewed. For most of American history, doctors in our country were exclusively white and male. It was not until 1847 that an American medical school (Rush Medical College in Chicago) graduated a black man. The first black female doctor would not graduate until 1864. Those of Hispanic origin have favored no better in American history: the first Hispanic doctor graduated from the University of Michigan in the mid-1800s and the first Hispanic woman in 1909. This discrepancy persisted into more modern times and even as late as the 1950’s, white-dominated medical schools were still only graduating less than 15% of black physicians, most of whom attended historically black colleges for their education and joined all-black medical societies, such as the National Medical Association.

Current Diversity Status
Unfortunately, even today, wide disparities are visible in the medical profession. Overall, ethnic minorities make up 26% of the American population. However, these same ethnic minorities are underrepresented in the medicine in many different areas:

● As of 2011, the most recent year for which data is available, around 6.1% of all medical school graduates were black and 8.5% were Hispanic.

● Only 6% of current, practicing physicians in the United States are ethnic minorities.

● Only 4% of the professors at medical schools across the country come from underrepresented ethnic groups.

Diversity in the Future
Looking ahead, the US Census Bureau reports that by 2050, minority groups will make up just under 50% of the population, and as non-Hispanic whites decrease to around 52%, the traditional white male workforce will need to be replaced with both female and minority professionals to help meet the demand.

Part Two: Why This Matters
At this point, many might be wondering why the issue of minority underrepresentation is so important. After all, the important thing is to accept and train the best-qualified students who will go on to become the best doctors, right? Having qualified physicians from any ethnic background will become more important than ever in future decades, when the demand for doctors is predicted to grow dramatically and the supply of new doctors will be far outstripped by population growth. But the AAMC has noted that in the future, there will be two different kinds of shortages: a shortage of overall physicians and a shortage of physicians from culturally diverse backgrounds needed to care for an increasing multi-ethnic society.

What AAMC Research Shows
According to the research conducted by the AAMC, there are several important reasons why this is such as issue:

● Increased access to healthcare. Disparities in health care by ethnic group are dramatic, with Latinos, African Americans and Native Americans in particular suffering from lack of access to healthcare professionals. AAMC research has found that minority doctors are more likely to practice in underserved areas and to work with other vulnerable populations such as ethnic minorities and indigent populations.

● Increased patient satisfaction with healthcare. AAMC research has found that patients who are ethnic minorities are not only more likely to see a doctor if he is of the same ethnic group as they are, but also more likely to rate themselves as satisfied with the health care that they receive.

● Increased cultural competence. AAMC believes that increasing diversity on medical school campuses will help with the development of future physicians who have a high level of cultural competence to help them serve an increasing multicultural population.

The Effect of Diversity on White Medical Students
In regards to this last point, it is not just the AAMC that has explored this issue. The UCLA Higher Education Research Institute conducted research – later published in the Journal of the American Medical Association (JAMA) – that explored the little-researched question: “Do white students educated in a racially diverse environment show a greater sensitivity to the health care needs of traditionally underrepresented minority populations or feel better prepared to meet those needs?”

To explore this question, the UCLA researchers collected data from 20,000 newly-graduated MD’s from 118 medical schools around the country and, in surveys and interviews, asked about how well physicians felt prepared to care for culturally diverse patients. It found that white doctors from the most racially diverse medical schools did indeed report feeling more confident about their cultural competence. Interestingly, it found that doctors from these medical schools also had more of tendency to view health care as a societal right rather than a privilege.

Part Three: What Minority Students Should Know When Applying to Med School
Because there are many groups which have been underrepresented in the medical profession, there are things that minority medical school applicants should keep in mind when it comes time to begin the application process, both in term of which colleges have the best track records for minority interviews/acceptance, as well as programs put into place by institutions like the AAMC to help facilitate the dream of becoming a doctor and encourage the increased diversity of the national physician workforce.

Who Interviews and Who Accepts?
It is likely to be of interest to would-be medical students belonging to underrepresented groups which colleges interview the highest percentages of minority students. It is interesting to note that some of the most competitive schools are the ones which interview the highest percentage of minorities.

The top ten universities in regards to this are, in order:
1. Texas Tech
2. George Washington
3. Tufts
4. Yale
5. University of Texas for Health Sciences, San Antonio
6. Dartmouth
7. University of Illinois
8. University of California, San Diego
9. Columbia University
10. Boston University.

Since medical students cannot be accepted without an interview, this data is important. However, would-be medical students should be aware that just because a school grants a large percentage of interviews from ethnic minorities, this does not necessarily reflect their acceptance rate. As an example of this, while Texas Tech grants the largest percentage of minority student interviews, it has a fairly low acceptance rate of 4.2%. On the other hand, the University of Illinois (which comes 7th in the number of minority interviews), has the highest acceptance rate of minority students, around 10.2%.

