Feasibility of Becoming Dean of Admissions and Changing the URM System

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lol OP literally said that he is not trying to take away seats from urms here: "I thank you for the response, but once again, I'm not advocating for there to be less URMs in a class! All I want is for ALL students who are disadvantaged regardless of skin color to be on the same playing field.:

here: "Hey there, appreciate the response. To answer your question though, I never wanted for there to be more ORMs in a class. All I was saying the whole time was that the current system is flawed in that applicants who need to be on an equal playing field sometimes don't get that opportunity."

and here: "A policy like the one I'm proposing shouldn't have any conflict with ensuring that minorities be included in a medical school class, since like many have pointed out, many times race and socioeconomic status are intertwined. For example, an underprivileged African American applicant will still have the benefit of an even playing field--it simply wouldn't be because of his/her race, but because of the obstacles he/she had to overcome."
Maybe I should have been more specific; the OP specifically has a problem with black and Latinx people in medical school. Although the OP has been repeating over and over that he (or she, idk) doesn't want less URMs in med school, all of his examples are basically "this black person has lower scores than this Asian person, this is unfair to Asian people." All arguments about how medical school admissions are about more than just GPA/MCAT combo and the fact that schools currently DO take SES into account are ignored. He doesn't want to hear any of that and is focused on the fact that a URM can have lower stats than an ORM and still get in regardless of the rest of the application. The problem he has is clearly with URMs.

It's thinking like that that honestly helps perpetuate stereotypes that Asians are the model minority and have perfect lives. So I'm going to have to respectfully disagree. One of my closest friends is Asian, and she would honestly be saddened by the fact that people think that her being made fun of for having "ugly squinty" eyes or being an antisocial nerd based on her ethnicity is much better than being called out for having a different skin color (or whatever stereotypes other minorities face) all throughout childhood.
Furthermore, this comment shows me that this person has NO idea of the types of prejudice black and Latinx people face in this country if he thinks that when people are complaining about discrimination it's because they were "called out for having a different skin color." Frankly, I've reached an age where I no longer give a crap about that. No, it's never been fun being called a n***er or the other slurs people have thrown at me over the years. But what is less fun is having my school deliberately leave me off of the honor roll I had earned multiple times until my parents intervened, OR having my high school guidance counselor refuse to help me with my college applications because I didn't want to go to an HBCU, OR showing up to a job interview and having to produce two forms of ID because my name isn't "black" and they didn't believe I was who I said I was OR having patients tell me to my face that I was only let in to medical school because I'm black and therefore I must not be as smart as my white classmates. I can go on. This goes WAY beyond people making fun of someone's appearance. What OP is arguing for completely disregards the deeply engrained biases held by a majority of the people in this country because he clearly is not recognizing that issues like this occur. If he was, he wouldn't be complaining about factoring URM status into admissions.
 
Maybe I should have been more specific; the OP specifically has a problem with black and Latinx people in medical school. Although the OP has been repeating over and over that he (or she, idk) doesn't want less URMs in med school, all of his examples are basically "this black person has lower scores than this Asian person, this is unfair to Asian people." All arguments about how medical school admissions are about more than just GPA/MCAT combo and the fact that schools currently DO take SES into account are ignored. He doesn't want to hear any of that and is focused on the fact that a URM can have lower stats than an ORM and still get in regardless of the rest of the application. The problem he has is clearly with URMs.


Furthermore, this comment shows me that this person has NO idea of the types of prejudice black and Latinx people face in this country if he thinks that when people are complaining about discrimination it's because they were "called out for having a different skin color." Frankly, I've reached an age where I no longer give a crap about that. No, it's never been fun being called a n***er or the other slurs people have thrown at me over the years. But what is less fun is having my school deliberately leave me off of the honor roll I had earned multiple times until my parents intervened, OR having my high school guidance counselor refuse to help me with my college applications because I didn't want to go to an HBCU, OR showing up to a job interview and having to produce two forms of ID because my name isn't "black" and they didn't believe I was who I said I was OR having patients tell me to my face that I was only let in to medical school because I'm black and therefore I must not be as smart as my white classmates. I can go on. This goes WAY beyond people making fun of someone's appearance. What OP is arguing for completely disregards the deeply engrained biases held by a majority of the people in this country because he clearly is not recognizing that issues like this occur. If he was, he wouldn't be complaining about factoring URM status into admissions.

