Skip to main content

Advertisement

Log in

Disparities in race/ethnicity and gender among medical student graduation award recipients

  • Original Article
  • Published:
Global Surgical Education - Journal of the Association for Surgical Education Aims and scope Submit manuscript

Abstract

Introduction

Recent studies have highlighted racial and gender disparities in the distribution of awards received across the spectrum of medical education. However, the associations between demographics and institution-specific graduation awards have not been well examined. This study investigated the relationships between race/ethnicity and gender with the receipt of medical school awards.

Methods

This cross-sectional study analyzed the distribution of graduation awards received by 2013–2017 graduates at a United States medical school affiliated with a research intensive, tertiary academic medical center. Self-reported race/ethnicity and gender, Medical College Admission Test (MCAT) score, undergraduate Grade Point Average (GPA), the time between college and medical school, financial need, and other graduate variables were extracted. These features were merged with data on graduation awards received, which were categorized as Clinical, Humanism, Scholastic, or Research awards. Bivariate associations were investigated between each graduate variable and award type. Logistic regression models were built to investigate the adjusted odds of award receipt.

Results

794 graduates and 587 awards for Clinical, Humanism, Scholastic, or Research excellence were identified. Differences were found across race/ethnicity for the distribution of Clinical (p = 0.002) and Scholastic (p = 0.003) awards and across gender for Clinical (p = 0.011), Humanism (p < 0.001) and Research (p = 0.001) awards. These differences persisted after adjusting for MCAT score, GPA, and time between college completion and medical school matriculation.

Conclusions

This study identified significant differences in the distribution of medical school graduation awards across race/ethnicity and gender identities. Our findings suggest challenges with the inclusivity of the learning environment and underscore the need for more equitable practices that better support opportunities for success and selection processes for all students.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. 2021 AMCAS Applicant Guide. American Association of Medical Colleges. https://aamc-orange.global.ssl.fastly.net/production/media/filer_public/8d/5d/8d5dfefb-617f-41fa-97e5-4e934cc644c4/final_amcas_2021_applicant_guide_42220.pdf. Accessed Dec 2021.

  2. Accreditation Council for Graduate Medical Education. Data Resource Book: Academic Year 2019–2020.

  3. Bertrand M, Mullainathan S. Are Emily and Greg More Employable Than Lakisha and Jamal? A field experiment on labor market discrimination. Am Econ Rev. 2004;94(4):111.

    Article  Google Scholar 

  4. Boatright D, Ross D, O’Connor P, Moore E, Nunez-Smith M. Racial disparities in medical student membership in the Alpha Omega Alpha Honor Society. JAMA Intern Med. 2017;177(5):659. https://doi.org/10.1001/jamainternmed.2016.9623.

    Article  Google Scholar 

  5. Brancati FL, Mead A. Early predictors of career achievement in academic medicine. 5.

  6. Brown D. Office for Health Equity and Inclusion Annual Report. Michigan Medicine. 2018. https://ohei.med.umich.edu/sites/default/files/files/downloads/OHEI%202018%20Annual%20Report_0.pdf. Accessed Jan 2022.

  7. Butler J. Performative acts and gender constitution: an essay in phenomenology and feminist theory. Theatr J. 1988;40(4):519. https://doi.org/10.2307/3207893.

    Article  Google Scholar 

  8. Carli LL, Alawa L, Lee Y, Zhao B, Kim E. Stereotypes about gender and science: women ≠ scientists. Psychol Women Q. 2016;40(2):244–60. https://doi.org/10.1177/0361684315622645.

    Article  Google Scholar 

  9. Carr PL, Raj A, Kaplan SE, Terrin N, Breeze JL, Freund KM. Gender differences in academic medicine: retention, rank, and leadership comparisons from the national faculty survey. Acad Med. 2018;93(11):1694–9. https://doi.org/10.1097/ACM.0000000000002146.

    Article  Google Scholar 

  10. Cifu AS, Dorsey C, Humphrey HJ. Alpha Omega Alpha in the 21st Century: one school’s approach. Acad Med. 2020;95(12S):S136–8. https://doi.org/10.1097/ACM.0000000000003693.

    Article  Google Scholar 

  11. Cohen SL, Bunker KA. Subtle effects of sex role stereotypes on recruiters’ hiring decisions. 7.

  12. Conrad SS, Addams AN, Young GH. Holistic review in medical school admissions and selection: a strategic, mission-driven response to shifting societal needs. Acad Med J Assoc Am Med Coll. 2016;91(11):1472–4. https://doi.org/10.1097/ACM.0000000000001403.

    Article  Google Scholar 

  13. DeCroff CM, Mahabir RC, Zamboni WA. The impact of Alpha Omega Alpha membership on successfully matching to residency. Plast Reconstr Surg. 2010;126(2):113e–4e. https://doi.org/10.1097/PRS.0b013e3181de23e5.