The AAMC Campaign to Increase Diversity in Medical Schools
Because of the importance of diversifying medical school campuses, the AAMC has long been on a campaign to make the dream of medical school more of reality for students from underrepresented ethnic groups. There are many aspects to this campaign and minority students would do well to keep these in mind when beginning the med school application process:

The Medical Minority Applicant Registry
Known as the Med-MAR for short, the Medical Minority Applicant Registry allows students from various underrepresented groups (African American/Black, Hispanic/Latino, American Indian/Alaskan Native and Native Hawaiian/Pacific Islander) to add their names to this nationwide database of minority students applying for medical school. The registry takes note of basic biographical information as well as important information like MCAT scores and makes it available to Minority Affairs/Recruiting departments of participating AAMC schools.

It is important to note that this registry does not increase the chances of medical school acceptance; however, it is useful in that it allows minority students to be identified by particular universities who are recruiting specifically to increase in student diversity and allows those school to send prospective information about their programs and about what they can offer minorities student doctors.

To qualify for the Med-MAR, a prospective medical student must be either an American citizen or permanent resident and belong to an underrepresented or disadvantaged minority/ethnic group or be economically disadvantaged (regardless of racial background). Qualification take place during the Medical College Application Test (MCAT), where you will be asked to accept or reject this registration; students should keep in mind that this is the only time you will be asked about this program.

Fee Assistance Program
This is another programs offered by the AAMC and seeks to help lower the economic barriers that prevent worthy candidates from applying to medical school. The program helps students with economic need (of all racial/ethnic backgrounds) with many of the expenses associated with the medical school application process. The benefits of this program change slightly from year to year, but in 2016 they include a reduced MCAT registration fee, a copy of the MCAT guide, access to Medical School Admission Requirements and, perhaps most importantly, a waiver for AMCAS applications fees to up to 15 different medical schools. These kinds of benefits can be invaluable for students from disadvantaged backgrounds who are seeking a path to medical school.

Summer Medical School and Dental Education Program
The SMDEP program is also offered through the AAMC and acts as academic enrichment for students from minority groups are have an interested in going into medicine or dentistry. This program lasts six weeks in the summer and is open to qualified freshmen and sophomore undergraduate students who are interested in medicine or dentistry and who come from traditionally underrepresented ethnic/racial groups. Programs like this can greatly enhance one’s application for medical school when that time comes.

Note that more information and application forms for the three programs listed above are available on the AAMC website.

Other Considerations
Research from the Pritzker School of Medicine at the University of Chicago have found that, even once minority students gain admittance to medical school, they are still more at risk for feelings of “isolation and lack of empowerment” during their school years. While these are more intangible considerations, they are still very important to overall quality of a student’s experience.

What Can Minority Students do to Find the Right School?
Diversity experts recommend several ways in which help decrease these risks. They include:

● Being very selective about the schools and, later on, to the residencies to which they apply and to the areas in which they practice.

● Gauging the climate of a medical school ahead of time by talking to current students and faculty in order to determine the school’s true climate in regards to embracing diversity on campus. Not all schools are welcoming, and getting a good feel for the ethos of the school is important.

● Finding a medical school which is active in community service and outreach programs and that promotes research into minority health and fixing racial disparities in the national healthcare system.

● Considering joining a minority-focused professional organization in order to network, to make contact with others from a similar ethnic and/or religious background and to take advantage of mentoring services, scholarships and enriching trips abroad. Examples of this include the National Medical Association, which has historically served black physicians, the Latino Medical Student Association or the Islamic Medical Association of North America.

The issue of how to attract minority students around the country to fill the ranks of badly-needed doctors is a complex one and not likely to be solved in the near future. However, there appear to be distinctive advantages for doing just that–for doctors, for the patients that they treat and for society at large. Because of this, there are many programs and campaigns in place to help minority students apply for medical school and bring much-needed diversity to the medical profession.

References
Barrow-Smith, D. Consider Medical School Choice Carefully as a Minority Student. US News and World Report. April 15, 2013.
www.usnews.com/education/best-graduate-schools/top-medical-schools/articles/2013/04/15/consider-medical-school-choice-carefully-as-a-minority-student

Barrow-Smith, D. Which Medical Schools Interview the Most Minority Applicants? US News and World Report. September 25, 2015.
www.usnews.com/education/best-graduate-schools/top-medical-schools/articles/

History of Minorities in Medicine. University of Alabama at Birmingham School of Medicine. 2015.
www.uab.edu/medicare/diversity/minorities-in-medicine/history

Minority Representation and Medical School Requirements. Peterson’s website. 2015.
www.petersons.com/graduate-schools/minority-representation-medical-school.aspx

Minority Student Recruitment, Retention, and Career Transitions Practices: a Review of Literature. American Speech, Learning and Hearing Association. 2016.
www.asha.org/practice/multiculural/recruit/literature.htm

Minorities in Medicine. American Association of Medical Colleges. 2016.
https://students-residents.aamc.org/choosing-medical-career/medical-careers/deciding-if-medicine-you/minorities-medicine

Schmidt, E. Diversity at Medical Schools Makes Stronger Doctors, Study Finds.
University of California, Los Angeles. November 9, 2008
http://newsroom.ucla.edu/releases/ucla-study-finds-medical-student-62578

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