Black students applying and admitted to medicine in the province of Quebec, Canada: what do we know so far?

Leduc, Jean-Michel; Kpadé, Victoire; Bizimungu, Samantha; Bourget, Martine; Gauthier, Isabelle; Bourdy, Christian; Chetrit, Estelle; Razack, Saleem

doi:10.36834/cmej.72017

Cited by 7 publications

(2 citation statements)

References 7 publications

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“…German politics can benefit from experiences in other countries where strategies to increase the chances of students from disadvantaged backgrounds to study medicine have been implemented as briefly mentioned in the introduction under the name of “Widening Access” or “Widening Participation” [ 10 , 39 , 40 ]. In Canada, it is ensured that members of underrepresented groups are involved in the development and assessment of admission procedures [ 41 , 42 ]. In the Netherlands, the selection by lottery will be reintroduced after years of using admission tests [ 43 ].…”

Section: Discussionmentioning

confidence: 99%

German Physicians and Medical Students Do Not Represent the Population They Serve

et al. 2023

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Medical professionals who represent the communities they serve are in a better position to understand patients‘ social circumstances and communicate in a more patient-centered way. International studies show limited diversity and underrepresentation of certain social groups in the population of physicians and medical students. We designed an observational study to investigate the cultural and socio-economic diversity of physicians and medical applicants in comparison to the general population in Germany. We invited 15,195 physicians in Hamburg and 11,287 medical applicants in Germany to participate in an online survey between June and August 2022. The lower three quintiles of objective socio-economic background (SEB) were vastly underrepresented in all subsamples of the study and in particular amongst applicants and students admitted in Hamburg: 57.9% of physicians and 73.8% of medical students in Hamburg originate from the top quintile of SEB. The Turkish and Polish communities were particularly underrepresented in the group of physicians from Hamburg and medical applicants and students in Germany (p = 0.02; p < 0.001). In line with existing evidence, the vast majority of physicians and medical students come from the most affluent households when entering medical school. Widening participation strategies are needed to facilitate fairer access to the study of medicine in Germany.

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Section: Discussionmentioning

confidence: 99%

German Physicians and Medical Students Do Not Represent the Population They Serve

et al. 2023

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“…For instance, in Canada and Australia where Casper is also used there are different patterns in the distribution of race, degree of socioeconomic disadvantage, and patterns of language use. For instance, [ 52 ] found similar trends in Casper performance across many demographic groups, however French language use and proficiency was an area of significant investigation in the Canadian context. As such, the origin of these individuals and how that interacts with the region in which they apply are important areas of future investigation.…”

Section: Discussionmentioning

confidence: 99%

Impact of patterns of language use and socio-economic status on a constructed response Situational Judgment Test (SJT)

Pan,

Huang,

Laumbach

et al. 2023

PLoS ONE

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The study explored the impacts of patterns of language use (PLU) and socio-economic status (SES) on Casper, a constructed-response situational judgment test (SJT). 10,266 applicants from two U.S. medical schools were grouped into self-reported balanced bilinguals, unbalanced bilinguals, English monolinguals, and English as a Second Language (ESL) students. A multicomponent SES composite was used to assess the degree of socioeconomic disadvantage (DSD). Results from a hierarchical regression analysis showed that after accounting for demographic variables, both PLU and DED were significant factors on applicants’ Casper performance. Bilingualism was associated with better Casper performance compared to English monolinguals and ESL students. No significant effect of speaking English as a native language was found on applicants’ Casper performance. English monolinguals and ESL students performed equivalently on Casper. Finally, high DSD was associated with better Casper performance than low DSD, and the impact of DSD on Casper held the same across all four language groups. These findings provide evidence that socio-cultural factors, such as PLU and DSD have important impacts on SJT performance. Further research is needed to understand the role of differences in language construction across socio-cultural factors on constructed-response SJT performance.

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Associations between an open-response situational judgment test and performance on OSCEs and fieldwork: implications for admissions decisions and matriculant diversity in an occupational therapy program

Roduta Roberts,

Alves,

Chen

et al. 2024

BMC Med Educ

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Background Casper, an online open-response situational judgement test that assesses social intelligence and professionalism [ 1 ], is used in admissions to health professions programs. Method This study (1) explored the incremental validity of Casper over grade point average (GPA) for predicting student performance on objective structured clinical examinations (OSCEs) and fieldwork placements within an occupational therapy program, (2) examined optimal weighting of Casper in GPA in admissions decisions using non-linear optimization and regression tree analysis to find the weights associated with the highest average competency scores, and (3) investigated whether Casper could be used to impact the diversity of a cohort selected for admission to the program. Results Multiple regression analysis results indicate that Casper improves the prediction of OSCE and fieldwork performance over and above GPA (change in Adj. R 2 = 3.2%). Non-linear optimization and regression tree analysis indicate the optimal weights of GPA and Casper for predicting performance across fieldwork placements are 0.16 and 0.84, respectively. Furthermore, the findings suggest that students with a slightly lower GPA (e.g., 3.5–3.6) could be successful in the program as assessed by fieldwork, which is considered to be the strongest indicator of success as an entry-level clinician. In terms of diversity, no statistically significant differences were found between those actually admitted and those who would have been admitted using Casper. Conclusion These results constitute preliminary validity evidence supporting the integration of Casper into applicant selection in an occupational therapy graduate program. Supplementary Information The online version contains supplementary material available at 10.1186/s12909-024-06071-0.

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Black students applying and admitted to medicine in the province of Quebec, Canada: what do we know so far?

Cited by 7 publications

References 7 publications

German Physicians and Medical Students Do Not Represent the Population They Serve

German Physicians and Medical Students Do Not Represent the Population They Serve

Impact of patterns of language use and socio-economic status on a constructed response Situational Judgment Test (SJT)

Associations between an open-response situational judgment test and performance on OSCEs and fieldwork: implications for admissions decisions and matriculant diversity in an occupational therapy program

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