since you're assuming so much from the op, then I guess I can do the same for you. fair is fair right? it sounds like you inherently believe that being Black has cost you opportunities that you would not have lost if you were some other race you believe to be discriminated against far less such as Asian, and as such believe that the urm effect is justified. your entire argument relies on the fact that you think you are of a race that is discriminated so heavily against that there needs to be a special system in place to correct the injustices done to you or it wouldn't be fair. so let's just say that all that is true and take the white demographic out of the equation. who are you to say that an Asian hasn't gone through something similar to what you have gone through? I myself am Indian, and I can also recount countless stories both from my parents and my own experience in which I have been discriminated against. yet as an indian, I am considered over represented and am entitled to NONE of the urm status you speak so highly of. who are you or any adcom to decide that a black/latino/Latina/native American applicant has experienced so much more hardship than a fellow indian/chinese/korean/Japanese minority? and to end, i'm a minority. I've experienced engrained biases that have cost me socially, emotionally and institutionally. i'm complaining about urm admissions. does that say something to you about how flawed the system is?
 
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since you're assuming so much from the op, then I guess I can do the same for you. fair is fair right? it sounds like you inherently believe that being Black has cost you opportunities that you would not have lost if you were some other race you believe to be discriminated against far less such as Asian, and as such believe that the urm effect is justified. your entire argument relies on the fact that you think you are of a race that is discriminated so heavily against that there needs to be a special system in place to correct the injustices done to you or it wouldn't be fair. so let's just say that all that is true and take the white demographic out of the equation. who are you to say that an Asian hasn't gone through something similar to what you have gone through? I myself am Indian, and I can also recount countless stories both from my parents and my own experience in which I have been discriminated against. yet as an indian, I am considered over represented and am entitled to NONE of the urm status you speak so highly of. who are you or any adcom to decide that a black/latino/Latina/native American applicant has experienced so much more hardship than a fellow indian/chinese/korean/Japanese minority?
First of all, I would never tell another person of color that their experiences are invalid or they haven't gone through hardships. This is not the oppression olympics and I never said that discrimination does not exist for other people of color. I'm black so I can only speak to things that have happened to me as a black person, and it would be ignorant of me to speak on the experiences of other groups. But the fact remains that the reason the so called URM advantage exists is because there is a systemic problem of discrimination against certain groups in this country. The word systemic is important here. There have been numerous laws passed in the US to deliberately disenfranchise black people in terms of voting, housing, credit & loans, and education. For example, the war on drugs was specifically started to target black people and anti-war protesters. As recently as 1997 black farmers were being denied loans that white farmers of the same circumstances were denied. Exclusionary zoning practices are in large part responsible for keeping minorities within impoverished inner cities while white people moved out to suburbs. The Republican party specifically utilizes the Southern Strategy to appeal to white racism against African Americans. I can go on and on, but the point is that the US has a long history of passing laws specifically targeting black people and it is going to take a long time to correct these injustices so that the playing field truly is level. Of course other minorities can be affected by these issues, but at the end of the day they are not the ones who have been targeted to this extent.

Furthermore, the Immigration Act of 1965 made is such that educated immigrants with professional careers would receive priority when trying to enter the country. As we all know, success of children is correlated strongly with the educational and economic success of their parents, which is why the model minority myth exists in the first place. That discussion is a whole different ballgame, but I hope you can see how this false equivalence between black and Asian people is fundamentally flawed. The history between those two groups in this country is not the same.

So no, I can't come on here and say that every black person has had it harder than every Indian or Asian person in America. But the playing field is not level and it will be a long time until it is. If it were, we wouldn't even be talking about the fact that there are so few URMs in medicine. So until them, the "URM system" is needed.
 
you are kind of creating a straw man....lots and lots of URM applicants are completely competitive with every other student in their class. Some URM students needed the URM preference (much like some legacies are ninjas who don't need dad's connections....but some basically buy an interview)

The purpose of my statement was to say that I have no data to claim my belief that admitted URM are as qualified as ORM, just subjective experience. Much like your claim that most legacies need their parents to "buy" an interview. Do you have any data on legacies being less qualified? Do you have any experience as an adcom member at a school that grants legacy interviews? Or are you just guessing?
 
