期刊论文详细信息
BMC Medical Education
Diversification of U.S. medical schools via affirmative action implementation
Shaheen Emmanuel Lakhan1 
[1] Faculty of Arts and Sciences, Harvard University, Cambridge, MA, USA
关键词: minority patients.;    consumer choice;    diversity;    medical admissions;    non-cognitive factors;    race-conscious;    affirmative action;   
Others  :  1164893
DOI  :  10.1186/1472-6920-3-6
 received in 2003-05-14, accepted in 2003-09-17,  发布年份 2003
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【 摘 要 】

Background

The diversification of medical school student and faculty bodies via race-conscious affirmative action policy is a societal and legal option for the U.S. Supreme Court has recently ruled its use constitutional. This paper investigates the implications of affirmative action, particularly race-conscious compared to race-blind admissions policy; explains how alternative programs are generally impractical; and provides a brief review of the history and legality of affirmative action in the United States.

Discussion

Selection based solely on academic qualifications such as GPA and MCAT scores does not achieve racial and ethnic diversity in medical school, nor does it adequately predict success as practicing physicians. However, race-conscious preference yields greater practice in underserved and often minority populations, furthers our biomedical research progression, augments health care for minority patients, and fosters an exceptional medical school environment where students are better able to serve an increasingly multicultural society.

Summary

The implementation of race-conscious affirmative action results in diversity in medicine. Such diversity has shown increased medical practice in underserved areas, thereby providing better health care for the American people.

【 授权许可】

   
2003 Lakhan; licensee BioMed Central Ltd. This is an Open Access article: verbatim copying and redistribution of this article are permitted in all media for any purpose, provided this notice is preserved along with the article's original URL.

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【 参考文献 】
  • [1]Clinton WJ: Remarks By William Jefferson Clinton On Affirmative Action. Washington, DC, The White House: Office of the Press Secretary, The National Archives; 1995. July 19
  • [2]Flexner A: Medical Education in the United States and Canada: A Report to the Carnegie Foundation for the Advancement of Training. New York, Carnegie Foundation for the Advancement of Training; Bulletin No. 4; 1910.
  • [3]Hiatt MD, Stockton CG: The Impact of the Flexner Report on the Fate of Medical Schools in North America After 1909. JP&S 2003, 8:37-40.
  • [4]Keith SN: Effects of Affirmative Action in Medical Schools: A Study of the Class of 1975. N Engl J Med 1985., 313
  • [5]Barbara Grutter, Petitioner v. Lee Bollinger, et al. U.S. Supreme Court. No. 02-241 (2003)
  • [6]AAMC: Minority Students in Medical Education: Facts and Figures, Volumes VII-XII. Washington, DC, Association of American Medical Colleges; 1993-2003
  • [7]Koenig J, Huff K, Julian E: Predictive Validity of the Medical College Admission Test. Washington, DC, Association of American Medical Colleges; 2002.
  • [8]Ferguson E, James D, Madeley L: Factors associated with success in medical school: systematic review of the literature. Br Med J 2002, 324:952-957.
  • [9]Tracey TJ, Sedlacek WE: Noncognitive variables in predicting academic success by race. Measurement and Evaluation in Counseling and Development 1984, 16:171-178.
  • [10]Kington R, Tisnado D, Carlisle DM: Increasing racial and ethnic diversity among physicians: an intervention to address health disparities? In The Right Thing To Do, The Smart Thing To Do: Enhancing Diversity in the Health Professions.. Edited by Smedley B D, Colburn L and Evans C H. Washington, DC, National Academy Press; 2001.
  • [11]Cohen JJ: The Consequences of Premature Abandonment of Affirmative Action in Medical School Admissions. JAMA 2003, 289:1143-1149.
  • [12]Wightman LF: The threat to diversify in legal education: an empirical analysis of the consequences of abandoning race as a factor in law school admissions decision. New York Univ Law Rev 1997, 72:1-3.
  • [13]Steele CM: A threat in the air - how stereotypes shape intellectual identity and performance. Am Psychol 1997, 52:613-629.
  • [14]Jencks C, Phillips M: The Black-White Test. Washington, D.C., Brookings Institution; 1998.
  • [15]Ruddenstine NL: Student diversity and higher learning. In Diversity Challenged: Evidence on the Impact of Affirmative Action.. Edited by Orfield G and Kurlander M. Boston, MA, Harvard Education Press; 2001.
  • [16]Orfield G: Campus resegregation and its alternatives. In Chilling Admissions: the Affirmative Action Crisis and the Search for Alternatives.. Edited by Orfield G and Miller E. Boston, MA, Harvard Education Press; 2001.
  • [17]USCCR: Beyond Percentage Plans: The Challenge of Equal Opportunity in Higher Education. Washington, DC, U.S. Commission on Civil Rights; 2002.
  • [18]Perez T: Current legal status of affirmative action in higher education. In The Right Thing To Do, The Smart Thing To Do: Enhancing Diversity in the Health Professions.. Edited by Smedley B D, Colburn L and Evans C H. Washington, DC, National Academy Press; 2001.
  • [19]Nickens Herbert W., Cohen Jordan J.: On Affirmative Action. JAMA 1996, 275:572-574.
  • [20]Fraser S: The Bell Curve Wars: Race, Intelligence, and The Future of America. New York, NY, Basic Books; 1995.
  • [21]Herrstein RJ: The Bell Curve: Intelligence and Class Structure in American Life. New York, NY, Free Press; 1994.
  • [22]Nickens HW, Ready T: Problems in the pipeline. In More Minorities in Health.. Edited by Burroughs H C and Kehrer B H. Menlo Park, CA, Henry J. Kaiser Family Foundation; 1994:1-29.
  • [23]Cantor JC, Miles EL, Baker LC, Barker DC: Physician service to the uninsured: implication for affirmative action in medical education. Inquiry 1996, 33:167-180.
  • [24]Komaromy M, Grumbach K, Drake M: The Role of Black and Hispanic Physicians in Providing Health Care for Underserved Populations. N Engl J Med 1996, 4:1305-1310.
  • [25]Brian S, Adrienne SY, Nelson A: Unequal Treatment: Confronting Racial & Ethnic Disparities in Health. Washington, DC, National Academy Press; 2002.
  • [26]NIH: Strategic Plan on Reducing Health Disparities. Washington D.C., Warren G. Magnuson Clinical Center; 2002.
  • [27]Saha S: Patient-Physician Racial Concordance and the Perceived Quality and Use of Health Care. Arch Intern Med 1999.
  • [28]Whitla D: Educational Benefits of Diversity in Medical School. Acad Med 2003.
  • [29]Equal Protection Clause US Const Amend XIV s. 1 1866.
  • [30]Goldberg v. Kelly U.S. Supreme Court 397 U.S. 254 (1970)
  • [31]Executive Order No. 10,925 3 C.F.R. 4481959-1963
  • [32]Civil Rights Act U.S.C 1965., 42: 2000d
  • [33]Executive Order No. 11,246 3 C.F.R. 3391964-1965
  • [34]The Regents of the University of California v. Bakke U.S. Supreme Court 1978., No. 7811, 438 U.S. 265
  • [35]Barbara Grutter, Petitioner v. Lee Bollinger, et al. U.S. Supreme Court. No. 02-241 (2003)
  • [36]Jennifer Gratz and Patrick Hamacher, Petitioners v. Lee Bollinger, et al. U.S. Supreme Court; 2002.
  • [37]Tan SY: Medicine in Stamps. Hippocrates: Father of Medicine. Singapore Med J 2002, 43:5-6.
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