Smith Mark M, Rose Steven H, Schroeder Darrell R, Long Timothy R
Department of Anesthesiology, Mayo Clinic College of Medicine, Rochester, MN, USA.
Division of Biomedical Statistics and Informatics, Mayo Clinic College of Medicine, Rochester, MN, USA.
Adv Med Educ Pract. 2015 May 15;6:367-72. doi: 10.2147/AMEP.S82645. eCollection 2015.
Increasing the diversity of the United States (US) physician workforce to better represent the general population has received considerable attention. The purpose of this study was to compare medical student race data to that of the US general population. We hypothesized that race demographics of medical school matriculants would reflect that of the general population.
Published race data from the United States Census Bureau (USCB) 2010 census and the 2011 Association of American Medical Colleges (AAMC) allopathic medical school application and enrollment by race and ethnicity survey were analyzed and compared. Race data of enrolled medical students was compared to race data of the general population within geographic regions and subregions. Additionally, race data of medical school applicants and matriculants were compared to race data of the overall general population.
Race distribution within US medical schools was significantly different than race distribution for the overall, regional, and subregional populations of the US (P<0.001). Additionally, the overall race distribution of medical school applicants differed significantly to the race distribution of the general population (P<0.001).
This study demonstrated that race demographics of US medical school applicants and matriculants are significantly different from that of the general population, and may be resultant of societal quandaries present early in formal education. Initiatives targeting underrepresented minorities at an early stage to enhance health care career interest and provide academic support and mentorship will be required to address the racial disparity that exists in US medical schools and ultimately the physician workforce.
增加美国医生队伍的多样性,使其更好地代表普通人群,这一问题已受到广泛关注。本研究的目的是比较医学院学生的种族数据与美国普通人群的种族数据。我们假设医学院录取学生的种族人口结构将反映普通人群的结构。
分析并比较了美国人口普查局(USCB)2010年人口普查公布的种族数据,以及2011年美国医学院协会(AAMC)关于按种族和族裔分类的全科医学院申请及录取情况的调查数据。将已录取医学生的种族数据与地理区域和次区域内普通人群的种族数据进行比较。此外,还将医学院申请者和录取者的种族数据与全体普通人群的种族数据进行比较。
美国医学院内的种族分布与美国总体、区域和次区域人群的种族分布存在显著差异(P<0.001)。此外,医学院申请者的总体种族分布与普通人群的种族分布也存在显著差异(P<0.001)。
本研究表明,美国医学院申请者和录取者的种族人口结构与普通人群存在显著差异,这可能是正规教育早期存在的社会困境导致的。需要在早期针对代表性不足的少数群体采取举措,以增强他们对医疗保健职业的兴趣,并提供学术支持和指导,从而解决美国医学院存在的种族差异问题,最终解决医生队伍中的种族差异问题。