Higher proportion of Black students anticipate debt in excess of $150,000; finding may help explain why relative matriculation for Blacks is on the decline
The cost of a medical school education in the United States has been on the rise over the past 10 years. However, given racial and ethnic inequalities in access to financial resources, increases in the student debt burden may not be assumed equally. To evaluate the issue, researchers at Columbia University's Mailman School of Public Health analyzed data from a sample of over 2% of the U.S. medical students enrolled at 111 accredited American medical schools.
In the sample of 2,355 medical students in 2010-2011, 62.1% of the medical students overall and 65% of White students anticipated debt above the $150,000 threshold. A greater portion of Black students-77.3%-anticipated owing more than $150,000. Asian students, at 50.2%, expected the lowest levels of debt, and a slightly higher rate of Hispanics/Latinos-57.2%-predicted having debt in excess of $150,000. Results were weighted by race and class year.
The study is published online in the journal PLOS One.
"The finding that Black medical students had significantly higher anticipated debt than Asian students has implications for understanding differential enrollment among minority groups in U.S. medical schools," according to senior author Sandro Galea, MD, DrPH, Gelman Professor and chair of the Department of Epidemiology at the Mailman School of Public Health.
Since 2004, the percentage of Black enrollment in medical schools has fallen, particularly in osteopathic schools. Meanwhile, enrollment of Hispanic and Asian students continues to rise. For 2010-2011, 60% of medical school students were White compared with 21% Asian, 7% Hispanic/Latin, and 6% Black. Compared to the overall U.S. population, Asian students are overrepresented in the medical student population by over 75%, while Black students are underrepresented by over 100%.
Unique to this analysis, the researchers included data from both allopathic-or mainstream medical practice-and osteopathic institutions. "This is uncommon in studies about medical student debt but better reflects the total population of students entering the physician workforce," according to Robert A. Dugger, MD, MPH, study author and a former research associate at the Mailman School of Public Health who is currently a psychiatry resident at North Shore-Long Island Jewish Hospital. "As concern over the physician supply grows, more investigation into the influence of medical education cost on the physician supply is needed," noted Dr. Dugger.
Less Debt Anticipated By Hispanic and Asian Students