Although the number of minorities in the medical profession has risen in recent years, decades of discrimination still leaves them drastically underrepresented in the field, as chronicled in new report appearing in the February issue of the journal Academic Medicine.
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"There is no doubt that much progress has been made in the past 100 years with regard to minorities' representation in the medical profession," said report co-author IIana Suez Mittman, Ph.D. "Unlike the turn of the twentieth century, currently there is heightened awareness to issues of injustice and inequity, where discrimination is unlawful and minorities are able to attend any medical school of their choosing."
Mittman is director of health policy research at the Joint Center for Political and Economic Studies in Washington.
The journal article details the history of minorities in medicine before a 1910 Carnegie Foundation report by Abraham Flexner and what has happened since its publication.
When Flexner evaluated 155 medical schools from 1908 to 1910, seven black medical schools were in operation. His report's recommendations, however, led to the closing of all but two of the schools—during a time when African-Americans were refused admittance to white medical institutions.
Flexner's report also led to an adoption of admission standards that made medical school unattainable for African-Americans for decades.
For the next 50 years, the two black universities that remained opened educated three-quarters of the countries' African-American doctors, but they were not able to enroll in all U.S. medical schools until 1966. During the 1950s and 1960s, while African-Americans made up 10 percent of the U.S. population, they were only 2.2 percent of physicians.
In 2008, African-Americans, Hispanics and Native Americans made up more than a third of the U.S. population but only 8.7 percent of physicians and 15 percent of enrollment in medical schools.