DISCLAIMER: People will probably be offended in the following post, respond without flame. if we are to have a URM discussion here and open up pandora's box, then lets do it civil. If you're the type to start name calling and trolling, then skip the post. 🙂
Another URM debate? I guess we see this everywhere we go. The real issue at hand, is beyond what alot of the arguments have been made here. This country's history has set into motion, the gears that ultimately put races in this country on different playing fields. This is a tenet of our society that most of our would probably agree with, as it is firmly grounded in history. That said, the primary reason for the nebulous URM "advantage" to be existent, is found right in the definition of U.R.M., that is, Underrepresented Minorities. Having Affirmative Action in schools is not to make the doctor population more colorful and diverse because it looks better on the cover of Admissions Catalogs of US Doctors Weekly or on med school websites to show that "hey, we too, can show how diverse we are, we have minority students! Look, he or she even studies just like us! Silly minority". The argument goes way beyond GPA/MCAT as a means of gauging how good a doctor he or she will become. What the argument DOES entail is that there is an alarming lack of minority doctors to practice in underserved areas where their race/ethnicity are predominant. Has anyone here read "The Spirit Catches you and You fall Down" by Anne Fadiman? It talks alot about doctor mistrust, and lack of cultural/ethnic connections between doctors and their patients, and as a result, often leads to tragedy. The fact of the matter is, non-caucasian first generation immigrants, and even second and third generation that have continued to live in these underrepresented areas have a strong mistrust for caucasians, especially those in power positions such as politician, lawyer, doctor. Be it misguided, naive, or justified is besides the point. What the point is, the purpose of the URM status is to hopefully get URMs to one day practice in those areas. Now granted, there is alot of heresay and conjecture about the unfairness of the URM "advantage" (most often, the argument swings towards acceptances with lower GPAs/MCATs), however, one must take into account socioeconomic factors (HUGE ROLE in academics). Many URMs are also the first amongst family, friends and often even in the community to make it to the level of applying to medical school, and thus, often comes without many of the guided advantages that many non-URMs have, whose parents/relatives/friends/coworkers/community have attended college, some of which have received advanced degrees. I know plenty of people that are not URMs (myself included) that are the first to pave the way into college and go into medicine. But, I can speak for those that I do know, that they have the necessary resources from friends' families, some relatives, someone, somewhere out there that can provide some form of guidance that URMs may not have, or have in a similar way. Hell, SDN itself is a great tool that I know many of my URM friends did not know about- either because their group of friends aren't into academics or medicine, lackof computer/internet access at home, etc... Granted, ALL of us would love it, to see if one day, the United States became socioeconomically homogenous, and all that would come into play is ONLY mcats/gpas/ECs/etc.. but the fact of the matter is, if you ever took a walk through a financially diverse place like New York City, from wall street to Washington Heights or Harlem, you'll see, at the grassroots level, the striking differences between color/URM and socioeconomics. You'll see it every city you go to across America. Find me a Kaplan center, or a quiet library with all types of medical books, or a nice barnes and noble that doesn't have windows barred up, and I'll probably consider you really really good at finding Waldo in Where's Waldo. In that same area, count how many liquor stores/pawn shops/barred up, graffitied up bodegas/other unfriendly atmospheres and I'll probably tell you to go see an optometrist because you probably didn't even get half. Now in those same poor areas, look for the doctors that practice there. I can almost guarantee you that the URM doctor will garner more patients any given day in that area, serving URM patients. Imagine yourself there as a non-URM, and then tell me, would you really want to practice there? Or would you rather practice somewhere else, which could just be as equally as poor, but whose population consists of your race/ethnicity. You could say that you don't see color, and that you'll treat everyone the same. But you have to be realistic, anyone who doesnt see color is blind. In addition, it doesn't even come down to you, patient's themselves have just as much bias as anyone else. It basically comes down to treating people who you can identify with and can identify with you. A URM patient would more likely feel comfortable with people who are like people from his or her own community- hence a URM physician & vice versa. If you can find me any document out there which says that URM doctors have higher malpractice suits than non-URM doctors, then the jig is up. But if practicing medicine has taught us anything, in the end, being a doctor is less about your scores in college getting into medical school, and more about knowing how to identify with your patient, communicate with him or her, get an accurate HPI, and pull out anything a patient is hiding/forgetting/not communicating. Medicine is half science and half communication- if having a URM doctor as a URM patient successfully facilities the latter, who's complaining? Thinking that being a URM or non URM doctor treating a community not like them, the same as treating a community that is like them is a naive notion that you'll quickly learn is untrue if you ever do an away rotation somewhere completely different than your surroundings- this goes both ways. Having an "all white" postbac would make sense if white people were a minority in the country, and thus needed a representative doctor to serve their community, that looks, talks, thinks like them. Having an "all URM" postbac in that particular country, would thus, make no sense because, why have an exclusive group if "URMs" are the majority and does not need to be specially addressed in terms of representative healthcare. Not so in our current America.
Using as an excuse that a URM "took my spot" is hardly a valid one given that the URM quota gives them few seats anyways. If you were balancing on the thin line between acceptance and rejection, don't blame it on the URM, and blame yourself for not applying more broadly to more schools across the country. That way, if rejections rang across the board, it's certainly not the URM to blame anymore, but upon yourself.