Gasman Marybeth, Smith Tiffany, Ye Carmen, Nguyen Thai-Huy
University of Pennsylvania, 3819 Chestnut Street, St. Leonard's Court, Suite 140, Philadelphia, PA 19123, USA.
University of Michigan, 500 S. State Street, Ann Arbor, MI 48109, USA.
AIMS Public Health. 2017 Nov 27;4(6):579-589. doi: 10.3934/publichealth.2017.6.579. eCollection 2017.
An important issue facing the world of medicine and health care is the field's lack of diversity, especially regarding African American doctors. African Americans made up 6% of all physicians in the U.S. in 2008, 6.9% of enrolled medical students in 2013 and 7.3% of all medical school applicants. The existing literature on the lack of diversity within the medical field emphasizes the role that inclusion would play in closing the health disparities among racial groups and the benefits acquired by African Americans through better patient-doctor interactions and further respect for cultural sensitivity. A large portion of current research regarding Black medical students and education focuses on why minority students do not go into medical school or complete their intended pre-med degrees. Common notions and conclusions are that many institutions do not properly prepare and support students, who despite drive and desire, may lack adequate high school preparation and may go through additional stress unlike their other peers. Historically Black Colleges and Universities (HBCUs) are institutions that were designed to support African American students by providing an educational learning environment that caters to their unique challenges and cultural understandings. Given that HBCUs have had much success in preparing minority students for STEM fields, and for medical school success more specifically, this article looks at the history of such universities in the context of medical education, their effective practices, the challenges faced by African Americans pursing medical education, and what they can do in the future to produce more Black doctors. We also highlight the work of Xavier University and Prairie View A&M University, institutions that regularly rank among the top two and top ten producers, respectively, of future African American doctors among colleges and universities.
医学与医疗保健领域面临的一个重要问题是该领域缺乏多样性,尤其是非裔美国医生的数量不足。2008年,非裔美国人占美国所有医生的6%;2013年,占注册医学生的6.9%;占所有医学院申请者的7.3%。现有关于医学领域缺乏多样性的文献强调,包容性对于缩小种族群体间的健康差距将发挥重要作用,以及非裔美国人通过更好的医患互动和对文化敏感性的进一步尊重所获得的益处。目前关于黑人医学生和医学教育的大量研究集中在少数族裔学生为何不进入医学院或完成预期的医学预科课程。常见的观点和结论是,许多机构没有为学生提供适当的准备和支持,这些学生尽管有动力和愿望,但可能缺乏足够的高中阶段准备,并且可能会经历与其他同龄人不同的额外压力。历史悠久的黑人学院和大学(HBCUs)旨在通过提供一个能满足非裔美国学生独特挑战和文化理解的教育学习环境来支持他们。鉴于HBCUs在为少数族裔学生进入STEM领域做准备,尤其是在医学院取得成功方面已经取得了很大成就,本文将从医学教育的背景下审视这些大学的历史、它们的有效做法、非裔美国人在追求医学教育过程中面临的挑战,以及它们未来为培养更多黑人医生可以采取的措施。我们还将重点介绍泽维尔大学和普雷里维尤农工大学的工作,这两所机构在培养未来非裔美国医生方面,在学院和大学中分别经常位列前两名和前十。