tag:blogger.com,1999:blog-1509187841033628660.post6834331250565010214..comments2024-03-27T17:04:47.058-07:00Comments on Medicine and Social Justice: Moving to Recovery By DesignJosh Freemanhttp://www.blogger.com/profile/10248920527894775520noreply@blogger.comBlogger3125tag:blogger.com,1999:blog-1509187841033628660.post-84629891906364290712013-06-25T07:34:09.299-07:002013-06-25T07:34:09.299-07:00Good point, Glenna.
One of the big things I have s...Good point, Glenna.<br />One of the big things I have said is that, if we are to have a medical population that "looks like America" (and I think that we should) we need to NOT take faculty children (on the whole; clearly there will be applicants from the professional class who have done great work in their lives as volunteers, etc.).Josh Freemanhttps://www.blogger.com/profile/10248920527894775520noreply@blogger.comtag:blogger.com,1999:blog-1509187841033628660.post-46826830516753331992013-06-23T09:54:10.047-07:002013-06-23T09:54:10.047-07:00https://www.aamc.org/download/142770/data/aibvol9_...https://www.aamc.org/download/142770/data/aibvol9_no10.pdf<br /><br />This study helps confirm your point also about the increasing concentration and exclusivity of medical students (more likely to come from educated backgrounds of higher income). <br /><br />One point worth mentioning is that although many of us acknowledge these inequities we are not willing to sacrifice to make them right. I know very few physicians who would be willing to have their own child rejected from medical school in favor of another student who was more likely to practice rural family medicine, be from an underrepresented background, etc. <br /><br />Furthermore, pipeline programs often don't lead to actual spots or admission to medical school, except at schools like UNM and others where once you are admitted to the undergraduate school you are guaranteed a spot at the medical school. <br /><br />Other than ratifying the treaty you mentioned, I would offer universal early childhood education as a possible solution as well. <br /><br />Thanks for your post!Glenna Martinhttps://www.blogger.com/profile/11946855452946969370noreply@blogger.comtag:blogger.com,1999:blog-1509187841033628660.post-9165281594650175612013-06-23T06:31:13.623-07:002013-06-23T06:31:13.623-07:00Very nice and succinct analysis of realities of wh...Very nice and succinct analysis of realities of where we have to begin as a country if we want to change the culture of medicine. Very much like the idea of normal distribution as a metaphor for how we should be working.<br /><br />The only thing I would add is to recognize that low income kids are heavily influenced by their families of origin. Our 16 yo grandson who goes to school in a rural county says that his friends are already beginning to settle for less than they could achieve because, in his words, "their parents lower their expectations rather than raise them". <br /><br />As family doctors and citizens in rural and urban communities, we need to work with parents of children to raise their hopes for their children, not settle for what is available. It means talking with parents from birth on, being in the community in various ways to help and support those who want more for their children, and find a way to make opportunity happen through advocacy and perseverence. Bowman beautifully outlines the issues, we need to find concrete, replicable and community by community solutions.johnjosehttps://www.blogger.com/profile/02007760329913046351noreply@blogger.com