Take my word for it - I grew up in the hood, I live in the hood now, and once I'm a physician, I'm never going back. The same is likely true for most coming from significantly disadvantaged backgrounds...so you get "lots of black doctors doing quite well in (insert cushy suburban mostly white neighborhood here)" - I think most people who have the opportunity to upgrade their quality of life, do.

Well I don't know about this, I'm a black kid that grew up **** poor, my mom raised 4 kids making under 2ok a year. Now I won't be living in the hood as a physician, but I do plan on serving that population in some capacity. It is really infuriating to hear people bitch about AA when most of the stuck up med students I know won't practice anywhere near a truly under served community, even though 99% of them wrote about it in their PS.
 
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Fourth, and probably most relevant. Very few of us want the same things at age 50 that we wanted at age 20. The passion you exhibit now for a righteous crusade to end the "injustice" of current admissions policies is unlikely to burn as brightly after an accomplished career. It is a long road ahead, in which you will be exposed to myriad new views, issues, concerns. You might be surprised how differently you feel by the end of medical school, the end of residency, to say nothing of literally decades from now when you would theoretically be reaching that pinnacle position.

Well another option for that OP is he could be that one guy in the hospital who does his best to act like he's 22 despite being well into his 30s... every workplace always seems to have one.

I bring this up a lot, but with the exception of "that guy" in every work place, AA is one of those issues that the amount that people get worked up about it is inversely proportional to how far away from the time they applied. A "traditional" aged MCAT taker is the same distance in age from when their balls dropped as they are from becoming a board-certified physician or surgeon.* There's so much bull**** and so much stuff that you're required to learn and pick up in the 7-10 years of training that 3 or 4 MCAT points between physicians so many years ago is such a comically minuscule thing that has jack **** to do with what quality physician someone turns out to be.

*to put this in perspective, last July was the first time ever that any residency could have graduated a physician who didn't take the MCAT on paper with scan-trons. And that's only for the 3 year residencies. An independently practicing doc in any other specialty with 4 years or more of post-grad training filled in bubbles and hand-wrote that stupid essay. This is a long f-cking process.
 
The purpose of my statement was to say that I have no data to claim my belief that admitted URM are as qualified as ORM, just subjective experience. Much like your claim that most legacies need their parents to "buy" an interview. Do you have any data on legacies being less qualified? Do you have any experience as an adcom member at a school that grants legacy interviews? Or are you just guessing?

But there is data for urm vs orm admission statistics, urm is significantly lower as you would expect
 
As someone who has personally interviewed legacies, I can attest that they had no business even setting foot on a medical school campus.


The purpose of my statement was to say that I have no data to claim my belief that admitted URM are as qualified as ORM, just subjective experience. Much like your claim that most legacies need their parents to "buy" an interview. Do you have any data on legacies being less qualified? Do you have any experience as an adcom member at a school that grants legacy interviews? Or are you just guessing?
 
So? They can still handle med school, and more importantly, be good doctors.
And we only have data that includes URMs attending HBCUs. Almost a quarter of blacks MD students are at HBCUs that have low average stats and are the schools where the lowest stat URMs tend to enroll. So it doesn't say much about how non-HBCU URMs compare to their classmates at other schools.
 
And we only have data that includes URMs attending HBCUs. Almost a quarter of blacks MD students are at HBCUs that have low average stats and are the schools where the lowest stat URMs tend to enroll. So it doesn't say much about how non-HBCU URMs compare to their classmates at other schools.
In addition, Puerto Rico has 4 med schools that accept ~300 Hispanic students, so a good portion of the URMs (AA and Hispanics) come from HBCU and PR schools with average MCAT scores that are anywhere from 23-27...

I guess a lot people who are upset about URMs taking my spot have not done their homework about the issue...
 
Agreed with the first paragraph. But regarding the last two, don't you think that drive and passion played a role in the person obtaining a 3.8/38? How much drive did the 3.0/26 have then? Also, I'd like to refer to what I said previously: A policy like the one I'm proposing shouldn't have any conflict with ensuring that minorities be included in a medical school class, since like many have pointed out, many times race and socioeconomic status are intertwined. For example, an underprivileged African American applicant will still have the benefit of an even playing field--it simply wouldn't be because of his/her race, but because of the obstacles he/she had to overcome.


