Admissions Ratios and Allopathic Admissions

1994 - 2000 Allopathic Graduates

Medical Students 1994-2000

% of Medical Students

Odds Ratio

High and Low Probabilities

Range or Alternative Measurement

Changes Anticipated

Asian Indian

8,136

6.5%

10.7

17 – 24

Male to Female

Increase

Chinese

4,882

3.9%

4.05

46 – 63

Male to Female

Increase

All Asian Students

20,340

16.2%

3.83

48 – 66

Male to Female

Increase

Top Quintile Income

75,329

60.0%

3.0

17 – 67

Up to 65%

Increase

Vietnamese

1,424

1.1%

2.84

61 – 98

Male to Female

Increase

Parent Income over $100,000 (1997 – 2004)

 

22.4 to 42%

1.5 to 2.0

60 – 75

22.4 to 42%, may be up to 50%

Increase 1 – 2% a year

All Urban Born*

109,228

87.0%

1.13

166 - 194

Male to Female

Increase

US MD Grad Total

125,549

100.0%

1

180

With Expansion

Increase

2nd Quintile Income

25,110

20.0%

1

164 - 200

18 – 22%

Stable

White

81,973

65.3%

0.87

214 – 230

Declining Yearly

Decrease

All Foreign Born*

17977

16.2%

0.8 – 2

100 - 1000

Asian vs Other

Increase

Only Native American

Any Native American

871

0.70%

0.70

0.47

250 for Urban Males to 800 or more for Rural Males

Stable

All Rural Born*

16,321

13.0%

0.57

302 – 433

Female to Male

Decrease

3rd Quintile Income

15,066

12.0%

0.60

343 - 403

Female to Male

Decrease

Black

8,880

7.1%

0.55

364 – 534

Female to Male

Stable

4th Quintile Income

10,044

8.0%

0.40

533 – 706

Female to Male

Decrease

All Hispanic

5,975

4.8%

0.38

737 – 876

Male to Female

Stable

Mexican American

2,887

2.3%

0.31

892 – 1060

Male to Female

Stable

Low Income Rural*

3,690

2.9%

0.30

572 – 823

Female to Male

Decrease

Bottom Quintile

2,511

1 – 3%

2.0%

0.2

1600 – 4000

2642 – 2751

1 – 3%

Female to Male

Decrease

* Rural, urban, and low income county origins are proportions derived from birth data in the American Medical Association Masterfile for the same class years. All other data is from Association of American Medical Colleges Matriculant data.  

 

Seven years of recent graduates of allopathic medical schools in the United States were compared to seven years of census data for those of medical school age to generate ratios of admissions. Odds ratios compared percentage of medical student to percentage of US population age 18 – 24 in each category. High and low probabilities compared the number in each category who were age 18 – 24 across the US population to the number in each category who were US MD Grads. About 1 in 20 Asian Indian, about 1 in 200 across the nation, and about 1 in 2700 bottom income quintile citizens or residents were US MD Grads. Graduates of osteopathic or international medical schools were not included in the calculations.

 

Those most likely to gain admission are those with the most urban origins, the highest income levels, the highest education levels, the youngest age, and the highest Medical College Admission Test (MCAT) scores. They have the highest parent income levels, the most parents who are professionals, and are more likely to be born in counties or cities with medical schools. They have the highest levels of education and social organization. They are most connected to major medical centers by geographic, family, or social proximity. Those with the greatest probability of admission are also increasing in admissions. Males retain a slight advantage in admission for those with privileged origins.

 

Those with the lowest probability of admission are the most distant from medical schools and major medical centers by geographic distance and social distance. Lower income males (rural, black, Native, lower income) have a lower probability of admission until levels fall so low that both male and female levels both are low (Hispanic, lowest quintile). Those with the highest probability of admission are also most likely to be found in major medical centers. They are the least likely to be found in rural areas, underserved locations, primary care, and family medicine. Replacement of distributional types by those least likely to leave the major medical centers most similar to their origins means lower levels of distribution, primary care, and family medicine.

 

Admissions Package

 

Physician Workforce Studies

 

rbowman@unmc.edu

 

www.ruralmedicaleducation.org