Guidance on affirmative action admissions policies On June 23
Minorities are 4 times more likely to go to underserved areas to practice and are more likely to see minority patients regardless of their practice location. AAMC data notes that 40% of minority grads choose underserved areas vs 10% of all medical school graduates.
In my studies (Bowman using AAMC GQ 1995 data, rural background students were 6 times as likely to choose underserved areas to practice (60% vs 10%). A major question is then, What Is the Risk If We Select and Train Too Many To Serve the Underserved? The side effects alone would be greatly desired.
Lower Socioeconomic and choices and Service Orientation choices deserve more study and may resist discrimination better.
Understanding Race and Culture by Bill Braun From my own study, work, and reflection on white male privilege, I suggest that there are stages through which we progress (and through which we will progress only if we approach the question of privileges through the lens of challenging the status quo, and doing so with intentionality).
Minorities and Education The following is taken from AAMC books X and XI taken from 1996 matriculants and 1997 graduates. These are comparisons of under-represented minorities (URM) compared to non-URM.
Minority Faculty article regarding numbers, promotion. National study in JAMA issue at http://jama.ama-assn.org/issues/v284n9/rfull/joc91626.html
Minority Data: Entry, Faculty,Title VII A quick response for data in this area for a govt agency
Role of Black and Hispanic Physicians Volume 334 Both groups of physicians served similar populations as well as the underserved.
Addressing the Needs for Rural Minority Health Providers I would encourage you and other health advisors to develop programs that work with all types of minority students; not just the more easily accessed urban group, the gifted intellectuals, or those from upper socioeconomic groups.
Minorities - Regarding affirmative action, see this press release http://www.aamc.org/newsroom/pressrel/2003/030217.htm regarding a brief filed by AAMC.
Minority Vs
Rural Early Admits I enjoyed a meeting with some of our students who are early minority
admissions to medical school. Having recently met with their rural cohorts
who have early admission, it was interesting to compare and contrast.
Racial Disparities Various items for preadmitted students to review and discuss.
Testing Fails to Predict Performance or Future Location MCAT and GPA are not good predictors of medical school performance. Psychosocial measures contribute more to outcomes such as basic science and clinical evaluations. http://www.aamc.org/students/mcat/research/bibliography/hojat001.htm
The authors concluded that both non-academic and academic factors are related to medical school performance. Additionally, the authors cautioned that while academic factors appeared to be better indicators of academic achievement, they might not be equally predictive across institutions. They emphasized that determining which non-academic and academic variables are the best predictors of academic achievement in various medical school environments is critical. http://www.aamc.org/students/mcat/research/bibliography/webb001.htm
Preparing Underrepresented Minorities for Rural Health Careers 2001 http://www.nrharural.org/dc/issuepapers/ipaper18.html
Pathman on minority in JRH http://www.nrharural.org/search/abs/242.html
Underserved - Overview and Models - central repository for many of these articles
Contact with certain role models may not help minorities get to underserved areas. Minorities are so in demand at medical schools that they often go for more prestigious offers that can take them away from the underserved populations that they might work with. This is a difference in the top notch intellectual vs the more service-oriented also. See what you think of this article http://www.aamc.org/newsroom/reporter/sept99/mmep.htm
Rural Response to Keystone III
3000by2000 AAMC and RWJ effort
Minority Matriculation Data AAMC http://www.aamc.org/publications/detailedtables.pdf
Side Effects of Selecting for Family Medicine
Medicine, Education, and Social Status