    Article  CAS  Google Scholar 

  14. Deville C, Hwang W-T, Burgos R, Chapman CH, Both S, Thomas CR. Diversity in graduate medical education in the United States by race, ethnicity, and sex, 2012. JAMA Intern Med. 2015;175(10):1706. https://doi.org/10.1001/jamainternmed.2015.4324.

    Article  Google Scholar 

  15. Dorothy ER. Fatal invention: how science, politics, and big business re-create race in the twenty-first century. New York: New Press; 2011.

    Google Scholar 

  16. Fang D, Moy E, Colburn L, Hurley J. Racial and ethnic disparities in faculty promotion in academic medicine. JAMA. 2000;284(9):1085–92.

    Article  CAS  Google Scholar 

  17. Fee Assistance Program Essentials: Calendar Year 2021. Association of American Medical Colleges. https://aamc-orange.global.ssl.fastly.net/production/media/filer_public/2b/93/2b93531e-99ca-4a1a-b225-69a24367148d/2021_aamc_fee_assistance_program_essentials.pdf

  18. Figure 1. Percentage of applicants to U.S. medical schools by sex, academic years 1980–1981 through 2018–2019. AAMC. https://www.aamc.org/data-reports/workforce/interactive-data/figure-1-percentage-applicants-us-medical-schools-sex-academic-years-1980-1981-through-2018-2019. Accessed 28 Feb 2021.

  19. Figure 6. Percentage of acceptees to U.S. medical schools by race/ethnicity (alone), academic year 2018–2019. American Association of Medical Colleges. https://www.aamc.org/data-reports/workforce/interactive-data/figure-6-percentage-acceptees-us-medical-schools-race/ethnicity-alone-academic-year-2018-2019. Accessed 28 Feb 2021.

  20. Gerull KM, Enata N, Welbeck AN, Aleem AW, Klein SE. Striving for inclusive excellence in the recruitment of diverse surgical residents during COVID-19. Acad Med. 2020. https://doi.org/10.1097/ACM.0000000000003812.

    Article  Google Scholar 

  21. Gerull KM, Loe M, Seiler K, McAllister J, Salles A. Assessing gender bias in qualitative evaluations of surgical residents. Am J Surg. 2019;217(2):306–13. https://doi.org/10.1016/j.amjsurg.2018.09.029.

    Article  Google Scholar 

  22. Ginther DK, Schaffer WT, Schnell J, Masimore B, Liu F, Haak LL, Kington R. Race, ethnicity, and NIH research awards. Science. 2011;333(6045):1015–9.

    Article  CAS  Google Scholar 

  23. Glazer G, Danek J, Michaels J, Bankston K, Fair M, Johnson S, Nivet M (2014) Holistic admissions in the health professions: Findings from a national survey. Urban Universities for HEALTH. http://urbanuniversitiesforhealth.org/media/documents/Holistic_Admissions_in_the_Health_Professions_final.pdf

  24. Grabowski CJ. Impact of holistic review on student interview pool diversity. Adv Health Sci Educ. 2018;23(3):487–98. https://doi.org/10.1007/s10459-017-9807-9.

    Article  Google Scholar 

  25. Herbert WN, Timothy PR, Robert GP. Project 3000 by 2000: racial and Ethnic Diversity in US Medical Schools. N Engl J Med. 1994;18(331):472–6. https://doi.org/10.1056/NEJM199408183310712.

    Article  Google Scholar 

  26. Jackson L. Social inclusivity—medical education’s next hurdle. Med Educ. 2021;55(3):283–5. https://doi.org/10.1111/medu.14430.

    Article  Google Scholar 

  27. Jagsi R. Sex differences in attainment of independent funding by career development awardees. Ann Intern Med. 2009;151(11):804. https://doi.org/10.7326/0003-4819-151-11-200912010-00009.

    Article  Google Scholar 

  28. Jagsi R, Guancial EA, Worobey CC, Henault LE, Chang Y, Starr R, Tarbell NJ, Hylek EM. The “Gender Gap” in authorship of academic medical literature—a 35-year perspective. N Engl J Med. 2006;355(3):281–7. https://doi.org/10.1056/NEJMsa053910.

    Article  CAS  Google Scholar 

  29. Kaplan SE, Raj A, Carr PL, Terrin N, Breeze JL, Freund KM. Race/ethnicity and success in academic medicine: findings from a longitudinal multi-institutional study. Acad Med J Assoc Am Med Coll. 2018;93(4):616.

    Article  Google Scholar 

  30. King JT, Angoff NR, Forrest JN, Justice AC. Gender disparities in medical student research awards: a 13-year study from the yale school of medicine. Acad Med. 2018;93(6):911–9. https://doi.org/10.1097/ACM.0000000000002052.

    Article  Google Scholar 

  31. Kleshinski J, Khuder SA, Shapiro JI, Gold JP. Impact of preadmission variables on USMLE step 1 and step 2 performance. Adv Health Sci Educ. 2009;14(1):69–78. https://doi.org/10.1007/s10459-007-9087-x.