Yeah, I know your thoughts...You already posted that. Said in another way it's not about us, it's about the system.

Let's say we do what you propose and went solely based on SES instead of looking for Black or Hispanic physicians. There will be some that get in as you're right about the proportions, but not as many as the nation needs. Even right now when medical schools openly seek out minorities despite lower performance, there is still a low enrollment. For example, at my school which is in the center of a city with a majority black population, less than 1% of 300-person class was black?!?! This school also puts a decent amount of its applicants in Detroit. That's a huge problem! The reason? We had an metric-based filter that excluded most of them, but more importantly the interest was low. It was funny because when LCME came and asked questions, some administrators who are now replaced were like, yo we couldn't find high achieving African Americans and Hispanics. If we impose a pure SES system, we probably won't get enough black applicants because not many apply because there weren't programs in place to encourage them to. There may be some people that don't get the scores they want and think....oh look at all these sneaky black people trying to steal our spots...That's not the case at all. There are just too many blacks who don't even see medicine as something for them. When someone in my friend circle wants to do medicine, their parents usually have them give me a call and I give them the word on the street about everything because that's what I had done for me. If a poor black student wants to do medicine, who in his families friend circle can he shadow so he can even understand what medicine is? There are certainly a few now, but still not enough. Also, I'm not sure what your background is OP but there's been a lot of talk on why Asians are successful as a minority and many who watch Fox News champion that. I myself come from of family of Indian origin and my dad worked hard to come here, and he wouldn't have been able to get clearance to unless he demonstrated his ability to have means for to pay for adequate living, etc. In essence, there seems to be a filter that selects for the cream of the crop from such nations so to directly compare them to minorities in our country just coming off segregation is just poor form (not saying you're doing this, OP.

The problem at this point is that if you go out and talk to lots of African Americans (not ones in medical school who come from middle class families like perhaps yourself and I), a lot of them are really distrustful of the system and will say flat out they won't see a doctor. It's only been 50 years since outright discrimination was commonplace. That's like 1 or 2 generations...We as American healthcare providers have the collective choice to either take the harder path and implement realistic policies that bring everyone up in a timely manner so we can move forward with the potential of all people behind us...or we can simply refuse to do it and rationalize it as trying to promote a meritocratic system.
 
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since you're assuming so much from the op, then I guess I can do the same for you. fair is fair right? it sounds like you inherently believe that being Black has cost you opportunities that you would not have lost if you were some other race you believe to be discriminated against far less such as Asian, and as such believe that the urm effect is justified. your entire argument relies on the fact that you think you are of a race that is discriminated so heavily against that there needs to be a special system in place to correct the injustices done to you or it wouldn't be fair. so let's just say that all that is true and take the white demographic out of the equation. who are you to say that an Asian hasn't gone through something similar to what you have gone through? I myself am Indian, and I can also recount countless stories both from my parents and my own experience in which I have been discriminated against. yet as an indian, I am considered over represented and am entitled to NONE of the urm status you speak so highly of. who are you or any adcom to decide that a black/latino/Latina/native American applicant has experienced so much more hardship than a fellow indian/chinese/korean/Japanese minority? and to end, i'm a minority. I've experienced engrained biases that have cost me socially, emotionally and institutionally. i'm complaining about urm admissions. does that say something to you about how flawed the system is?

"i'm a minority. I've experienced engrained biases that have cost me socially, emotionally and institutionally. i'm complaining about urm admissions. does that say something to you about how flawed the system is?"

skippypeanutbutter, your complaining about URM admission policy says to me that you're hurting -- real bad! from the impact of those engrained biases that have cost you so much and you're looking for something to hold responsible for all of your loss. I really empathize with you and am sending a big hug your way.

The URM admission policy and similar policies are not perfect; these resolutions have never been thought of as exhaustive approaches to undoing the heinous things we've done to each other or fix the societal system built upon oppressive ideology. The funny thing is that when these policies were developed and implemented (and to this day), the critique about their flawed-ness had to do with them being not enough! to fix our institutions and change the outcomes in people's lives. (And, of course, many have and continue to critique these polices for entirely different reasons).

