Affirmative Action in Medicine


Book Description

Affirmative action programs have significantly changed American medicine for the better, not only in medical school admissions and access to postgraduate training but also in bringing a higher quality of health care to all people. James L. Curtis approaches this important transition from historical, statistical, and personal perspectives. He tells how over the course of his medical education and career as a psychiatrist and professor--often as the first or only African American in his cohort--the status of minorities in the medical professions grew from a tiny percentage to a far more equitable representation of the American population. Advancing arguments from his earlier book, Blacks, Medical Schools, and Society, Curtis evaluates the outcomes of affirmative action efforts over the past thirty years. He describes formidable barriers to minority access to medical-education opportunities and the resulting problems faced by minority patients in receiving medical treatment. His progress report includes a review of two thousand minority students admitted to U.S. medical schools in 1969, following them through graduation and their careers, comparing them with the careers of two thousand of their nonminority peers. These samples provide an important look at medical schools that, while heralding dramatic progress in physician education and training opportunity, indicates much room for further improvement. A basic hurdle continues to face African Americans and other minorities who are still confined to segregated neighborhoods and inferior school systems that stifle full scholastic development. Curtis urges us as a nation to develop all our human resources through an expansion of affirmative action programs, thus improving health care for everyone. James L. Curtis is Clinical Professor Emeritus of Psychiatry, Columbia University College of Physicians and Surgeons.




Almost Black


Book Description

I got into medical school by saying I was black. I lied. Honestly, I am about as black as my sister Mindy Kaling (The Office / The Mindy Project). Once upon a time, I was an ethically challenged, hard-partying Indian American frat boy enjoying my third year of college. That is until I realized I didn't have the grades or scores to get into medical school. Legitimately. Still, I was determined to be a doctor and discovered that affirmative action provided a loophole that might help. The only problem? I wasn't a minority. So I became one. I shaved my head, trimmed my long Indian eyelashes, and applied as an African American. Not even my frat brothers recognized me. I joined the Organization of Black Students and used my middle name, Jojo. Vijay, the Indian American frat boy, became Jojo, the African American affirmative action applicant. Not everything went as planned. During a med school interview, an African American doctor angrily confronted me for not being black. Cops harassed me. Store clerks accused me of shoplifting. Women were either scared of me or found my bald black dude look sexually mesmerizing. What started as a scam to get into med school turned into a twisted social experiment that taught me lessons I would never have learned in the classroom. I became a serious contender at some of America's greatest schools, including Harvard, Wash U, UPenn, Case Western, and Columbia. I interviewed at 11 schools while posing as a black man. After all that, I finally got accepted into medical school. Before I finished this book, I stirred a hornet's nest by telling my story. It has been featured in more than 100 media outlets, including CNN, NBC, TIME, FOX, and Huffington Post. Many loved it, but not everyone approved of what I did. My college classmate Tucker Max (I Hope They Serve Beer in Hell) disapproved. My sister Mindy Kaling furiously declared, This book will bring shame on our family! I disagree but I'll let you be the judge.







Toward Equal Educational Opportunity


Book Description




Assessing the Outcome of Affirmative Action in Medical Schools


Book Description

Based on an analysis of data on people who graduated from U.S. medical schools in 1975, this study reports on the ways that specialty choice, practice location, patient populations served, and board certification rates differ between minority and nonminority graduates. It also considers the relationship of premedical school performance and socioeconomic status to these variables. Although they entered the primary care specialties to a greater extent than nonminorities, there is an impressive dispersion of minority graduates across all specialties. Minority graduates are practicing in physician-shortage areas at twice the rate of their nonminority counterparts, and they are caring for significantly greater proportions of minority and Medicaid patients. Only about half the minority physicians had obtained board certification in their specialty, compared with four-fifths of the nonminority graduates. The results for specialty choice, practice location, and patient characteristics support the continuing affirmative action in medical schools.




