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Dear med schools, *now with references*!
1. Have you asked the Black communities how best to support their children to become the health professionals at your medical center?
Pre-meds in high school: 18.2% Black, 24.4% Hispanic; Med students: 6.1%, 7.0%
https://bit.ly/3dTuYoc
1. Have you asked the Black communities how best to support their children to become the health professionals at your medical center?
Pre-meds in high school: 18.2% Black, 24.4% Hispanic; Med students: 6.1%, 7.0%
https://bit.ly/3dTuYoc
2. Have you implemented programs to prepare Black college students for *your* medical school?
22% of "diversity-mission" post-bacc programs were challenged by their own institution; 53% by their state legislature
https://www.aamc.org/system/files/reports/1/november2018postbaccalaureatepremedicalprogramsintheu.s.results.pdf
22% of "diversity-mission" post-bacc programs were challenged by their own institution; 53% by their state legislature
https://www.aamc.org/system/files/reports/1/november2018postbaccalaureatepremedicalprogramsintheu.s.results.pdf
3. Do you use the MCAT to screen out applicants, even it mainly predicts USMLE 1 (which is now pass-fail) ? Do you recognize structural racism, rather than fitness for the profession, is what MCAT scores tell you? https://journals.lww.com/academicmedicine/fulltext/2020/03000/the_consequences_of_structural_racism_on_mcat.18.aspx
4. (If you answered No to 1 & 2): Do you actively recruit students from HBCUs & other universities with a strong tradition of supporting Black students? Do you pay the staff who do the work of recruitment for their time?
https://muse.jhu.edu/article/590098
https://muse.jhu.edu/article/590098
5. Does your admissions committee reflects the communities you serve, not just faculty who volunteer? Do you compensate members ?
See steps 1-8 "Appoint women, minorities, and younger people (groups with less implicit racial bias) to committee"
https://muse.jhu.edu/article/686949
See steps 1-8 "Appoint women, minorities, and younger people (groups with less implicit racial bias) to committee"
https://muse.jhu.edu/article/686949
6. Do you silo your admissions committee from your Student Affairs and your "Diversity, Equity & Inclusion" office?
https://search.proquest.com/openview/691e38486481ed21041200314f083e5e/1?pq-origsite=gscholar&cbl=2045921
https://search.proquest.com/openview/691e38486481ed21041200314f083e5e/1?pq-origsite=gscholar&cbl=2045921
7. Do you unofficially aim for a number of Black students that is "better than last year" or "better than our peers" but does not reflect what is actually needed in the profession? https://jamanetwork.com/journals/jama/fullarticle/2717462
8. Do you find yourself explaining that you "can't" give preferences based on race, but have you stopped giving preferences for faculty & alumni connections, donor needs, applicants from Ivy/like universities, US News & World Report ranking metrics?
http://public.econ.duke.edu/~psarcidi/legacyathlete.pdf
http://public.econ.duke.edu/~psarcidi/legacyathlete.pdf
9. Have you created guiding admission principles which replace health equity / anti racism with "diversity of thought"?
Berry, E. The Enigma of Diversity: The language of race and the limits of racial justice https://press.uchicago.edu/ucp/books/book/chicago/E/bo19910067.html
Berry, E. The Enigma of Diversity: The language of race and the limits of racial justice https://press.uchicago.edu/ucp/books/book/chicago/E/bo19910067.html
10. (NEW) Have you recognized that implicitly or explicitly devaluing community college coursework disadvantages Black and other IPOC students with fewer socioeconomic resources? @TalamantesDr https://journals.lww.com/academicmedicine/Fulltext/2014/12000/Community_College_Pathways___Improving_the_U_S_.27.aspx
11. Do you ask your applicants how they see themselves carrying out antiracism & promoting health equity as physicians?
"holistic review...how the individual might contribute value as a medical student and physician" https://journals.lww.com/academicmedicine/FullText/2016/11000/Holistic_Review_in_Medical_School_Admissions_and.9.aspx
"holistic review...how the individual might contribute value as a medical student and physician" https://journals.lww.com/academicmedicine/FullText/2016/11000/Holistic_Review_in_Medical_School_Admissions_and.9.aspx
12. (NEW) @PenPaperPlanner Have you created shadowing opportunities specific for Black (BIPOC) students who rarely have family/friends networks to offer clinical exposure / afford underpaid clinical roles like CNAs, MAs and scribes to gain experience?
