Three Things Schools Should Do to Make Advancement Assessment Just
Marjorie Westervelt1, Darius Billingsley2, Maya London3
1Director of assessment, evaluation, and scholarship at the University of California, Davis.
AMA Journal of Ethics
|January 24, 2022
Summary
Student advancement in medical schools often harms equity, despite a focus on admissions. Focusing on retention, progression, and career milestones is crucial for justice in medical education.
Area of Science:
- Medical Education
- Health Equity
- Physician Workforce Development
Background:
- While medical school admissions focus on diversifying the physician workforce, student advancement processes are often overlooked.
- Neglecting student advancement may perpetuate inequities within medical education.
Purpose of the Study:
- To analyze how student advancement assessment in American medical schools can undermine equity.
- To identify key areas within student advancement that require focus to promote justice.
Main Methods:
- Literature review and analysis of common practices in medical school student advancement.
- Examination of retention, progression, and career advancement milestones.
Main Results:
- Student advancement processes, including retention and progression, frequently create barriers to equity.
- Milestones in career advancement also present challenges to equitable outcomes.
Conclusions:
- Addressing inequities in student advancement is as vital as admissions reform for achieving justice in medical education.
- Focusing on retention, student progression, and career advancement is essential for diversifying the physician workforce.
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