2023-09-28 14:46:10 +00:00
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abstract: 'Approximately one-third of the US population lives at or near the
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poverty line; however, this group makes up less than 7\% of the incoming
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medical students. In the United Kingdom, the ratio of those of the
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highest social stratum is 30 times greater than those of the lowest to
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receive admission to medical school. In an effort to address health
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disparities and improve patient care, the authors argue that significant
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barriers must be overcome for the children of the disadvantaged to gain
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admission to medical school. Poverty is intergenerational and
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multidimensional. Familial wealth affects opportunities and educational
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attainment, starting when children are young and compounding as they get
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older. In addition, structural and other barriers exist to these
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students pursuing higher education, such as the realities of financial
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aid and the shadow of debt. Yet the medical education community can take
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steps to better support the children of the disadvantaged throughout
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their education, so they are able to reach medical school. If educators
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value the viewpoints and life experiences of diverse students enriching
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the learning environment, they must acknowledge the unique contributions
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that the children of the disadvantaged bring and work to increase their
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representation in medical schools and the physician workforce. We
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describe who the disadvantaged are contrasted with the metrics used by
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medical school admissions to identify them. The consequences of multiple
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facets of poverty on educational attainment are explored, including its
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interaction with other social identities, inter-generational impacts,
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and the importance of wealth versus annual income. Structural barriers
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to admission are reviewed. Given the multi-dimensional and cumulative
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nature of poverty, we conclude that absent significant and sustained
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intervention, medical school applicants from disadvantaged backgrounds
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will remain few and workforce issues affecting the care patients receive
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will not be resolved. The role of physicians and medical schools and
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advocating for necessary societal changes to alleviate this dynamic are
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highlighted.'
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affiliation: 'Baugh, RF (Corresponding Author), Univ Toledo, Dept Surg, Coll Med \&
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Life Sci, 2120 Dowling Hall MS 1905,3000 Arlington Ave, Toledo, OH 43623 USA.
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Baugh, Aaron D., Univ Calif San Francisco, Dept Med, Pulm \& Crit Care Med, San
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Francisco, CA USA.
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Vanderbilt, Allison A., Fulton Cty Hlth Ctr, Emergency Med, Wauseon, OH USA.
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Baugh, Reginald F., Univ Toledo, Dept Surg, Coll Med \& Life Sci, 2120 Dowling Hall
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MS 1905,3000 Arlington Ave, Toledo, OH 43623 USA.'
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author: Baugh, Aaron D. and Vanderbilt, Allison A. and Baugh, Reginald F.
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author-email: reginald.baugh@utoledo.edu
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author_list:
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- family: Baugh
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given: Aaron D.
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- family: Vanderbilt
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given: Allison A.
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- family: Baugh
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given: Reginald F.
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da: '2023-09-28'
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doi: 10.2147/AMEP.S196840
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files: []
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issn: 1179-7258
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journal: ADVANCES IN MEDICAL EDUCATION AND PRACTICE
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keywords: 'lower socioeconomic populations; medical school admissions; health
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disparities; diversity and inclusion; social justice'
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keywords-plus: 'IMPLICIT RACIAL BIAS; SOCIAL-CLASS BIAS; SOCIOECONOMIC-STATUS;
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UNCONSCIOUS RACE; DECISION-MAKING; IMPACT; INCOME; CARE; INEQUALITY;
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DIVERSITY'
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language: English
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number-of-cited-references: '108'
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pages: 667-676
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papis_id: 18e62f987df41de150b483300bcf07c0
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ref: Baugh2019dynamicspoverty
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times-cited: '16'
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title: The dynamics of poverty, educational attainment, and the children of the disadvantaged
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entering medical school
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2023-10-01 08:15:07 +00:00
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type: article
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2023-09-28 14:46:10 +00:00
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unique-id: WOS:000482119800001
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usage-count-last-180-days: '1'
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usage-count-since-2013: '9'
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volume: '10'
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web-of-science-categories: Education, Scientific Disciplines
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year: '2019'
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