These topics have less to do with what's fair in terms of being equal and more to do with being fair in terms of being equitable -- and also being able to step outside one's individual perspective (and the individual perspectives of people who think like you) and discern things from a broader view. For now, we strive to treat a wealthy, unkind, brat with a gunshot wound who strolled into ER at noon before we tend to the responsible, charitable, impoverished person with stomach pains who arrived at 10a. While you may see the current URM admission policy as being flawed toward you and the other Asian ethnic groups you've mentioned, keep in mind that the policy supports and is supported by many more Asian ethnic groups that you did not mention.

By all means, be discontent with the policy; try to perfect the hard work of those who've come before you... AND don't forget or be afraid to show discontent and put in the work to confront the ideology and behaviors that were the catalyst for such policies in the first place -- and the biases that have cost you so much.
 
since you're assuming so much from the op, then I guess I can do the same for you. fair is fair right? it sounds like you inherently believe that being Black has cost you opportunities that you would not have lost if you were some other race you believe to be discriminated against far less such as Asian, and as such believe that the urm effect is justified. your entire argument relies on the fact that you think you are of a race that is discriminated so heavily against that there needs to be a special system in place to correct the injustices done to you or it wouldn't be fair. so let's just say that all that is true and take the white demographic out of the equation. who are you to say that an Asian hasn't gone through something similar to what you have gone through? I myself am Indian, and I can also recount countless stories both from my parents and my own experience in which I have been discriminated against. yet as an indian, I am considered over represented and am entitled to NONE of the urm status you speak so highly of. who are you or any adcom to decide that a black/latino/Latina/native American applicant has experienced so much more hardship than a fellow indian/chinese/korean/Japanese minority? and to end, i'm a minority. I've experienced engrained biases that have cost me socially, emotionally and institutionally. i'm complaining about urm admissions. does that say something to you about how flawed the system is?

What happened? Were you bullied by your middle school sports team for being the only brown person? Were you told that you looked like Gandhi whenever you got a haircut. Some things like being told that you smell like curry especially for girls can be a bit traumatic, I'll admit that... but I don't know...I don't want to speak for anyone so personally I'll just get say that once I got to high school and then college, those jokes stopped and I heard a lot more of "you look like a doctor" than any other stereotype.

I'm not saying that racism towards Indians is non-existent or that all of it's petty because it would be like spitting in the face of my own parents who worked their own asses off to assimilate in this country so I could succeed. However, when it comes to medical education, comparing racism Indians face to that which Blacks face makes no sense and I have no idea why you even brought that up. It kind of pisses me off actually.
 
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Sigh...🙁

To a lot of you, this is just an online argument/discussion that has no effect on your lives at the end of the day. At the end of the day you can step away from all of this. But in my world. I have to live with it every moment. The fact that some people will think I'm automatically dumb because of my skin color. The fact that people who look like me are killed unjustly because of how they look. The fact that some people think I don't deserve what I've been given because of the color of my skin. These kinds of conversations hurt and discourage the very people you are talking about... Remember that.
 
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OP, after reading the hilarity that is your thread, I have to give you some advice. Like many have said before, you have bigger things to worry about. You got into medical school, just leave it at that. Focus on yourself and doing the best you can. Just be thankful that when you apply for residency there is no such thing like "URMs" or racial bias that you care so much about. Based on statistics if you are white or Asian you will outscore your fellow URMs on your boards and have a better chance of matching anyway. If you really want to do something that matters, become a PD and maintain your belief of being judged on merit. It's a much better way to protect the "quality" of physicians than medical school admissions and much more feasible than aiming to be Dean. Most PDs are old heartless a**holes that couldn't care less about your race and story as long as you have the scores, LORs, and grades. My $0.02.
 
Sigh...🙁

To a lot of you, this is just an online argument/discussion that has no effect on your lives at the end of the day. At the end of the day you can step away from all of this. But in my world. I have to live with it every moment. The fact that some people with think I'm automatically dumb because of my skin color. The fact that people who look like me are killed unjustly because of how they look. The fact that some people think I don't deserve what I've been given because of the color of my skin. These kinds of conversations hurt and discourage the very people you are talking about... Remember that.


This^^^ Why are AA threads allowed to persist here? They should be deleted immediately, the only purpose they serve is to get people angry, there is usually little, if any, productive discussion.
 
What you're proposing is not politically correct and med school admissions is very PC.