    Article  Google Scholar 

  32. Kuo LE, Lyu HG, Jarman MP, Melnitchouk N, Doherty GM, Smink DS, Cho NL. Gender disparity in awards in general surgery residency programs. JAMA Surg. 2020. https://doi.org/10.1001/jamasurg.2020.3518.

    Article  Google Scholar 

  33. Lett LA, Murdock HM, Orji WU, Aysola J, Sebro R. Trends in racial/ethnic representation among US medical students. JAMA Netw Open. 2019;2(9): e1910490. https://doi.org/10.1001/jamanetworkopen.2019.10490.

    Article  Google Scholar 

  34. Lucey CR, Saguil A. The consequences of structural racism on MCAT scores and medical school admissions: the past is prologue. Acad Med. 2020;95(3):351–6. https://doi.org/10.1097/ACM.0000000000002939.

    Article  Google Scholar 

  35. Lynch G, Holloway T, Muller D, Palermo A-G. Suspending student selections to alpha omega alpha honor medical society: how one school is navigating the intersection of equity and wellness. Acad Med. 2020;95(5):700–3. https://doi.org/10.1097/ACM.0000000000003087.

    Article  Google Scholar 

  36. Medical Minority Applicant Registry (Med-MAR). https://students-residents.aamc.org/choosing-medical-career/article/medical-minority-applicant-registry-med-mar/. Accessed 28 Feb 2021.

  37. Ray R, Brown J. Reassessing student potential for medical school success: distance traveled, grit, and hardiness. Mil Med. 2015;180(suppl 4):138–41. https://doi.org/10.7205/MILMED-D-14-00578.

    Article  Google Scholar 

  38. Roadmap to excellence: key concepts for evaluating the impact of medical school holistic admissions. American Association of Medical Colleges. 2013. https://store.aamc.org/downloadable/download/sample/sample_id/198/

  39. Roberson QM. Disentangling the meanings of diversity and inclusion in organizations. Group Org Manag. 2006;31(2):212–36. https://doi.org/10.1177/1059601104273064.

    Article  Google Scholar 

  40. Rojek AE, Khanna R, Yim JWL, Gardner R, Lisker S, Hauer KE, Lucey C, Sarkar U. Differences in narrative language in evaluations of medical students by gender and under-represented minority status. J Gen Intern Med. 2019;34(5):684–91. https://doi.org/10.1007/s11606-019-04889-9.

    Article  Google Scholar 

  41. Rubright JD, Jodoin M, Barone MAM. Examining demographics, prior academic performance, and United States Medical licensing examination scores. Acad Med. 2019;94(3):364–70. https://doi.org/10.1097/ACM.0000000000002366.

    Article  Google Scholar 

  42. Smith DG. Building institutional capacity for diversity and inclusion. Acad Med. 2012;87(11):1511–5. https://doi.org/10.1097/ACM.0b013e31826d30d5.

    Article  Google Scholar 

  43. Teherani A, Harleman E, Hauer KE, Lucey C. Toward creating equity in awards received during medical school: strategic changes at one institution. Acad Med. 2020;95(5):724–9. https://doi.org/10.1097/ACM.0000000000003219.

    Article  Google Scholar 

  44. Teherani A, Hauer KE, Fernandez A, King TE, Lucey C. How small differences in assessed clinical performance amplify to large differences in grades and awards: a cascade with serious consequences for students underrepresented in medicine. Acad Med. 2018;93(9):1286–92. https://doi.org/10.1097/ACM.0000000000002323.

    Article  Google Scholar 

  45. Terregino CA, Copeland HL, Laumbach SG, Mehan D, Dunleavy D, Geiger T. How good are we at selecting students that meet our mission? Outcomes of the 2011 and 2012 entering classes selected by a locally developed multiple mini interview. Med Teach. 2018;40(12):1300–5. https://doi.org/10.1080/0142159X.2018.1436165.

    Article  Google Scholar 

  46. Whiteford G, Shah M, Sid Nair C. Equity and excellence are not mutually exclusive: a discussion of academic standards in an era of widening participation. Qual Assur Educ. 2013;21(3):299–310. https://doi.org/10.1108/QAE-Apr-2012-0020.

    Article  Google Scholar 

  47. Wijesekera TP, Kim M, Moore EZ, Sorenson O, Ross DA. All other things being equal: exploring racial and gender disparities in medical school honor society induction. Acad Med. 2019;94(4):562–9. https://doi.org/10.1097/ACM.0000000000002463.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Gurjit Sandhu.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Highet, A., Solano, Q.P., Kurtz, J. et al. Disparities in race/ethnicity and gender among medical student graduation award recipients. Global Surg Educ 1, 24 (2022). https://doi.org/10.1007/s44186-022-00024-1

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • DOI: https://doi.org/10.1007/s44186-022-00024-1

Keywords

Navigation