Student: Health Professions

Topics: Health care, Health economics, Medicine Pages: 344 (74174 words) Published: February 17, 2014
MISSING PERSONS:
MINORITIES IN THE
H E A LT H P R O F E S S I O N S
A R EPORT
D IVERSITY

OF THE
IN THE

S ULLIVAN C OMMISSION ON
H EALTHCARE W ORKFORCE

SC
THE

SULLIVAN COMMISSION

Contents
About the Sullivan Commission . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . i Acknowledgments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . iii Preface

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . iv

Executive Summary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 Chapter 1: Rationale for Increasing Diversity in Today’s Health Workforce . . . . . . . . . . 13 Chapter 2: The Historical Roots of Today’s Disparities . . . . . . . . . . . . . . . . . . . . . . . . . . . 32 Chapter 3: State of Diversity in Today’s Health Professions Schools and Workforce . . . . 48 Chapter 4: The Pipeline to the Health Care Professions . . . . . . . . . . . . . . . . . . . . . . . . . . 72 Chapter 5: Financing Education in the Health Care Professions . . . . . . . . . . . . . . . . . . . 92 Chapter 6: Accountability . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 102 Glossary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 118 Appendices

a. Commissioned Paper: “Increasing Workforce Diversity and Addressing Health Disparities: Strategies for Hospitals in Health Professions Educational Practice Partnerships” . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 119 b. Commissioned Paper: “Diversity of Students and Faculty: An Assessment of Health Profession Schools” . . . . . . . . . . . . . . . . . . . . . . . . . . . 158 c. The Charge to the Sullivan Commission on Diversity in the Healthcare Workforce . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 179 d. W.K. Kellogg Foundation Health Professions Grant Program . . . . . . . . . . . . . . . . 182 e. Sullivan Commission Field Hearings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 184 f. Diversity Resources . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 193

Missing Persons: Minorities in the Health Professions

ABOUT THE SULLIVAN COMMISSION
The Sullivan Commission on Diversity in the Healthcare Workforce is an outgrowth of a grant from the W.K. Kellogg Foundation to Duke University School of Medicine. Named for former U.S. Secretary of Health and Human Services, Louis W. Sullivan, M.D., the Commission is composed of 16 health, business, higher education and legal experts and other leaders. Former U.S. Senate Majority Leader Robert Dole and former U.S. Congressman and Congressional Health Subcommittee Chairman Paul Rogers serve as Honorary Co-Chairs. Established in April 2003, the Sullivan Commission will make policy recommendations to bring about systemic change that will address the scarcity of minorities in our health professions. The work of the Commission comes at a time when enrollment of racial and ethnic minorities in nursing, medicine, and dentistry has stagnated despite America’s growing diversity. While African Americans, Hispanic Americans, and American Indians, as a group, constitute nearly 25 percent of the U.S. population, these three groups account for less than 9 percent of nurses, 6 percent of physicians, and only 5 percent of dentists. A study by the Institute of Medicine recommends increasing the number of minority health professionals as a key strategy to eliminate health disparities. Examining the education and training environment in which health professionals learn and develop is critical to efforts to increase the...

References: American Dental Education Association, The American Dental Education Association Survey
of Dental Educators, 2003.
Association of American Medical Colleges, Minority Students in Medical Education: Facts
and Figures XII, 2002.
U.S. Census Bureau, 2004, "U.S. Interim Projections by Age, Sex, Race, and Hispanic
Origin," [Online] Available: http://www.census.gov/ipc/www/usinterimproj/
W.K. Kellogg Foundation
April 30, 2003
population is increasingly diverse. A recent Institute of Medicine Report, Unequal Treatment
(2003), reports that minorities increasingly suffer disproportionate morbidity (incidence of
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