Schools get in trouble ifi they don't have enough URMs. Some school in Michigan (Detroit i think) was on probation because of it.
 
I've seen this topic in various forms so many times before. I see what your argument is, but I think what many students seem to forget is that the job of an admissions committee isn't to reward pre-med students for all of their hard work. It's actually to choose students who will go on to become physicians that can serve a variety of patients and communities. Everything is about the patient. And part of their job is to pick a diverse class, including race, ethnicity, gender, SES, experience, etc. in order to produce physicians that will not only succeed, but will go on to connect with and reach various populations. Believe it or not, a minority student that has a slightly lower gpa and MCAT score may be more valuable as a future physician if they're possibly more likely to work with certain populations. If some pre-meds would set aside their competitive, A-type personalities then they'll likely understand that there is a reason why you need a portion of your class to be URM. Students need to stop thinking that this is about us and that we deserve this.

With that being said, that doesn't mean that a Hispanic or black student with extremely low stats should be admitted just because, but that doesn't often happen anyway. Ultimately, even with the "URM System," the fact is that medical and dental schools are still overwhelmingly, predominantly white. So if the admissions committee decides that a few minorities with slightly lower stats would make for a more diverse group of future physicians, there's still probably 80% or more of the class that's white.

You may not agree with me and that's perfectly fine. But please just remember that we're here to serve the patients and they have a variety of backgrounds and needs, so the physicians serving them should too. And that's the ultimate job of an admissions committee.


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Dude you just got into med school. This is one of your last summers of relaxing. Chill and have fun lol. By the time you get to the end of mer school and residency, you likely will be so busy with a ton of other things and life issues that you won't care about this.
 
Is the problem that URM's are not getting in to med school in numbers representative of their proportion in the US population? Or is it that URM's are not applying to med schools in numbers representative of their proportion to the US population? I haven't looked for the data, but my gut tells me that it is the second scenario, not the first (I reserve the right to be wrong).
 
Is the problem that URM's are not getting in to med school in numbers representative of their proportion in the US population? Or is it that URM's are not applying to med schools in numbers representative of their proportion to the US population? I haven't looked for the data, but my gut tells me that it is the second scenario, not the first (I reserve the right to be wrong).
The biggest problem is that there just aren't enough qualified URMs to be represented in proportion to their population (enough apply to be acurrately represented, but not enough URMs who apply are qualified)
 
Kid, there is still White Privilege. Despite the lower SES of a white dude, they still have an advantage in this country just from being a white dude.
Now, see, that I think is the wrong way of looking at things and part of the reason why people drag out these AA arguments. Racial and SES AA in medicine are good because it increases the diversity of the field and helps patients of those demographics get the treatment they need and helps create role models for other URMs and low SES students, etc. It also acknowledges that people from certain financial backgrounds have less opportunities and that given those opportunities they likely would have had a more competitive application. I don't think AA should be looked at as a reparation for white privilege. That undervalues the struggles that many other groups face for non-racial reasons, and that alienates many people who I think/hope would otherwise appreciate the value of AA.

Additionally, just as you cannot tell a URM what they experience in their life unless you are a URM, I don't think anyone besides a poor white person should be commenting on what privilege a poor white person experiences. There are experiences that white low-SES people face that a low-SES URM might not understand and vice versa.

Just my two cents
 
Forgive my ignorance, but how does URM/SES achieve that? It is not as if they are propping up residency programs in Ferguson, MO or West Baltimore...

Now, see, that I think is the wrong way of looking at things and part of the reason why people drag out these AA arguments. Racial and SES AA in medicine are good because it increases the diversity of the field and helps patients of those demographics get the treatment they need and helps create role models for other URMs and low SES students, etc. It also acknowledges that people from certain financial backgrounds have less opportunities and that given those opportunities they likely would have had a more competitive application. I don't think AA should be looked at as a reparation for white privilege. That undervalues the struggles that many other groups face for non-racial reasons, and that alienates many people who I think/hope would otherwise appreciate the value of AA.

Additionally, just as you cannot tell a URM what they experience in their life unless you are a URM, I don't think anyone besides a poor white person should be commenting on what privilege a poor white person experiences. There are experiences that white low-SES people face that a low-SES URM might not understand and vice versa.