Affirmative Action and Minority Enrollments in Medical and Law Schools


Book Description

Affirmative action is one of the central issues of American politics today, and admission to colleges and universities has been at the center of the debate. While this issue has been discussed for years, there is very little real data on the impact of affirmative action programs on admissions to institutions of higher learning. Susan Welch and John Gruhl in this groundbreaking study look at the impact on admissions of policies developed in the wake of the United States Supreme Court's landmark 1978 Bakke decision. In Bakke, the Court legitimized the use of race as one of several factors that could be considered in admissions decisions, while forbidding the use of quotas. Opponents of affirmative action claim that because of the Bakke decision thousands of less-qualified minorities have been granted admission in preference to more qualified white students; proponents claim that without the affirmative action policies articulated in Bakke, minorities would not have made the gains they have made in higher education. Based on a survey of admissions officers for law and medical schools and national enrollment data, the authors give us the first analysis of the real impact of the Bakke decision and affirmative action programs on enrollments in medical and law schools. Admission to medical schools and law schools is much sought after and is highly competitive. In examining admissions patterns to these schools the authors are able to identify the effects of affirmative action programs and the Bakke decision in what may be the most challenging case. This book will appeal to scholars of race and gender in political science, sociology and education as well as those interested in the study of affirmative action policies. Susan Welch is Dean of the College of Liberal Arts and Professor of Political Science, Pennsylvania State University. John Gruhl is Professor of Political Science, University of Nebraska-Lincoln.




The Impacts of Racism and Bias on Black People Pursuing Careers in Science, Engineering, and Medicine


Book Description

Despite the changing demographics of the nation and a growing appreciation for diversity and inclusion as drivers of excellence in science, engineering, and medicine, Black Americans are severely underrepresented in these fields. Racism and bias are significant reasons for this disparity, with detrimental implications on individuals, health care organizations, and the nation as a whole. The Roundtable on Black Men and Black Women in Science, Engineering, and Medicine was launched at the National Academies of Sciences, Engineering, and Medicine in 2019 to identify key levers, drivers, and disruptors in government, industry, health care, and higher education where actions can have the most impact on increasing the participation of Black men and Black women in science, medicine, and engineering. On April 16, 2020, the Roundtable convened a workshop to explore the context for their work; to surface key issues and questions that the Roundtable should address in its initial phase; and to reach key stakeholders and constituents. This proceedings provides a record of the workshop.




In the Nation's Compelling Interest


Book Description

The United States is rapidly transforming into one of the most racially and ethnically diverse nations in the world. Groups commonly referred to as minorities-including Asian Americans, Pacific Islanders, African Americans, Hispanics, American Indians, and Alaska Natives-are the fastest growing segments of the population and emerging as the nation's majority. Despite the rapid growth of racial and ethnic minority groups, their representation among the nation's health professionals has grown only modestly in the past 25 years. This alarming disparity has prompted the recent creation of initiatives to increase diversity in health professions. In the Nation's Compelling Interest considers the benefits of greater racial and ethnic diversity, and identifies institutional and policy-level mechanisms to garner broad support among health professions leaders, community members, and other key stakeholders to implement these strategies. Assessing the potential benefits of greater racial and ethnic diversity among health professionals will improve the access to and quality of healthcare for all Americans.







Factors Affecting Medical School Admission Decisions for Minority and Majority Applicants


Book Description

Examines and compares admissions processes of ten medical schools from 1973 through 1975 for majority and minority applicants. Logit analysis is used to estimate weights given to GPA, MCAT, state of residence, and so on in deciding which applicants to admit. Science MCAT was the most heavily weighted component of the standardized test for majority applicants, followed by Verbal and Quantitative MCATS. Almost all schools favor majority applicants from their parent university's undergraduate school, and being a home state resident always improves admission chances. Undergraduate science grades and Science MCAT scores were heavily weighted in minority admissions decisions but there was no consistent weighting of Verbal or Quantitative MCAT. There is strong evidence of affirmative action: Minority applicants with better than a 50-50 chance of admission would rarely have had a better than a 1 in 20 chance of admission if evaluated by majority standards. 95 pp. Ref.