Progress for whose future? the impact of the Flexner report on medical education for racial and ethnic minority physicians in the United States

Academic Medicine

Volumn 85, Issue 2, 2010, Pages 236-245

  Steinecke, Ann ^a   Terrell, Charles ^b  

^a Academic Affairs   (United States)

^b ASSOCIATION OF AMERICAN MEDICAL COLLEGES   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

EID: 76549121616     PISSN: 10402446     EISSN: None     Source Type: Journal    
DOI: 10.1097/ACM.0b013e3181c885be     Document Type: Article

References (43)

1. Plessy v Ferguson, 163 U.S. 537 (1896). Available at: http://caselaw.lp.findlaw.com/scripts/getcase.pl?court-US&vol-163& invol-537. Accessed October 20, 2009.
2. Flexner A. Medical Education in the United States and Canada: A Report to the Carnegie Foundation for the Advancement of Teaching. Bulletin No. 4. Boston, Mass: Updyke; 1910.
3. Kirch DG. A lesson in time: Strengthening our commitment to diversity. Reporter. 2007; 16(9):2.
4. Figure 9. Number of black U.S. physicians by gender and graduation year, 1950-2004. In: Castillo-Page L, ed. Diversity in the Physician Workforce: Facts & Figures 2006. Washington, DC: Association of American Medical Colleges; 2006.
5. Table 30: Total graduates by U.S. medical school and race and ethnicity, 2008. Available at: http://www.aamc.org/data/facts/2008/gradschlraceeth08.htm. Accessed October 20, 2009.
6. Figure 17: Number of women U.S. medical school graduates by race and ethnicity, 1996-2007. In: Castillo-Page L, ed. Diversity in Medical Education: Facts & Figures 2008. Washington, DC: Association of American Medical Colleges; 2008.
7. U.S. Census Bureau. State and Country Quick Facts. Available at: http://quickfacts.census. gov/qfd/states/00000.html. Accessed October 20, 2009.
8. Baker RB, Washington HA, Olakanmi O, et al. African American physicians and organized medicine, 1846-1968: Origins of a racial divide. JAMA. 2008;300:306-314.
9. Grutter v Bollinger et al. 539 U.S. 306 (2003).
10. Jaschik S. New challenge to affirmative action. Inside Higher Ed. November 14, 2006. Available at: http://www.insidehighered.com/news/2006/11/14/ princeton. Accessed October 20, 2009.
11. Klein J. Obama's victory ushers in a new America. Time. November 5, 2008. Available at: http://www.time.com/time/politics/article/0,8599,1856649,00.html. Accessed October 20, 2009.
12. Smedley BD, Stith AY, Nelson AR, eds. Unequal Treatment: Confronting Racial and Ethnic Disparities in Health Care. Washington, DC: The National Academies Press; 2003.
13. Saha S, Guiton G, Wimmers PF, Wilkerson L. Student body racial and ethnic composition and diversity-related outcomes in U.S. medical schools. JAMA. 2008;300:1135-1145.
14. Whitla DK, Orfield G, Silen W, Teperow C, Howard C, Reede J. Educational benefits of diversity in medical school: A survey of students. Acad Med. 2003;78:460-466.
15. Health Resources and Services Administration, Bureau of Health Professions. The Rationale for Diversity in the Health Professions: A Review of the Evidence. Washington, DC: U.S. Department of Health and Human Services; 2006.
16. Kirch DG, Vernon DJ. The ethical foundation of American medicine: In search of social justice. JAMA. 2009;301:1482-1484.
17. Lerner G. Why History Matters: Life and Thought. New York, NY: Oxford University Press; 1998.
18. Byrd WM, Clayton LA. An American Health Dilemma: Race, Medicine, and Health Care in the United States 1900-2000. New York, NY: Routledge; 2002.
19. Hiatt MD. The amazing logistics of Flexner's fieldwork. Available at: http://www.jpands.org/hacienda/hiatt.html. Accessed October 20, 2009.
20. Savitt T. Abraham Flexner and the black medical schools. In: Barzansky B, Gevitz N, eds. Beyond Flexner: Medical Education in the Twentieth Century. New York, NY: Greenwood Press; 1992:65-81.
21. Minority graduates by U.S. medical school, 1950-1998. In: Minority Graduates of U.S. Medical School: Trends, 1950-1998. Washington, DC: Association of American Medical Colleges; 2000:31-34.
22. Ogletree CJ. All Deliberate Speed: Reflections on the First Half Century of Brown v. Board of Education. New York, NY: W.W. Norton & Co.; 2004.
23. Cobb WM. "What hath God wrought": Position reversals by the AMA and the AAMC. J Natl Med Assoc. 1968;60: 518-521.
24. Jones CP. Levels of racism: A theoretical framework and a gardener's tale. Am J Public Health. 2000;90:1212-1215.
25. King ML. Presentation at the Second National Convention of the Medical Committee for Human Rights; March 25, 1966; Chicago, Ill.
26. Joint AMA-AAMC statement on health manpower. J Med Educ. 1968;43:506-507.
27. Johnson DG, ed. Minority Student Opportunities in United States Medical Schools, 1969-1970. Washington, DC: Association of American Medical Colleges; 1969.
28. McGaghie WC. Assessing readiness for medical education: Evolution of the Medical College Admission Test. JAMA. 2002;288: 1085-1090.
29. Cobb WM. The establishment, the negro and education. J Natl Med Assoc. 1968;60:320-331.
30. Tienda M. College admission policies and the educational pipeline: Implications for medical and health professions. In: Smedley BD, Stith AY, Colburn L, Evans CH, eds. The Right Thing to Do, the Smart Thing to Do: Enhancing Diversity in the Health Professions. Washington, DC: National Academy Press; 2001;117-142.
31. Coleman AL, Palmer SR, Winnick SY. Roadmap to Diversity: Key Legal and Educational Policy Foundations for Medical Schools. Washington, DC: Association of American Medical Colleges; 2008.
32. Project 3000 by 2000 Technical Assistance Manual: Guidelines for Action. Washington, DC: Association of American Medical Colleges; 1992.
33. Steinecke A, Terrell C. After affirmative action: Diversity at California medical schools. AAMC Analysis in Brief. September 2008;8:1-2.
34. Schein EL. Organizational Culture and Leadership. 3rd ed. New York, NY: John Wiley and Sons; 2004.
35. The Aspen Institute. Structural Racism and Community Building. Washington, DC: The Aspen Institute; 2004.
36. Applebome P. Scholar and witness: John Hope Franklin reshaped the study of black history in America. New York Times. March 29, 2009:Week in Review, 1, 5.
37. Steele CM, Aronson J. Stereotype threat and the intellectual test performance of African Americans. J Pers Soc Psychol. 1995;69:797-811.
38. Page SE. The Difference: How the Power of Diversity Creates Better Groups, Firms, Schools, and Societies. Princeton, NJ: Princeton University Press; 2007.
39. Johnson LM. Minority Student Opportunities in U.S. Medical Schools. Washington, DC: Association of American Medical Colleges; 2007.
40. Cleveland EF, Steinecke A. Lessons learned from the Health Professions Partnership Initiative (HPPI), 1996-2005. Acad Med. 2006;81(suppl):S1-S61.
41. Michener JL, Yaggy S, Lyn M, et al. Improving the health of the community: Duke's experience with community engagement. Acad Med. 2008;83:408-413.
42. Cobb WM. Integration in medicine: A national need. J Natl Med Assoc. 1957;49: 1-7.
43. Liaison Committee on Medical Education. Accreditation standard IS-16. Available at: http://www.lcme.org/standard.htm. Accessed October 20, 2009.