13. Once you have admitted your class that is "more diverse than ever," have you built support services that reflect the actual academic, financial, and emotional needs of your students? https://journals.lww.com/academicmedicine/Fulltext/2013/11000/The_Social_and_Learning_Environments_Experienced.48.aspx
14. Have you stopped blaming your Black students for performing poorly academically, when a) they actually aren't; and b) they are subjected to a continuous barrage of racism from their faculty and fellow students? https://journals.lww.com/academicmedicine/Fulltext/2020/05000/Seeking_Inclusion_Excellence__Understanding_Racial.30.aspx
15. Have you implemented curricular reforms to teach your students about the impacts of racism on health? Are you providing appropriate training and compensation for your instructors tasked with carrying out this curriculum?
https://www.mededportal.org/anti-racism
https://www.mededportal.org/anti-racism
16. Have you prioritized hiring, retaining, and promoting *groups* of Black faculty, which would both improve your capacity to care for Black communities and not harm your Black students?
https://journals.lww.com/academicmedicine/Fulltext/2019/08000/A_Seat_at_the_Table__Strategic_Engagement_in.15.aspx
https://journals.lww.com/academicmedicine/Fulltext/2019/12000/Addressing_the_Minority_Tax__Perspectives_From_Two.13.aspx https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5844367/
https://journals.lww.com/academicmedicine/Fulltext/2019/08000/A_Seat_at_the_Table__Strategic_Engagement_in.15.aspx
https://journals.lww.com/academicmedicine/Fulltext/2019/12000/Addressing_the_Minority_Tax__Perspectives_From_Two.13.aspx https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5844367/
17. Have you prioritized ability to care for Black communities, understanding of structural racism, & health equity mission in hiring ALL faculty, so that all may engage in the work of training your students and trainees, not only your Black faculty? https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6789160/
18. See #17, but for residents and fellows. https://journals.lww.com/academicmedicine/Fulltext/2020/05000/A_Framework_for_Inclusive_Graduate_Medical.20.aspx
19. Have you actively worked to promote Black faculty and support their scholarship, and not only offered positions that have "Diversity" "Inclusion" or "Multicultural" in their titles?
https://www.statnews.com/2020/01/16/black-doctors-leaving-faculty-positions-academic-medical-centers/ https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3184185/
https://www.statnews.com/2020/01/16/black-doctors-leaving-faculty-positions-academic-medical-centers/ https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3184185/
20. Across *all* educational lines, both clinical & didactic, do you teach health "disparities" but not historic structural & institutional racism as drivers?
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4269606/
@JonathanMetzl
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4269606/
@JonathanMetzl
21. Do you have a fabulously shiny biomedical research building but no money for scholarships, hiring Black faculty, or paying Black faculty for the anti-racism work that they do? https://journals.lww.com/academicmedicine/Fulltext/2018/10000/Academic_Health_Centers_and_Medicaid__Advance_or.20.aspx
22. Checks 1-21? Seriously considered whether US health policy deserves to be centered in medical care, & whether channeling part of the $3.6 TRILLION should have gone to uplifting Black communities & public health?
https://www.healthaffairs.org/doi/full/10.1377/hlthaff.2019.01451
https://www.healthaffairs.org/doi/full/10.1377/hlthaff.2019.01451
23. Have you noticed that solutions have been published, called for, called for again, and there will be a reference for every single one that you have yet to carry out?
