Hiring

Race in Hiring, Promotion, and Medical School Admissions

3 minute video from the New York Times that touches on how implicit bias can play out in hiring. Consider doing an “audit” in your own life, school, or institution.

 
 

“For decades, efforts to increase the presence of underrepresented minority (URM) groups in the physician workforce have received widespread endorsement. Actual progress in diversifying our profession, however, has been disappointing. The disconnect between vocal support and visible results has been due, at least in part, to a pervasive but often unspoken belief that diversity is an ‘extra,’ a secondary consideration when selecting future members of our profession. Diversity would be nice, we believe, as long as it does not require trade-offs in more important factors, particularly academic achievement, as measured by science grades and standardized test scores. With that mind-set, lower average grades and scores among URM students, blamed on inequitable primary and secondary education, provides an easy excuse to shrug our shoulders on the issue of diversity.”

Saha, 2014.

 
 

When I Say… Equity

This piece from Medical Education discusses using the lens of equity when considering who is admitted to medical school.

 

Racial/Ethnic Disparities in Clinical Grading in Medical School

Performance during the clinical phase of medical school is associated with membership in the Alpha Omega Alpha Honor Medical Society, competitiveness for highly selective residency specialties, and career advancement. Although race/ethnicity has been found to be associated with clinical grades during medical school, it remains unclear whether other factors such as performance on standardized tests account for racial/ethnic differences in clinical grades. Identifying the root causes of grading disparities during the clinical phase of medical school is important because of its long-term impacts on the career advancement of students of color.  This single institution study is among the first to document racial/ethnic disparities in MSPE summary words and clerkship grades while accounting for clinical clerkship final written examinations.

You can read the published 2019 study here at Teaching and Learning in Medicine.


Resources

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Davis D, Dorsey JK, Franks RD, et al. Do racial and ethnic group differences in performance on the MCAT exam reflect test bias? Acad Med. 2013; 88 (5): 593–602.

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Kuper A. When I say… equity. Med Educ. 2016 Mar; 50 (3): 283-4.

Gardner, AK; Cavanaugh, KJ; Willis, RE; Dunkin, BJ. Can Better Selection Tools Help Us Achieve Our Diversity Goals in Postgraduate Medical Education? Comparing Use of USMLE Step 1 Scores and Situational Judgment Tests at 7 Surgical Residencies. Academic Medicine. 2020 May; 95 (5): 751-757.

Low D, Pollack SW, Liao ZC, Maestas R, Kirven LE, Eacker AM, Morales LS. Racial/Ethnic Disparities in Clinical Grading in Medical School. Teach Learn Med. 2019 Oct-Dec; 31 (5): 487-496.

Lucey CR, Saguil A. The Consequences of Structural Racism on MCAT Scores and Medical School Admissions: The Past Is Prologue. Acad Med. 2020 Mar; 95 (3): 351-356.

Ross DA, Boatright D, Nunez-Smith M, Jordan A, Chekroud A, Moore EZ. Differences in words used to describe racial and gender groups in Medical Student Performance Evaluations. PLoS One. 2017 Aug 9; 12 (8): e0181659.

Saha S. Taking Diversity Seriously: The Merits of Increasing Minority Representation in Medicine. JAMA Intern Med. 2014; 174 (2): 291–292.

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Wijesekera TP, Kim M, Moore EZ, Sorenson O, Ross DA. All Other Things Being Equal: Exploring Racial and Gender Disparities in Medical School Honor Society Induction. Acad Med. 2019 Apr; 94 (4): 562-569.

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