Anachebe Ngozi F, Amiri Leila, Goodell Kristen, Haynes Demondes, Panaccione Remo, Saguil Aaron, Terregino Carol A, Woodson Mike, Royal Kenneth
Wright State University, Dayton, OH, USA.
University of Vermont, Burlington, VT, USA.
Commun Med (Lond). 2024 Dec 20;4(1):275. doi: 10.1038/s43856-024-00697-3.
There has been considerable discussion of how best to address racial and ethnic disparities in health outcomes, both globally and specifically in the United States. Increasing diversity among future clinicians and physician-scientists has been identified as a key strategy for addressing and correcting health disparities among underrepresented populations. Increasingly, medical schools, the institutions that train clinicians, have embraced the practice of holistic review for evaluating applicants and virtually all medical schools have reported contributing to a diverse physician workforce as an important aspect of their educational mission. Yet despite these goals and practices, relatively little progress has been made in diversifying the workforce and achieving equitable health outcomes. Here we present a framework for centering equity in medical school admissions that focuses on equity-based recruiting, admissions standards, selection and support and present a number of promising examples and universally applicable strategies that medical schools can potentially implement given their unique missions, goals, priorities, and resources.
关于如何最好地解决全球尤其是美国健康结果方面的种族和族裔差异问题，已经有了大量讨论。未来临床医生和医学科学家的多样性不断增加，已被视为解决和纠正代表性不足人群健康差异的关键策略。培养临床医生的医学院越来越多地采用全面评估的做法来评估申请者，几乎所有医学院都报告称，培养多样化的医生队伍是其教育使命的一个重要方面。然而，尽管有这些目标和做法，但在实现劳动力多元化和公平的健康结果方面进展相对较小。在此，我们提出一个以医学院招生公平为核心的框架，该框架侧重于基于公平的招生、录取标准、选拔和支持，并给出了一些有前景的例子以及医学院鉴于其独特的使命、目标、优先事项和资源可能实施的普遍适用策略。
