The entry of underrepresented minority students into US medical schools: An evaluation of recent trends

被引:45
作者
Carlisle, DM [1 ]
Gardner, JE [1 ]
Liu, HH [1 ]
机构
[1] Univ Calif Los Angeles, Sch Med, Div Gen Internal Med & Hlth Serv Res, Los Angeles, CA 90095 USA
关键词
D O I
10.2105/AJPH.88.9.1314
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Objectives. Recent challenges to affirmative action suggest the need to reassess the status of the admission of underrepresented minority students to US medical schools. Methods. The Association of American Medical Colleges provided US medical school enrollment data and characteristics. Five measures of underrepresented minority enrollment and an overall performance scale were constructed for each school. Multivariate regression identified significant overall performance predictors. Predicted and observed values were compared. Results. Underrepresented minority enrollment increased by 43% after 1986, peaked at 2014 in 1994, did not increase in 1995, and decreased by 5% in 1996. Enrollment was associated with increasing federal research funding and with percentage of underrepresented minorities in the source population (P < .001). The 1996 decline was almost entirely limited to public medical schools. Those in California, Texas, Mississippi, and Louisiana accounted for 18% of 1995 enrollment but 44% of the 1996 decline. Conclusions. Recent gains in medical school enrollment of underrepresented minorities are being reversed, particularly at public institutions. Implications exist for the health or poor, minority, and underserved communities, which are more likely to be cared for by underrepresented minority physicians.
引用
收藏
页码:1314 / 1318
页数:5
相关论文
共 27 条
[1]  
*AM ASS MED COLL S, 1996, FACTS APPL MATR GRAD
[2]  
*ASS AM MED COLL, 1995, 1995 1 GOALS RANK RE
[3]  
*ASS AM MED COLL, 1978, REP ASS AM MED COLL
[4]  
*ASS AM MED COLL, 1996, AAMCS MED SCH ADM RE
[5]  
BURDMAN P, 1996, SAN FRANCISCO C 1108, pA22
[6]  
BURDMAN P, 1996, SAN FRAN CHRONI 1011, pA21
[7]   Affirmative action and women's health [J].
Chavkin, W .
AMERICAN JOURNAL OF PUBLIC HEALTH, 1997, 87 (05) :732-734
[8]  
COMELY PB, 1944, JAMA-J AM MED ASSOC, V124, P826
[9]  
GREGORY K, 1986, J NATL MED ASSOC, V78, P501
[10]   DISTRIBUTION OF BLACK PHYSICIANS IN UNITED STATES, 1967 [J].
HAYNES, MA .
JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1969, 210 (01) :93-&