Faebinder said:
Would you really care to hear the possible answers? Truly? What's the point.. Speculation with no evidence doesn't mean much...
URMs don't do as well on the boards because the boards are time based that require verbal skill. That's my true crack at it. If the boards were not time based (take as much time on a question as you want) you would see less of a difference in URM performance but even then they would be at a disadvantage because URM are not exposed to verbally complicated education with English words as much as the caucasian... (If the majority of you family barely got through high school, then you probably wont be exposed to complex verbal phrases.) If I had to bet on something, I'd bet that the English-Verbal background you come from is a better predictor of USMLE scores. Hence hte big emphasis on Verbal in the MCATs.
(I remember one guy once, very sharp guy, was telling me his frustration on how he missed a question because he didn't know the meaning of the word Obtunded. It's not a word commonly used but many people born and raised in the US know it.)
There is a second reason but minor. URMs are usually less money supported and can afford luxuries less and less. They can't afford the special 5000 dollar course kaplan and are more likely to go for the books only and q-bank or something like that, giving them less practice (apply same concept to the MCAT really). (Heh, I can't imagine paying 3000 dollars for a special kaplan course for Step 2 but I am sure it happens out there.) I claim this to be a minor reason because loans are usually generous towards courses but infact loans don't cover everyone equally (I know for a fact cause my wife had maxed her loans out after third year, coming into med school with huge loans from undergrad and grad.) I wont dive how URM are more likely to have bad credit and less likely to get the mini loans for courses accepted.
There are a couple of other reasons but why bother.... speculation right?
I used to buy in to the access to resources argument. We can all agree how expensive test prep can be etc. That's a fact.
But, this summer, while arriving early for an undergrad histo course I'm taking (start MS1 is 2 weeks!) I strolled into a room on the same floor as our lab is located. The room had a bunch of computers in it, but as soon as I walked into the room, I was asked "can I help you?" in this not-so-nice tone. As it turns out, the room was dedicated to URMs only, and I then noticed signs posted above each of the tubes, "MCAT", "DAT", "KAPLAN", "LSAT"..........
I was told that the room was only "for certain students", but when I looked around, it was obvious that those "certain students" were all minorities.
Don't get me wrong, I'm all about a level playing field. And resources (such as a limited # of computers) are finite, so tough decisions are necessary in order to make sure those resources go to those most in need. However, just because someone is an URM does not necessarily mean they are most in need of that kind of over and above assistance, that is off limits to non-URMs.
Also, many official post-bacc programs (versus just registering as a general post-bacc student in order to take any variety of classes) that are affiliated with many med schools are restricted to disadvantaged status applicants, and most of those are URM only. So, I'm not sure I'm buying the access to resources stuff anymore.
Regarding the language barrier thing, perhaps that's an argument for English only, and the discouragement of using slang in our school systems. The hippop culture seen in many urban districts is completely detrimental to success in mainstream society. And no, that doesn't mean "white" society. But, we all need to play by the same rules. Just my two cents.