Blog Archives

How Might the Supreme Court Decision about Affirmative Action Affect Medical School Admissions

The American Medical Association (AMA) recently sponsored an interesting webinar on how the Supreme Court affirmative action decision might influence medical schools. Invited faculty included representatives from the AMA, Accreditation Council for Graduate Medical Education, Association of American Medical Colleges, University of California (UC) Davis Medical School, and Meharry Medical School. I recommend listening to the recording or reading the transcript. (You can get CME credit for doing so, as a bonus.) 

There are a few points I found particularly interesting: 

  1. An African American physician has a likelihood of seeing African American patients at a rate that is approximately 23 to 24 times that of a white physician.
  2. Among first-year medical students, 62-63% of African American pupils say that serving an underserved population is what they want to do when they finish their education, whereas white and Asian students are in the twentieth percentiles in reporting that they want to serve those same populations.
  3. UC Davis Medical School is employing multiple, creative techniques to improve diversity at their institution, including implicit bias mitigation training and the implementation of a medical school track called Avenue M – focused on applicants who went to community colleges. Consequently, at UC Davis, over 50% of students coming from disadvantaged or underrepresented-in-medicine backgrounds make up their classes.

You can find the AMA webinar and transcript here.

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Holding up and Holing Up

Greetings from California where we are sheltering in place. Newsom did the right thing to save lives, but this will not be easy here in the Golden State. I worked in the emergency department last week, but I was in the less acute side – not managing high risk, respiratory patients. From what I have seen, hospital systems in the area have tremendously organized plans in place. My concern is that they will get overwhelmed soon.

Like most of you, I’ve been reading a lot on COVID-19, both in the lay and medical press. I’ve compiled some of my favorites as of this writing:

A must-listen-to interview from the New York Times’ Daily Podcast of an Italian ICU doctor managing the crisis in his country. Forward this one to your family and friends. 

An Annals of Internal Medicinpiece on incubation period of COVID-19 with a visual abstract.

visual representation and accompanying article on hospital bed capacity exhaustion from the Harvard Global Health Institute published by the New York Times

A widely circulated “ICU one pager” for clinicians on COVID-19.

I’m also now subscribed to a daily update on COVID-19 from the Johns Hopkins Center for Health Security.

The St. Louis versus Philadelphia 1918 flu mortality graph with accompanying article. Send this to anyone who doesn’t understand why social distancing is important. 

Please stay home as much as possible, and encourage your family and friends to do the same. 

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COVID-19: Check out this Interesting Academic Lecture

I do not usually cover medical pathology in this blog, but I heard a compelling on-line lecture on COVID-19 by Amesh Adalja MD, who is a Senior Scholar at the Johns Hopkins Center for Health Security. His expertise is in emerging infectious diseases, pandemic preparedness, and biosecurity. For those of you interested in his medical career path (as I was), Dr. Adalja completed a combined residency in internal medicine and emergency medicine and then completed two fellowships – one in infectious diseases and one in critical care. The lecture does a great job of putting COVID-19 in historical, evolutionary, and policy context. One point: The lecture is about 2 weeks old, and, of course, much has occurred in that time frame, but understanding other pandemics and their lead up to this one is helpful. It’s worth the time to listen. 

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About Dr. Michelle Finkel

Dr. Michelle Finkel

Dr. Finkel is a graduate of Stanford University and Harvard Medical School. On completing her residency at Harvard, she was asked to
stay on as faculty at Harvard Medical School and spent five years teaching at the world-renowned Massachusetts General Hospital.
She was appointed to the Assistant Residency Director position for the Harvard Affiliated
Emergency Medicine Residency where she reviewed countless applications, personal statements and resumes. Read more

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Listen to Dr. Finkel’s interview on the White Coat Investor podcast:

Listen to Dr. Finkel’s interview on the FeminEm podcast: