The Impact of a Holistic Review Process on a New Medical School PDF
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Published on 2016 by
Diversity in the physician workforce lags behind the rapidly changing US population. Since the gateway to a career in medicine is medical school, diversity must be addressed in the admissions process. Many medical school admissions committees are changing the way they review applications. While academic preparation remains a key indicator of success, schools seek students with additional attributes and experiences that demonstrate they are poised to meet the needs of a diverse patient population. Restricting admission to applicants with the highest academic credentials unnecessarily eliminates students from the application pool who may contribute to diversity and the care of medically underserved communities. In this study, I examined the holistic admissions review process at a new medical school. Holistic review involves evaluating applicants based on mission-driven criteria including experiences, attributes, and academic metrics. Using data from the first five application cycles, I compared the demographic and experiential differences between the applicants selected using holistic review to a test sample selected using academic metrics. The dataset consisted of 4,342 applicants divided into three groups: holistic review, academic selection, and the overlap group comprised of applicants selected using both holistic review and academic selection. I compared these three groups by different characteristics including gender, disadvantaged status, parental education, race and ethnicity, age, educational level, service activities, and paid employment experiences. Further, I analyzed student outcomes to understand whether students selected holistically were as successful as their peers nationally. Results indicated that holistic review created a more diverse pool of students in terms of race and ethnicity, gender, disadvantaged status, and first-generation college status. And, holistically selected applicants spent more time in premedical experiences such as community service and paid employment. Importantly, the first class of students selected using holistic review met or exceeded traditional benchmarks for medical student outcomes including USMLE Step scores, 4-year graduation rate, and residency match. These findings support the use of a holistic review process in diversifying the medical student population and the physician workforce.
This Book was ranked at 11 by Google Books for keyword Holistic Medicine.
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