This thread is absolutely ridiculous.
First we have absurd numbers being pulled out of thin air (like the "fact" that Filipinos make up 24% of Hawaii's population -- the actual number is 15%).
Second, the point of the URM system is not to get medical school demographics to exactly match the demographics of the US. If it were, med schools would have to dramtically cut down on the number of Indians and Chinese that they accept. No, the purpose of accepting URMs is to meet specific medical needs in the community.
African Americans, Native Americans, and Latinos have been maligned by the US medical establishment for decades. They were at timed given sub par care. They were at times denied care entirely. They were at times experimented on without their knowledge and to the detriment of their health. As a result, many African Americans, Native Americans, and Latinos feel uncomfortable with physicians of other races.
Now let's look at other URM races, the Uyghurs of China and the Bodos of India. Both arrived in the US only recently, after the civil rights movement. There was no Tuskegee syphilis study involving Uyghurs and no Puerto Rico Pill trials involving Bodos. People of these races do not have a reason to fear American physicians.
So how much does selecting specifically for Uyghur and Bodo physicians add to patient care? Not much, and that's why virtually every medical school treats them as ORM. Selecting for African American physicians, on the other hand, is very important.
I'm not going to pass judgment on whether Filipinos are better served by physicians of their own race in the same way that African Americans are because I don't know enough to have an informed opinion. But the idea that a race is URM just because there are proportionally fewer physicians of that race is completely missing the point.
First of all, that percent 14.1% of Hawaiians being Filipino is for the 170,635 Filipinos who identify as Filipino only. There are
342,095 Filipinos with any combination of races. A lot of Hawaiians are mixed. Maybe you should've checked a reputable source like the U.S. Census instead of blindly believing the first number google spat out at you.
Second of all, I was arguing the importance of regional underrepresentation over national representation for several posts. (see below) Please read everything before you start making a pointless rant.
Lastly, Filipinos have a completely distinct culture and look from other Asian nations and are the SECOND LARGEST Asian minority in the United States.
There's 3.4 million Filipino-Americans. They're not some tiny minority. Many people don't realize this. Your ignorance is showing and you are obviously underestimating the Filipino presence in the population if you are comparing a group of 3.4 million people to tiny minorities like Uyghurs and Bodos. We've been in this country for at least 100 years, we didn't just get here. And if you're saying that URM designation is for reparations for American wrongdoings, you should
get educated on the History of the Philippines.
During the Philippine American War in 1899 (Yes America had a war with the Philippines, if you didn't know), "At least 200,000 Filipino civilians lost their lives as an indirect result of the war mostly as a result of the
cholera epidemic at the war's end that took between 150,000 and 200,000 lives. Atrocities were committed by both sides." The Philippines was under American rule for nearly 50 years. Our people have been passed around like ragdolls between Spain and the United States for centuries. Most people don't know this though because its not emphasized in U.S. history curriculum like the civil rights movement and the trail of tears.
The words of President McKinley after the U.S. acquired the Philippines from Spain, along with Puerto Rico and Guam during the Treaty of Paris: "they were unfit for self-government, ... there was nothing left for us to do but to take them all, and to educate the Filipinos, and uplift and civilize and Christianize them".
Sounds great, doesn't it?
"Filipinos are overrepresented in practice"
This varies regionally.
"underrepresented in admissions by a tad"
This varies regionally as well. Filipino medical students in Hawaii make up less than a third of their proportion of the Hawaiian population.
All I'm asking medical schools to do is look into their regional representation of Filipino physicians to determine if they are regionally underrepresented. The definition of URM was changed in 2004 from "Blacks, Natives, Mexicans" to "Underrepresented in medicine means those racial and ethnic populations that are underrepresented in the medical profession relative to their numbers in the general population". Maybe not all medical schools have adjusted for this yet in such a short timeframe. Some have, as I showed before, and as the CA dude said. Filipinos cannot be assumed to be ubiquitously adequately represented like Indians, whose % of physicians is nearly 10x their % in the general population. I've met plenty of Indian medical students and doctors, but none of each who were Filipino. I live in a state with a high # of Filipinos. If I wanted a Filipino doctor, I'd probably have to do an extensive search within a 100 mile-radius instead of knowing that one was readily available at the nearest hospital. A large cluster of Filipino doctors in California cannot help me if they're 3000 miles away from me. This is why regional underrepresentation is important.
That can mean general population within a certain region. Now you're just being an ass trying to argue semantics. How the hell is a doctor supposed to treat me when he's several thousand miles away? Regional underrepresentation is important, hence why some medical schools have considered Filipino regional underrepresentation. Thanks for letting everyone reading this know that you're an ***hole though. It discredits what you say.
https://www.aamc.org/download/54278/data/urm.pdf
Status of the "Underrepresented in Medicine" Definition.
The revised AAMC definition accomplished three important objectives:
1. A shift in focus from a fixed aggregation of four racial and ethnic groups to a continually
evolving underlying reality. The new definition accommodates including and removing
underrepresented groups on the basis of changing demographics of society and the profession
2. A shift in focus from a national perspective to regional or local perspective on
underrepresentation
You are wrong, GG kid.
And whose to say Filipinos aren't horribly underrepresented in some areas too?
Like I said, I've never met a Filipino doctor or medical student and I live in a state with a high # of Filipinos.
I'm asking med schools to look into their regional Filipino physician and general populations and to help fix any disparities. Do you have a problem with that?
So just let all of the local URM populations have no doctors to go to because they are ORM nationally? That makes a lot of sense...
And that is not what the AAMC definition of URM is, since we're getting into semantics. Regional/local URM takes precedence over national according to the AAMC.
"2. A shift in focus from a national perspective to regional or local perspective on
underrepresentation"
It doesn't matter what you think. If Filipinos are URM regionally, then they deserve URM status at regional schools, according to the AAMC.
"as it does in basically every allo school"
That's exactly the problem I'm trying to address. Some schools are still using the old national URM precedence system when the AAMC clearly defined local URM as taking precedence.