Medical school applicants from ethnic minority groups: identifying if and when they are disadvantaged

McManus, I.C., Richards, P., Winder, B.C. ORCID: 0000-0002-9118-679X, Sproston, K.A. and Styles, V., 1995. Medical school applicants from ethnic minority groups: identifying if and when they are disadvantaged. BMJ, 310 (6978), pp. 496-500. ISSN 0959-8138

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Objective: To assess whether people from ethnic minority groups are less likely to be accepted at British medical schools, and to explore the mechanisms of disadvantage.
Design: Prospective study of a national cohort of medical school applicants.
Setting: All 28 medical schools in the United Kingdom.
Subjects: 6901 subjects who had applied through the Universities' Central Council on Admissions in 1990 to study medicine.
Main outcome measures: Offers and acceptance at medical school by ethnic group.
Results: Applicants from ethnic minority groups constituted 26-3% of those applying to medical school. They were less likely to be accepted, partly because they were less well qualified and applied later. Nevertheless, taking educational and some other predictors into account, applicants from ethnic minority groups were 1-46 times (95% confidence interval 119 to 1.74) less likely to be accepted. Having a European surname predicted acceptance better than ethnic origin itself, implying direct discrimination rather than disadvantage secondary to other possible differences between white and non-white applicants. Applicants from ethnic minority groups fared significantly less well in 12 of the 28 British medical schools. Analysis of the selection process suggests that medical schools make fewer offers to such applicants than to others with equivalent estimated A level grades.
Conclusions: People from ethnic minority groups applying to medical school are disadvantaged, principally because ethnic origin is assessed from a candidate's surname; the disadvantage has diminished since 1986. For subjects applying before A level the mechanism is that less credit is given to referees' estimates of A level grades. Selection would be fairer if (a) application forms were anonymous; (b) forms did not include estimates of A level grades; and (c) selection took place after A level results are known.

Item Type: Journal article
Publication Title: BMJ
Creators: McManus, I.C., Richards, P., Winder, B.C., Sproston, K.A. and Styles, V.
Publisher: BMJ Group
Date: 25 February 1995
Volume: 310
Number: 6978
ISSN: 0959-8138
Divisions: Schools > School of Social Sciences
Record created by: Jonathan Gallacher
Date Added: 18 Jan 2018 15:54
Last Modified: 18 Jan 2018 15:54

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