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Tytuł:
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The influence of income on medical school admissions in Canada: a retrospective cohort study.
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Autorzy:
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Pitre T; Michael G. DeGroote School of Medicine Waterloo Regional Campus, McMaster University, 10 Victoria Street South, Kitchener, N2G 1C5, Canada. .
Thomas A; Michael G. DeGroote School of Medicine Waterloo Regional Campus, McMaster University, 10 Victoria Street South, Kitchener, N2G 1C5, Canada.
Evans K; Michael G. DeGroote School of Medicine Waterloo Regional Campus, McMaster University, 10 Victoria Street South, Kitchener, N2G 1C5, Canada.
Jones A; Michael G. DeGroote School of Medicine Waterloo Regional Campus, McMaster University, 10 Victoria Street South, Kitchener, N2G 1C5, Canada.
Mountjoy M; Michael G. DeGroote School of Medicine Waterloo Regional Campus, McMaster University, 10 Victoria Street South, Kitchener, N2G 1C5, Canada.
Costa AP; Michael G. DeGroote School of Medicine Waterloo Regional Campus, McMaster University, 10 Victoria Street South, Kitchener, N2G 1C5, Canada.
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Źródło:
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BMC medical education [BMC Med Educ] 2020 Jul 01; Vol. 20 (1), pp. 209. Date of Electronic Publication: 2020 Jul 01.
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Typ publikacji:
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Journal Article
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Język:
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English
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Imprint Name(s):
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Original Publication: London : BioMed Central, [2001-
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MeSH Terms:
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Schools, Medical*
Income/*statistics & numerical data
School Admission Criteria/*statistics & numerical data
Adult ; Cohort Studies ; College Admission Test ; Female ; Humans ; Male ; Ontario ; Retrospective Studies ; Social Class ; Young Adult
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References:
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Contributed Indexing:
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Keywords: Admissions; CASPer; GPA; Income; MCAT; MMI; Medical admissions; Socioeconomic status; Undergraduate medicine
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Entry Date(s):
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Date Created: 20200703 Date Completed: 20210416 Latest Revision: 20240329
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Update Code:
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20240329
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PubMed Central ID:
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PMC7329437
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DOI:
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10.1186/s12909-020-02126-0
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PMID:
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32611410
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Background: The socioeconomic status of applicants to Canadian medical schools has been understudied in the past two decades. Institutional efforts have been made to address the lack of socioeconomic diversity across Canada during this time. We investigated the income characteristics of medical school applicants, as well as the relationship between applicant income and offer of admission, to characterize the current state of socioeconomic diversity in medical admissions.
Methods: We conducted a retrospective cohort study on 26,120 applicants at one Ontario medical school from 2013 to 2018. Characteristics of applicants who were offered admission were compared to the general population and applicants not offered admission. Regression analyses were used to investigate the association between median total neighborhood income and successful admission.
Results: The median total neighborhood income for medical school applicants was $98,816, which was approximately $28,480 higher than the Canadian general population. Those not admitted to the medical school had a median total neighborhood income of $98,304 compared to $105,984 for those offered admission (p < 0.001). This trend was seen in every province and territory in Canada. Median total neighborhood income was a predictor of an offer of admission; applicants in the >75th percentile income group had 54% increased odds of being offered admission when compared to applicants in the <25th percentile in our unadjusted model. Income was not significant in our adjusted models but showed that the income medians drastically shifted between pre-interview and post-interview periods, from $98,816 to $104,960 (p < 0.001).
Conclusion: Medical school applicants are from higher economic strata compared to the general population. Despite already representing a high economic stratum, a higher median total neighborhood income relative to other applicants was associated with an offer of admission.
