In 2004, the Sullivan Commission on Diversity in the Healthcare Workforce released a report, Missing Persons: Minorities in the Health Professions, which called for an increase of persons from historically underrepresented and underserved backgrounds at all levels of the health care workforce.5 The report stated that diversity among students entering the health professions will improve the overall health of the nation.5 Echoing this claim, Thomas and Dockter argued that diversity in the health care workforce helps to reduce health disparities.6 In a recent review, Gomez and Bernet concluded that diversity of health professionals can improve patient health outcomes, quality of care, and financial performance.7 Despite evidence supporting the benefits of diversification of students entering medical school, the path to achieving this aim has been stalled at worst and meandering at best. Department of Primary Care and Public Health, Brighton and Sussex Medical School, Watson Building, Village Way, Falmer Campus, Brighton, BN1 9PH, UK, Sophie Arthur,Abigail Jamieson,Harry Cross&Carrie D. Llewellyn, Brighton and Sussex University Hospitals NHS Trust, Eastern Road, Brighton, BN2 5BE, UK, You can also search for this author in Medical students awareness of health issues, attitudes, and confidence about caring for lesbian, gay, bisexual and transgender patients: a cross-sectional survey, https://doi.org/10.1186/s12909-020-02409-6, https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/585349/PHE_Final_report_FINAL_DRAFT_14.12.2016NB230117v2.pdf, https://www.equalityhumanrights.com/sites/default/files/technical_note_final.pdf, http://www.ncbi.nlm.nih.gov/pubmed/28638747, https://www.cdc.gov/hiv/group/msm/index.html, http://www.cdc.gov/mmwr/volumes/65/ss/ss6509a1.htm, https://www.gov.uk/government/publications/national-lgbt-survey-summary-report/national-lgbt-survey-summary-report, https://www.stonewall.org.uk/sites/default/files/lgbt_in_britain_health.pdf, https://www.gmc-uk.org/education/standards-guidance-and-curricula/standards-and-outcomes/outcomes-for-graduates, http://creativecommons.org/licenses/by/4.0/, http://creativecommons.org/publicdomain/zero/1.0/. Your rights as lesbian, gay, bi and trans patients Section one was a short series of demographic-related questions (Table1). New and emerging health threats, as well as the increased politicization of public health, require a coordinated response from global health leaders. A small URM boost is typically equivalent to a T4 soft position in college, such as a leadership position. Teach Learn Med. Being part of the LGBT communities can be a determinant of health, and understanding the wider social determinants of health is outlined in the General Medical Councils (GMC) outcomes for graduates [17]. These questions were scored (15) from strongly disagree to strongly agree, in relation to the statements with the stem I would feel comfortable (Table2). The AAMC definition of underrepresented in medicine is: "Underrepresented in medicine means those racial and ethnic populations that are underrepresented in the medical profession relative to their numbers in the general population.". Available from: https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/585349/PHE_Final_report_FINAL_DRAFT_14.12.2016NB230117v2.pdf. As a URM, which schools should I definitely apply to? Medical students were recruited to take part in a cross-sectional survey. Should Applicants' Ethnicity Be Considered in Medical School Admissions? Cite this article. Only a small proportion of students reported the curriculum as being the main contributor to their current knowledge of LGBT health issues. Whats more, there are a bunch of Northwestern-sanctioned events, talks, and gatherings catered to LGBTQ+ folks that are hosted by the Feinberg LGBTQ+ Alliance, the Northwestern Womens Center, the Office of Diversity & Inclusion, and more. The LGBT community is not considered to be a URM applicant. URM or ORM - Filipinos? | Student Doctor Network Adopted by the AAMC's Executive Council on June 26, 2003, the definition helps medical schools accomplish three important objectives: a shift in focus from a fixed aggregation of four racial and ethnic groups to a continually evolving underlying reality. Virginia Commonwealth University School of Medicine (VCU SOM) provides a case example of how the AAMCs definitional change from URM to URiM influenced admissions. Apr 29, 2020. URM Southeast Asian? Based on 2016 AAMC Data As noted in the AAMC report, Altering the Course: Black Males in Medicine, between 1978 and 2014, the number of Black men applying to medical school dropped from 1410 to 1337, and the number of Black men enrolling in medical school dropped from 542 to 515.16 It is worth considering whether the AAMCs definitional shift from URM to URiM played a role in Black mens declining enrollment, since justice should be viewed within the social mission framework in which medical schools endeavor to motivate admissions equity,17 consistent with the AAMCs assertions that diversity enhances students learning and improves health care for all.6 Yet, as Razack and colleagues note, there is a tension between inclusive and exclusive medical school admissions processes,18 which should prompt deeper ethical analysis of how the URiM definition increases access to medical school, both generally and for historically underrepresented groups. The results may be biased due to the opt-in nature of the study, with nearly 20% of participants identifying as gay, lesbian and bisexual. Cookies policy. Where medical school admissions processes consider applicants backgrounds and experiences of identity minoritization to be valuable, progress toward inclusive representation has been made. Participate in the Reach OUT Campaign! What does ORM stand for? The Dominican applicant might be at schools that consider Central Americans UiM. FAQ on med school affirmative action and URM recruitment from an adcom Devins N. Explaining Grutter v Bollinger. Issues Ment Health Nurs. Comparing medical, dental, and nursing students preparedness to address lesbian, gay, bisexual, transgender, and queer health. There is no one answer to this question. Outcomes for graduates 2018. This training should put a specific focus on transgender healthcare, and addressing subpopulation health issues rather than the LGBT community as a whole. Donna H. Jackson, EdD is an assistant dean for admissions and the director of student outreach at Virginia Commonwealth University School of Medicine in Richmond.
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