Minorities in Medicine: An Ethnic and Cultural Challenge for Physician Training: An Update. Seventeenth Report of Council on Graduate Medical Education (COGME)

摘要

In 1998, the Council on Graduate Medical Education (COGME) published its Twelfth Report, entitled Minorities in Medicine. This report made 21 recommendations for achieving two goals: 1) increase the number and proportion of underrepresented minorities (URMs) in medicine and 2) strengthen cultural competency in physicians. Underrepresented minorities refers to African Americans, Native Americans, Alaska Natives, Mexican Americans, and Mainland Puerto Ricans--minority groups represented in lower proportions in the health professions than in the United States (U.S.) population as a whole. This report reviews the literature regarding the advancement of these goals since the 1998 COGME recommendations, assesses the progress made through 2003, and notes key findings. It also recommends ways to support the academic pipeline to facilitate minority entry into medical school, strengthen upstream (institutional and policy) efforts in medical training, and ensure cultural competence in medicine and medical education.