Maybe it’s because in residency there are hardly any objective tests.
That's probably part of it. I've written here before about my frustration with writing and reviewing resident evaluations that are full of vague BS that amounts to personality judgements. Evaluating residents is hard and most faculty don't get any specific training on how to teach, evaluate, or remediate learners.
But there is an issue with some residents who've been marginal or poor performers all along, whose teachers and preceptors in medical school and internship have deferred difficult tasks (like remediation, probation, or termination). They've been given passing grades and the benefit of the doubt in clerkship and rotations where they don't have any true responsibility and their preceptors only see them for a few weeks.
Then they reach residency, and PDs observe them for a year or two and can't in good conscience let them graduate.
I was faculty at a residency program for about 10 years, and for a few of those years I was the program's education coordinator and assistant PD. This was a military program, and our trainee pipeline through medical school scholarships is not diverse at all - I'd guess about 90%+ white, and about 80%+ male. I think one class was 6/6 white male residents.
I won't bore you with all the details, but because there's a smaller pool of applicants, and our selection process is a group meeting with all of the military program directors discussing all the applicants, and the scoring system gives credit for non-academic factors like time with the fleet or Marine Corps between internship and residency, every so often there was a resident with a poor academic record who nonetheless ended up in our program. They struggle and have a much higher rate of dropping out or being dropped. We had one who scored in the 1st (lowest) percentile on multiple ITEs.
I am suggesting that the racial disparity you noted on residency failures could be connected to the well-documented lower average grades and MCAT scores of some minorities in medical school admissions. Because I've seen (and so has every PD in the country) how residents with worse academic records consistently score lower on ITEs, have more board failures, and a higher rate of not completing residency. In my personal experience, that has held true despite a decade of overwhelmingly white and overwhelmingly male classes at our program.
Mostly subjective evaluations on who can kiss ass and brownnose the best and pander to the White people in charge. How do you ignore or overcome these deficiencies in medical school and not residency?
The issue, which is nearly universal, is that preceptors who see students for only a few weeks or a couple months at a time are almost NEVER willing to fail anyone, no matter what.
Poor students are given passing grades, even when they shouldn't be. In many cases - most of them probably - the poor performance is an anomaly, or they improve, and they go on to graduate and become safe, competent doctors. Some don't.
Your logic used to rationalize the unfair treatment of blacks is quite weird. Maybe you should actually do some reading on the subject before being so quick to rationalize mistreatment of minorities. You think if a black man was accused of rape they would graduate residency? Or are you gonna ignore that huge act of abuse.
Criminal acts are a separate issue, apart from professional competence.
I completely agree that the US legal system has bias and racism problems. I've written about that here many times.
Residency is not harder than medical school besides the hours and technical skills.
Completely disagree.
The technical skills are the easiest part and I'm surprised you think that's what makes our job hard. Hell, nurses can learn and completely do the technical skills.
What makes residency harder is twofold -
1) A new demand for professionalism and higher level of responsibility for patients, where lack of preparedness or knowledge can't be hidden (unlike for example a med school anatomy lab where a lousy student can just be quiet in the corner while the other 3 partners do the dissection). There are immediate, obvious consequences for not having your **** together when you're the primary doc for a real patient, despite the attending backup.
2) The depth of the material, and the need to retain it forever. You can get through med school cramming and dumping. Residency is different.
Cut the crap about respecting me.
I respect you less and less every day, but I try to give you the benefit of the doubt, and hope that the decent things you do in real life are a better measure of who you are than your awful, horrible, straight up bitchy behavior here.
The military is full of black folks in the Enlisted Side and therefore people are sold on lie that is the “diversity” of the military. While the officer side is full of Good Old White Boys.
This is a huge problem with the military and I've written about that before too. Enlisted ranks recruit from poorer economic strata. Officers all have college degrees.
Signed, Angry Black Woman who’s tired, simply exhausted of entitled White Men like you.
I don't know why I try discussing anything with you.
Your inevitable refrain is to insult and dismiss everything I write because I'm a white man.
You're the most racist and sexist person on this forum.