Am Fam Physician. 2007 Jul 1;76(1):38.
The racial/ethnic composition of U.S. medical schools does not reflect the U.S. population. With proper planning, the current medical school expansion could improve physician diversity and reduce health disparities.
The Council on Graduate Medical Education (COGME) asserts that “the racial/ethnic composition of the physician population should reflect the overall population's diversity.”1 Blacks, Hispanics, and Native Americans make up 26 percent of the U.S. population, but only 6 percent of practicing physicians come from these underrepresented minorities.2 Underrepresented minorities experience worse health status in many dimensions compared with the white population, and COGME states that: “Increasing the percentage of minorities in the medical profession is vital as a means of improving access to care and health status of these vulnerable and underserved populations.”3 Underrepresented minority medical graduates are more likely to become primary care physicians4 and to care for minorities and other underserved people.
Since the end of the last allopathic medical school expansion (1980), the percentage of U.S. medical graduates who are Asian American has risen from almost two times to almost five times the percentage of Asian Americans in the U.S. population. The percentage of under-represented minority medical graduates has remained at about one half that of underrepresented minorities in the U.S. population (see accompanying figure).5–7
Failing to increase minority representation in medicine risks exacerbating health disparities, because minority populations are growing much faster than the population as a whole.
An expansion of allopathic and osteopathic medical schools is under way, with calls to increase allopathic enrollment 15 to 30 percent by 2015. This expansion offers an immediate opportunity to produce a physician workforce more representative of underserved populations through race-conscious medical school admissions, increased financial support for underrepresented students, and increased academic enrichment for minority students.
note: The information and opinions contained in research from the Graham Center do not necessarily reflect the views or the policy of the AAFP.
Adapted from the Graham Center One-Pager #48. Lindsay D, Bazemore AW, Bowman R, Petterson S, Green LA, Phillips RL. Will medical school expansion help to diversify the physician workforce? July 2007. Available online at http://www.graham-center.org. From the Robert Graham Center: Policy Studies in Family Medicine and Primary Care, 1350 Connecticut Ave., NW, Suite 201, Washington, DC 20036 (telephone: 202-331-3360; fax: 202-331-3374; e-mail: firstname.lastname@example.org).
1. Libby DL, Zhou Z, Kindig DA. Will minority physician supply meet U.S. needs? Health Aff (Millwood). 1997;16:205–14.
2. Association of American Medical Colleges. Diversity in the physician workforce: facts and figures 2006.
3. Council on Graduate Medical Education. Summary of third report. Improving access to health care through physician workforce reform. Accessed April 23, 2007, at: http://www.cogme.gov/rpt3.htm.
4. Council on Graduate Medical Education. Seventeenth report. Minorities in medicine: an ethnic and cultural challenge for physician training, an update. April 2005.
5. U.S. Census Bureau. Statistical abstract of the United States: 2006.
6. U.S. Census Bureau. Statistical abstract of the United States: 2000.
7. Association of American Medical Colleges. Minorities in medical education: facts and figures 2005.
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