最高裁判所の2023年の肯定的な行動判決の後の医学部入学
Mytien Nguyen1, Alexandra M Hajduk2, Tonya L Fancher3
1Department of Immunobiology, Yale School of Medicine, New Haven, Connecticut.
JAMA network open
|August 26, 2025
まとめ
肯定行動に関する2023年の最高裁判所の裁定は,米国の医学部での不十分な代表 (URiM) 学生の入学率の減少につながった. この研究では 受け入れ率の格差が 明らかになったことが分かりました 特に前もって肯定的な行動禁止が なかった州ではそうです
科学分野:
- 医学教育
- 健康に関する公平性
- 教育社会学
背景:
- アメリカ合衆国最高裁判所 (SCOTUS) の2023年の判決は,大学入学における人種に基づく肯定的な行動を大幅に制限した.
- この決定は大学院医学教育の多様性に影響を及ぼす可能性があります.
- 医学部入学への影響を理解することは 医者の多様な人材を維持するために 極めて重要です
研究 の 目的:
- 米国医学博士 (MD) 授与プログラムの申請,受理,入学率を分析する.
- 2023年のSCOTUSの決定前後の割合を比較する.
- 裁定後の 医学部入学者の人口統計的変化を 特定するためです
主な方法:
- アメリカ医科大学協会の非特定データを利用した遡及的横断研究.
- この分析には,2019年から2023年までの (裁定前) および2024年 (裁定後) の米国MD授与医療学校への申請者および入学者が含まれていた.
- 重要な成果の指標は,人種・民族間の応募,受け入れ,入学率でした.
主要な成果:
- 2024年には,白人およびアジア人申請者の受理率は増加したが,黒人および医学 (URiM) に代表されていない申請者の受理率は2019-2023年と比較して減少した.
- URiMの申請者は,白人とアジア人申請者より2024年に著しく低い受け入れ率に直面しました.
- URiMの学生の代表は2024年に3.56パーセントポイント減少し,URiMの学生が503人減少した.
結論:
- 2023年のSCOTUS判決は,URiMの学生の米国医学部入学率の低下と関連していました.
- URiMの申請者に対する受け入れ率の格差は,判決の後に観察されました.
- SCOTUSの決定と,特に特定の州の文脈で,医学学校の入学における人口学的変化の間の関連が示唆されています.
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