bigbassinbob said:
And you think that just because someone is black and they become a physician that means they would want to practice in the housing projects? What the hell is wrong with you? NOBODY wants to or does practice in housing projects. People who live in housing projects typically get treated in the emergency room, and yes I've seen it because I've worked in one for a year, not a private practice doctor's office. The vast majority of those in the projects don't have insurance, meaning that virtually no physician (black, white, mexican, or otherwise) would even treat them.
You are kidding right? There's countless studies that have been done on how hispanics and black physicians are more likely to work with their own population (where healthcare is needed) AND also that people of all ethnicities provide better health outcomes for people of the same ethnicity, (i.e. African-American with the same, Hispanic with Hispanic, Korean with Korean, etc.) Furthermore, there is a considerable lack of cultural awareness among physicians, as many don't know a second language, haven't taken classes. Look for policy statements forthcoming from the AAP one is titled Diversity in the Pediatric Workforce and the other is Culturally Effective Care.
You guys whine like its a meritocracy. Like get above a 30 MCAT and 3.5 and bingo --> Med School. NO ... Medical School is designed as an entrance gate way to becoming a physician. Thus, those in admissions need to pick those people that will most improve healthcare. There's a level above which anyone is academically qualified, medicine is not rocket science, its more about information storage. A Black person with a 27 and a 3.2 who will work in primary care in West Philadelphia is more useful than another guy planning to go back to his physician surplus suburb. In other words its not about YOU and what YOU have, its about what the healthcare system needs. I don't know why that's so hard to understand. Read the literature, ESPECIALLY Academic Medicine (Journal put out by AAMC), they are VERY concerned about this and and other issues of relevance to admissions. I am kind of tired so I'm only pasting one article in support of my statements below. I can post more if you need.
J Natl Med Assoc. 2000 Oct;92(10):472-80. Related Articles, Links
The intersection of race, gender, and primary care: results from the Women Physicians' Health Study.
Corbie-Smith G, Frank E, Nickens H.
Department of Family and Preventive Medicine, Emory University School of Medicine, Atlanta, Georgia, USA.
The Women Physicians' Health Study is a nationally distributed mailed questionnaire survey of a random sample of 4501 female physicians. We examined differences in the professional characteristics and personal health habits of minority women physicians compared to other women physicians, with regard to the choice of primary care specialties, type or location of practice site, and career satisfaction. Most women physicians were self-described as non-Hispanic white (77.4%), with 13% Asians, and few blacks (4.3%) or Hispanics (5.2%). Blacks and Hispanics were more likely to choose primary care specialties (61.6% and 57.9%, respectively, vs. 49.3% of whites, p < 0.05). Black and Hispanic physicians were most likely to practice in urban areas (71.8% and 72.2%, respectively, p < 0.001). Minority physicians were most likely to report spending some time each week on clinical work for which they did not expect compensation. Black physicians were least likely to report high levels of work control and were least likely to be satisfied with their careers. While most physicians were compliant with the examined recommendations of the U.S. Preventive Services Task Force, we did find significant differences by ethnicity in compliance with clinical breast exams, mammograms, and pap smears. In conclusion, there continues to be fewer blacks and Hispanics in the U.S. physician workforce than in the general population. Minority women physicians are more likely to provide primary care services in communities that have been traditionally underserved and may also report higher rates of career dissatisfaction.