Calling for a Broader Conceptualization of Diversity

Meredith E Young · Saleem Razack · Mark D. Hanson · Steve Slade · Lara Varpio · Kelly L. Dore

96 citations0/0 files storedAcademic Medicine

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Diversity and Career in Medicine Innovations in Medical Education Medical Education and Admissions

Abstract

PURPOSE: Policy groups recommend monitoring and supporting more diversity among medical students and the medical workforce. In Canada, few data are available regarding the diversity of medical students, which poses challenges for policy development and evaluation. The authors examine diversity through a framework of surface (visible) and deep (less visible) dimensions and present data regarding a sample of Canadian medical students. METHOD: Between 2009 and 2011, nine cohorts from four Canadian medical schools completed the Health Professions Student Diversity Survey (HPSDS) either on paper or online. Items asked each participant's age, gender, gender identity, sexual identity, marital status, ethnicity, rural status, parental income, and disability. Data were analyzed descriptively and compared, when available, with national data. RESULTS: Of 1,892 students invited, 1,552 (82.0%) completed the HPSDS. Students tended to be 21 to 25 years old (68.3%; 1,048/1,534), female (59.0%; 902/1,529), heterosexual (94.6%; 1,422/1,503), single (90.1%; 1,369/1,520), and unlikely to report any disability (96.5%; 1,463/1,516). The majority of students identified with the gender on their birth certificate (99.8%; 1,512/1,515). About half had spent the majority of their lives in urban environments (46.7%; 711/1,521), and most reported parental household incomes of over $100,000/year (57.6%; 791/1,373). Overall, they were overrepresentative of higher-income groups and underrepresentative of populations of Aboriginal, black, or Filipino ethnicities in Canada. CONCLUSIONS: The authors propose the development of a National Student Diversity Database to support both locally relevant policies regarding pipeline programs and an examination of current application and selection procedures to identify potential barriers for underrepresented students.

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References

1996The Role of Black and Hispanic Physicians in Providing Health Care for Underserved Populations 2004Effects of Racial Diversity on Complex Thinking in College Students 1995Physician Race and Care of Minority and Medically Indigent Patients 2003Educational Benefits of Diversity in Medical School 2005The role of cultural diversity climate in recruitment, promotion, and retention of faculty in academic medicine 1995Making the Match: Domestic Placement Agencies and the Racialization of Women's Household Work 2007Exploring Obstacles to and Opportunities for Professional Success Among Ethnic Minority Medical Students 2003The Consequences of Premature Abandonment of Affirmative Action in Medical School Admissions

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2015Sexual and Gender Minority Identity Disclosure During Undergraduate Medical Education 2021Transgender health in medical education 2020Demographic and socioeconomic characteristics of Canadian medical students: a cross-sectional study 2017Motivation of Dutch high school students from various backgrounds for applying to study medicine: a qualitative study

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