Diversifying Medical Education

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Department of Health and Mental Hygiene - Maryland s 4th Annual Health Disparities Statewide Conference Workforce and Cultural Diversity: A Public Health Forum Diversifying Medical Education E. Albert Reece, MD, PhD, MBA Vice President for Medical Affairs, University of Maryland John Z. and Akiko K. Bowers Distinguished Professor and Dean, School of Medicine April 24, 2007 Martin s West Baltimore, Maryland

1807-2007

is Committed to Diversity Faculty, staff and students developed these clear statements on diversity as part of the School of Medicine s Strategic Plan, which is widely disseminated. SOM Vision We will seek excellence and innovation in Education, Research and Patient Care through the recruitment, development and retention of talented, culturally diverse faculty, staff, trainees and students. SOM Values The school will ensure diversity of faculty, trainees, staff and students.

The quality of the educational experience is enriched by the composition of the student body; therefore we must pay particular attention to the quality and diversity of applicants.

SOM Underrepresented (URM) Full-Time Faculty 1992 2006 Percentage 9% 8% 7% 6% 5% 4% 3% 2% 1% 0% 3.5% SOM has consistently performed above the national average. 5.0% 6.0% 6.3% 6.6% 7.1% 7.8% 1992 1996 2000 2003 2004 2005 2006

SOM Underrepresented (URM) Medical Students 1st Year Class, 1996-2006 20% 18% 16% 14% 12% 10% 8% 6% 4% 2% 0% 19% 15% SOM has consistently performed above the national average. 15% 13% 12% 8% 11% 19% 13% 17% 16% 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 SOM Average : 14% National Average: 12% AAMC Data Book, April 2006

Why have we been successful and what are we doing?

The Institutional Climate

Minority Leadership Medical School Leadership is sensitive and committed to the need for increased diversity. 12% Department Chairs 19% Assistant/Associate Dean

SOM has a welcoming environment for all students, faculty and postdoctoral fellows. Minority students and faculty serve on SOM governance bodies and committees. Student National Medical Association: established in 1964 and focuses on the needs, concerns and issues of URM students. Opportunities for minority students and faculty to network through the Minorities in Medicine Series. Other venues.

The Admissions Process

SOM Admissions Committee Diverse membership. Strong efforts to sensitize faculty and student interviewers by conducting seminars on importance of diversity in the education process.

Reducing the Financial Barriers is a Priority SOM Diversity Scholarship: Average was $21,600/year, for four years. SOM Development Office is working to increase student scholarship funding. A Scholarship Committee oversees the award process for talented disadvantaged and minority students. Still A Significant Factor

Redesigned SOM Admission s Publications With Appeal To A Diverse Applicant Pool

Recruitment Visits Regional Summer Enrichment Programs for underrepresented and disadvantaged students to encourage careers in science. Historically Black Colleges and Universities (HBCUs). Regional colleges and universities producing the highest number of URM students going to medical school.

Minority & Disadvantaged Student Recruitment Activities Meyerhof Summer Bridge Program -Designed to highlight the strengths at the SOM and encourage careers as physicians and scientists Summer Research Programs -Interaction and follow up with students from SOM summer program which includes a number of minority and disadvantaged students

Program Initiatives to Support Diversity: 1. Career Fairs 2. Tours of Schools 3. Summer Research 4. SNMA 5. Pre-Matriculation Summer Program 6. Mini-Medical Schools

Attend Careers Fairs -elementary -middle school -high school -college and university graduate and professional schools Host Tours for elementary, middle and junior high school students to provide opportunities to learn about careers in the health professions Summer Research Program -Vivian Thomas Medical Arts Academy Places 30 students with SOM faculty to provide research and lab experience

Student National Medical Association (SNMA) Host minority applicants during their interview visits Works with the Student Research Office to encourage youth in Baltimore to access the following programs: Youth Scientist Enrichment Program Health Professions Recruitment and Exposure Program Prematriculation Summers Program (PSP) Assist incoming students gain a head start in course work Recruits URM students as teachers in the program Recruits African-American teachers for the program

University of Maryland SOM Mini-Med New High School Mini-Medical School Provides high school students with interactive classroom instruction on medical subjects. The classes are taught by SOM medical students. Participants learn: Different health subject that can impact families and communities How to break cycles of health care disparities and create positive change in their families and communities How to take an active role in maintaining their own health

Mini-Med School Year 2001 2002 2003 2004 2005 2006 Participants 80 120 150 160 165 150 Baltimore: Fall Fall 2000 2000 Fall Fall 2007 2007 Eastern Eastern Shore: Shore: Fall Fall 2004, 2004, 2005 2005 & 2006 2006 Western Maryland: Spring Spring 2005 2005 & 2006 2006 Montgomery County: Mini-Med in in Spanish Fall Fall 2005 2005 Southern Maryland: Fall Fall 2006 2006 --Mini-Med for for Kids Kids August August --Mini-Med for for high high school school students --2007 2007 More students are participating from elementary, middle, high schools and colleges

Enhancing Cultural Competency in the Medical School Curriculum We addressed cultural competency in SOM curriculum revision of 1994-1998 During orientation medical students receive lectures and exercises which address: cultural diversity minority health health disparities During the 1 st year: students focus on how to interview patients directly address cultural issues and the need for competence in this area

Enhancing Cultural Competency in the Medical School Curriculum (cont.) During the 2 nd year students learn the fundamentals of disease entities information on emerging disparities in the literature is imparted During the 4 th year students rotate in Area Health Education Center (AHEC) in underserved areas where minority health and health disparities are a primary concern. Eastern Shore Western Maryland Baltimore City

SOM Program in Minority Health and Health Disparities Education and Research (PMHHD) Est. 2006 Directed by Donald E. Wilson, MD, MACP, dean emeritus Built upon the existing Center for Health Disparities, directed by: Claudia Baquet, MD, MPH Professor of Medicine Associate Dean for Policy and Planning

Why Have We Been Successful? Summary: Commitment to diversity from leadership and the SOM organization Emphasis on diversity in SOM Strategic Plan Meaningful representation of minorities in leadership positions and on policy making committees Revised curriculum includes cultural competency segments throughout the curriculum

Why Have We Been Successful? Summary: Support for special training programs for minorities and disadvantages students who are interested in careers in science and medicine Faculty serve as mentors and role models for students Development of support program for students who are having academic difficulties, including individual counseling, tutorial programs etc. Development of Program in Minority Health and Health Disparities Education and Research

Are We There Yet? The Future of Our Nation Depends on a Diverse, Multi-Cultural Workforce

Thank you! America s Oldest Public Medical School Bicentennial Celebration 1807-2007 Where Discoveries Make Better Medicine