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April 29, 2019Teaching and Learning in Medicine

Racial/Ethnic Disparities in Clinical Grading in Medical School

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Authors

DLDaniel K. LowHealthpointSPSamantha W. PollackUniversity of WashingtonZLZachary C LiaoUniversity of Washington Medical Center

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Implication

Cohort study reveals persistent racial disparities in clinical clerkship grading among medical students, highlighting systemic evaluation bias affecting career advancement.

Key Points

  • To determine whether race and ethnicity are associated with clinical clerkship grades and Medical Student Performance Evaluation summary words after accounting for standardized test scores and student demographics.
  • Analyzed evaluation records of medical students at the University of Washington School of Medicine between July 2010 and June 2015.
  • Categorized students into White, underrepresented minorities (URM), and non-URM minority groups.
  • Applied ordinal logistic regression models to evaluate associations with clerkship grades and summary words while adjusting for age, gender, maternal education, graduation year, and USMLE Step 1 scores.
  • Non-URM minority students had significantly lower odds than White students of receiving a higher Medical Student Performance Evaluation summary word (adjusted OR = 0.53, 95% CI [0.36, 0.76], p = .001).
  • Significant grading disparities favoring White students over URM or non-URM minority students were present in four of six required clinical clerkships (p < .05).
  • Higher final clerkship grades consistently favored students who were White, female, younger, or had higher USMLE Step 1 or clerkship written examination scores across all adjusted models.

Cite This Study

Low et al. (2019) studied this question.

synapsesocial.com/papers/69dafa6b387cf70698688000https://doi.org/10.1080/10401334.2019.1597724
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