Rodriguez José E, Campbell Kendall M, Adelson Wendi J
Department of Family Medicine and Rural Health, The Center for Underrepresented Minorities in Academic Medicine at the College of Medicine, Florida State University.
Fam Med. 2015 Apr;47(4):259-63.
In this article, the authors discuss how various systems in medicine are limiting representation of blacks, Latinos, and Native Americans. Flat and decreasing percentages of Underrepresented Minorities in Medicine (URMM), especially in the black and Native American populations, is concerning for family medicine since members from URMM groups care for minority and underserved populations in greater numbers. Underrepresentation is not only noted in the medical community but also in our medical schools when it comes to numbers of URMM faculty. The changing definition of "disadvantaged" in medical school admissions has also played a part in limiting URMM representation. In addition, the Medical College Admissions Test (MCAT) excludes black, Latino, and Native American students in greater numbers. The authors support these arguments with evidence from the medical literature. Although unintentional, these systems effectively limit representation of blacks, Latinos, and Native Americans in medicine. Effective changes are suggested and can be implemented to ensure that URMM individuals have equal representation in careers in medicine.
在本文中，作者探讨了医学领域的各种体系是如何限制黑人、拉丁裔和美国原住民的代表性的。医学领域中未被充分代表的少数族裔（URMM），尤其是黑人及美国原住民群体的比例持平且不断下降，这对于家庭医学而言令人担忧，因为URMM群体的成员更多地照顾少数族裔和服务不足的人群。在医学领域，不仅在医疗界存在代表性不足的情况，在医学院中，URMM教员的数量也存在这种情况。医学院招生中“弱势群体”定义的不断变化也在限制URMM的代表性方面起到了一定作用。此外，医学院入学考试（MCAT）将更多的黑人、拉丁裔和美国原住民学生排除在外。作者用医学文献中的证据支持了这些观点。尽管这些体系并非有意为之，但它们有效地限制了黑人、拉丁裔和美国原住民在医学领域的代表性。文中提出了有效的变革建议，并且可以实施这些变革以确保URMM个体在医学职业中拥有平等的代表性。
