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BACKGROUND. The socioeconomic status of applicants to Canadian medical schools has been understudied in the past two decades. Institutional efforts have been made to address the lack of socioeconomic diversity across Canada during this time. We investigated the income characteristics of medical school applicants, as well as the relationship between applicant income and offer of admission, to characterize the current state of socioeconomic diversity in medical admissions.
METHODS. We conducted a retrospective cohort study on 26,120 applicants at one Ontario medical school from 2013 to 2018. Characteristics of applicants who were offered admission were compared to the general population and applicants not offered admission. Regression analyses were used to investigate the association between median total neighborhood income and successful admission, as well as performance on admission testing criteria, including: the MMI, CASPer, GPA, and the MCAT.
RESULTS. The median total neighborhood income for medical school applicants was $98,816, which was approximately $28,480 higher than the Canadian general population. Those not admitted to the medical school had a median total neighborhood income of $98,304 compared to $105,984 for those offered admission (p<0.001). This trend was seen in every province and territory in Canada. Median total neighborhood income was an independent predictor of admission; applicants in the >75 th percentile income group had 54% increased odds of being offered admission when compared to applicants in the <25 th percentile. Performance on the MCAT, MMI and CASPer were moderately associated with income; applicants’ GPAs were not associated with income.
CONCLUSION. Medical school applicants are from higher economic strata compared to the general population. Despite already representing a high economic stratum, a higher median total neighborhood income relative to other applicants was associated with an offer of admission.
Keywords
Admissions, Socioeconomic status, income, Medical admissions, Undergraduate Medicine, MCAT, GPA, MMI, CASPer
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View the published article at BMC Medical Education.
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Review #1 received
Received 23 Mar, 2020
Reviewer #1 agreed
On 19 Mar, 2020
Editor assigned
On 16 Mar, 2020
Reviewers invited
Invitations sent on 16 Mar, 2020
Submission checks complete
On 15 Mar, 2020
Editor invited
On 15 Mar, 2020
Version 1
Posted 31 Jan, 2020
No comments provided
Editorial decision: Major revision
On 11 Mar, 2020
Review #3 received
Received 04 Mar, 2020
Review #2 received
Received 03 Mar, 2020
Review #1 received
Received 25 Feb, 2020
Reviewer #2 agreed
On 20 Feb, 2020
Reviewer #3 agreed
On 20 Feb, 2020
Reviewers invited
Invitations sent on 17 Feb, 2020
Reviewer #1 agreed
On 17 Feb, 2020
Submission checks complete
On 30 Jan, 2020
Editor invited
On 30 Jan, 2020
Editor assigned
On 30 Jan, 2020
First submitted
On 11 Jan, 2020
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A new preprint design is coming!
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See the published version of this preprint at BMC Medical Education.
This is a preprint, a preliminary version of a manuscript that has not completed peer review at a journal. Research Square does not conduct peer review prior to posting preprints. The posting of a preprint on this server should not be interpreted as an endorsement of its validity or suitability for dissemination as established information or for guiding clinical practice.
Learn more about In Review
Research article
Badges
Prescreen
This manuscript passed our Prescreen assessment
Complete author information
Appropriate declaration statements
Potential risks to human health
Prescreen
Peer Review Timeline
CURRENT STATUS: Published
View the published article at BMC Medical Education.
No community comments so far
Review #1 received
Received 23 Mar, 2020
Reviewer #1 agreed
On 19 Mar, 2020
Editor assigned
On 16 Mar, 2020
Reviewers invited
Invitations sent on 16 Mar, 2020
Submission checks complete
On 15 Mar, 2020
Editor invited
On 15 Mar, 2020
Version 1
Posted 31 Jan, 2020
No comments provided
Editorial decision: Major revision
On 11 Mar, 2020
Review #3 received
Received 04 Mar, 2020
Review #2 received
Received 03 Mar, 2020
Review #1 received
Received 25 Feb, 2020
Reviewer #2 agreed
On 20 Feb, 2020
Reviewer #3 agreed
On 20 Feb, 2020
Reviewers invited
Invitations sent on 17 Feb, 2020
Reviewer #1 agreed
On 17 Feb, 2020
Submission checks complete
On 30 Jan, 2020
Editor invited
On 30 Jan, 2020
Editor assigned
On 30 Jan, 2020
First submitted
On 11 Jan, 2020
Metrics
Comments: 0
PDF Downloads: ...
HTML Views: ...
License:
This work is licensed under a CC BY 4.0 License. Read Full License
View the published article at BMC Medical Education.
BACKGROUND. The socioeconomic status of applicants to Canadian medical schools has been understudied in the past two decades. Institutional efforts have been made to address the lack of socioeconomic diversity across Canada during this time. We investigated the income characteristics of medical school applicants, as well as the relationship between applicant income and offer of admission, to characterize the current state of socioeconomic diversity in medical admissions.
METHODS. We conducted a retrospective cohort study on 26,120 applicants at one Ontario medical school from 2013 to 2018. Characteristics of applicants who were offered admission were compared to the general population and applicants not offered admission. Regression analyses were used to investigate the association between median total neighborhood income and successful admission, as well as performance on admission testing criteria, including: the MMI, CASPer, GPA, and the MCAT.
RESULTS. The median total neighborhood income for medical school applicants was $98,816, which was approximately $28,480 higher than the Canadian general population. Those not admitted to the medical school had a median total neighborhood income of $98,304 compared to $105,984 for those offered admission (p<0.001). This trend was seen in every province and territory in Canada. Median total neighborhood income was an independent predictor of admission; applicants in the >75 th percentile income group had 54% increased odds of being offered admission when compared to applicants in the <25 th percentile. Performance on the MCAT, MMI and CASPer were moderately associated with income; applicants’ GPAs were not associated with income.
CONCLUSION. Medical school applicants are from higher economic strata compared to the general population. Despite already representing a high economic stratum, a higher median total neighborhood income relative to other applicants was associated with an offer of admission.
Figure 1
Figure 2
This is a list of supplementary files associated with this preprint. Click to download.
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