What comes to mind when you think of a doctor? The answer to this depends
a lot on your generation and perhaps more so on your upbringing. I grew up
hearing my parents often remark at how young medical practitioners now are
and certainly it has not escaped the attention of many members of the older
generations the increase in the proportion doctors from ethnic minority
backgrounds.
The diversity of socio-economic backgrounds from which medical students
come from still leaves something to be desired. Of doctors being trained, over
30% went to private school while less than 5% grew up in deprived areas.
Alongside this is the fact that individuals from white backgrounds are statistically
twice as successful in attaining a place in medical school.
It is little wonder students shy away from applying to medical school every year
in response to what they see to be odds stacked too highly against them. The
general perceptions are of students from wealthy and privileged backgrounds
being the only ones granted entry to medical schools and without anyone to tell
them otherwise, these ideas will only propagate themselves and grow stronger.
But what does it benefit society and the medical profession in the long run to
diversify the pool from which the lucky few a plucked? Well there is a good deal
of potential to be harnessed from having often had to work against negative
social expectations in the pursuit of social mobility and a dream.
We aim for universality in health and although that's not to say that being
brought up in a wholesome family atmosphere with stables and trips to Harvey
Nick's on dad's credit card automatically detracts from a person's intrinsic level
of drive but there needs to be proper representation and reflection of the
demographic of patients the healthcare system serves.
It should go without saying that this kind of pre-application reduction in diversity can all too easily lead to a negative skew in the
amount the profession represents and understands the population as a whole
and in a healthcare system being changed to give more control to doctors in
designating funds, that is a very worrying idea indeed.
But the issue doesn't end there because once in medical training, the
performance of students from ethnic minority backgrounds is not as high as
their privately educated counterparts. Naturally there is a great deal of
speculation on the reasons for this, possibly being due to parents pushing their
children into the career path and financial worries detracting from performance
as students from lower socio-economic backgrounds and postgraduate study are
often in greater debt. Another key factor is confidence. Fortunately, it has also
been shown that students from LSE backgrounds can have their confidence in
whether on or not they are 'university material' boosted by targeted summer
schools and direct interaction with and motivation from individuals already
involved and simply being treated with respect.
We must push on with the work being done to encourage pupils to strive to
follow their dreams and put them on an even footing with others. Alongside this,
however, is the need to do this responsibly and in a manner that doesn't
patronise under-privileged pupils and essentially rob them of a sense of
achievement when they are given places. Done correctly, we all stand to gain.