Just my two cents
 
Forgive my ignorance, but how does URM/SES achieve that? It is not as if they are propping up residency programs in Ferguson, MO or West Baltimore...
Studies have shown that URMs and SES (and LGBT and, to an extent, rural for that matter) students are more likely to go back to serve their communities than students who do not belong to those demographics
 
Studies have shown that URMs and SES (and LGBT and, to an extent, rural for that matter) students are more likely to go back to serve their communities than students who do not belong to those demographics

Feel free to post aforementioned studies
 
http://archinte.jamanetwork.com/mobile/article.aspx?articleid=1792913
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3978451/

Here is the first one I found

http://jama.jamanetwork.com/mobile/article.aspx?articleid=182528
How having URMs in class helps better prepare non-URMs for to care for minorities, which is another way URMs can help their demographic recieve quality healthcare

Survey studies are garbage.
Your medical school dean will send you an email "Hey, fill this out" (Usually mandatory...) and who the hell is going to say "no my medical school did not prepare me for x/y/z" when it is done at the behest of your medical school administration?


From the first link:
"adjusted (data not shown) analyses" - so you want me to believe a study who gives data to refute one potentially conflicting piece of evidence, but omits the data that would be needed to support their own conclusion?
Get real.
 
Survey studies are garbage.
Your medical school dean will send you an email "Hey, fill this out" (Usually mandatory...) and who the hell is going to say "no my medical school did not prepare me for x/y/z" when it is done at the behest of your medical school administration?


From the first link:
"adjusted (data not shown) analyses" - so you want me to believe a study who gives data to refute one potentially conflicting piece of evidence, but omits the data that would be needed to support their own conclusion?
Get real.
http://som202d.ucsd.edu/HCS Course PDFs/9_Komaromy.pdf

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1381056/pdf/amjph00504-0107.pdf

http://bhpr.hrsa.gov/healthworkforce/reports/diversityreviewevidence.pdf
Thirteen separate studies have documented that minority physicians tend to provide a disproportionately large share of health care for patients from their own racial and ethnic backgrounds.(18-30) In one recent study, Bach and colleagues found that in a national sample of Medicare beneficiaries, 22 percent of African-American patients’ visits in 2001 were to AfricanAmerican physicians, who make up roughly 4.5 percent of the Nation’s physicians.(18) Notably, this disproportionate pairing appears to be a result of both African-American physicians locating their practices in African-American communities, and of African-American patients’ preferentially seeking out African-American physicians. (18. http://www.nejm.org/doi/full/10.1056/NEJMsa040609)

etc.

And what was your criticism of the 2nd paper I posted?

It also makes logical sense. People tend to want to be surrounded with other people like themselves. It isn't surprising that URMs are more likely to live and work in areas with more URMs. You could also read about the correlation between patient/provider racial concordance and patient satisfaction.
 
What you're proposing is not politically correct and med school admissions is very PC.

Schools get in trouble ifi they don't have enough URMs. Some school in Michigan (Detroit i think) was on probation because of it.

Since rescinded!


Also, in regards to whether this "go back and help fellow URMs" is an actual thing, it would make sense that if anyone would, they would so statistically, these policies are probably in the national interest. Not interested in starting a data digging contest though atm.
 
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I actually thought about that too. I'm not sure if it adds up the way I think it does, but what happens when an underprivileged URM is competing for the same spot as this underprivileged ORM? The first applicant has the benefit of also being of a race that the system likes to support, whereas the second doesn't.

I think what you have to realize is that in this case there are barriers that URM applicants face that are built into the system. These are both underprivileged students but if you are URM then it is likely that you have faced more significant hurdles than ORM. This isn't always the case I'm sure but the idea is that in general this is the case and the URM system is a way to even out the playing field. I'm not URM but I was economically disadvantaged and I really believe that made it more difficult for me to pursue medicine so I agree that looking at things from an SES standpoint is important. However, I also know people who are URM who have experienced difficulties pursuing a career as a physician due to family expectations (being a woman in a faith/culture that does not typically encourage females to pursue higher education) or learning English as a second language (imagine trying to take the MCAT in a different language). You have to think about things like that when you're upset about what you perceive as unfairness in the system. There's a lot that goes on that you may not know about that hurts URM applicants in ways you won't understand if you aren't in their shoes.
 
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