Abstract
Despite decades of precollege science education programs, African Americans, Latinos, and Native Americans remain critically underrepresented in science and health professions. This report describes college and career outcomes among graduates of the Stanford Medical Youth Science Program (SMYSP), a 5-week summer residential program for low-income high school students among whom 97% have been followed for up to 21 years. Approximately 24 students are selected annually, with participation limited to low-income students who have faced substantial personal hardships. Undergraduate and medical students provide key program leadership and training. The curriculum is based on science inquiry education and includes hospital internships, anatomy practicums, research projects, faculty lectures, college admissions/standardized test preparation, and long-term college and career guidance. A total of 476 high school students participated between 1988 and 2008, with 61% from underrepresented ethnic minority groups. Overall, 78% of African American, 81% of Latino, and 82% of Native American participants have earned a 4-year college degree (among those admitted to college, and excluding those currently attending college). In contrast, among 25–34-year old California adults, 16% of African Americans, 8% of Latinos, and 10% of Native Americans earn a 4-year college degree. Among SMYSP’s 4-year college graduates, 47% are attending or have completed medical or graduate school, and 43% are working as or training to become health professionals. SMYSP offers a model that expands inquiry-based science education beyond the classroom, and recognizes the role of universities as “high school interventionists” to help diversify health professions.
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Adler NE, Boyce T, Chesney M, Folkman S, Syme L (1993) Socioeconomic inequalities in health: no easy solution. JAMA 269:3140–3145. doi:10.1001/jama.269.24.3140
American Association for the Advancement of Science (1998) Chapter 1: equity, blueprints for reform. Science, mathematics, and technology education. Oxford University Press, New York, pp 1–16
Association of American Colleges and Universities (2008) Making excellence inclusive: diversity, inclusion, and institutional renewal, [webpage]. Retrieved January 22, 2008, from http://www.aacu.org/inclusive_excellence/index.cfm
Association of American Medical Colleges Division of Diversity Policy and Programs. (2005) Minority Students in Medical Education: Facts and Figures 2005. Washington, D.C.: Association of American Medical Colleges. Retrieved www.aamc.org/factsandfigures
Atwater MM (2000) Equity for Black Americans in precollege science. Sci Educ 84(2):154–179. doi:10.1002/(SICI)1098-237X(200003)84:2<154::AID-SCE2>3.0.CO;2-R
Babco EL (2005) The status of Native Americans in science and engineering, [PDF]. Commission on Professionals in Science and Technology. Retrieved 12/1/06, from http://www.cpst.org/NativeIV.pdf
Bauman R (1991) Minority students and the health professions: the organizational changes required to attract and retain them. Equity Excell Educ 25(2):22–30. doi:10.1080/1066568910250203
Beck P, Githens JH, Clinkscales D, Yamamoto D, Riley CM, Ward HP (1978) Recruitment and retention program for minority and disadvantaged students. J Med Educ 53(8):651–657
Brickhouse N (1994) Bringing in the outsiders: reshaping the sciences of the future. J Curric Stud 26(4):401–416. doi:10.1080/0022027940260404
Brown BA (2004) Discursive identity: assimilation into the culture of science and its implications for minority students. J Res Sci Teach 41(8):810–834. doi:10.1002/tea.20228
Butler WT, Thomson WA, Morrissey CT, Miller LM, Smith QW (1991) Baylor’s program to attract minority students and others to science and medicine. Acad Med 66(6):305–311. doi:10.1097/00001888-199106000-00001
Cantor JC, Bergeisen L, Baker LC (1998) Effect of an intensive educational program for minority college students and recent graduates on the probability of acceptance to medical school. JAMA 280(9):772–776. doi:10.1001/jama.280.9.772
Carline JD, Patterson DG (2003) Characteristics of health professions schools, public school systems, and community-based organizations in successful partnerships to increase the numbers of underrepresented minority students entering health professions education. Acad Med 78(5):467–482. doi:10.1097/00001888-200305000-00008
Carline JD, Patterson DG, Davis LA, Irby DM (1998) Precollege enrichment programs intended to increase the representation of minorities in medicine. Acad Med 73(3):288–298
Carnevale AP, Rose SJ (2003) Socioeconomic status, race/ethnicity, and selective college admissions (PDF). New York, NY: The Century Foundation. Retrieved March 5, 2008, from http://www.tcf.org/list.asp?type=PB&pubid=252
Carter L (2008) Sociocultural influences on science education: innovation for contemporary times. Sci Educ 92(1):165–181. doi:10.1002/sce.20228
Collins A, Brown JS, Holum A (1991) Cognitive apprenticeship: making thinking visible. Am Educ 15(3):6–11 38–46
Committee on Prospering in the Global Economy of the 21st Century, National Academy of Science (2007) Rising above the gathering storm: energizing and employing America for a brighter economic future. National Academies Press, Washington
Cooper RA (2003) Impact of trends in primary, secondary, and postsecondary education on applications to medical school. II: considerations of race, ethnicity, and income. Acad Med 78(9):864–876. doi:10.1097/00001888-200309000-00004
Cota-Robles EH, Gordan EW (1999) Reaching the top: a report of the National task force on minority high achievement. New York: The College Board. Retrieved March 5, 2008, from http://www.collegeboard.com/research/pdf/reachingthe_3952.pdf
Cregler LL (1993) Enrichment programs to create a pipeline to biomedical science careers. J Assoc Acad Minor Phys 4(4):127–131
Davidson RC, Lewis EL (1997) Affirmative action and other special consideration admissions at the University of California, Davis, School of Medicine. JAMA 278(14):1153–1158. doi:10.1001/jama.278.14.1153
Davis JA, Davidson CP (1982) The Med-COR study: preparing high school students for health careers. J Med Educ 57(7):527–534
Education Trust-West (2006) Achievement in California 2006: Small Gains, Growing Gaps (Report). Oakland, CA. Retrieved http://www2.edtrust.org/NR/rdonlyres/CEB9467F-BD78-4CD5-8C4F-E4F54DA51CDE/0/ETWAchievementinCA2006.pdf
Fadigan KA, Hammrich PL (2004) A longitudinal study of the educational and career trajectories of female participants of an urban informal science education program. J Res Sci Teach 41(8):835–860. doi:10.1002/tea.20026
Felix DA, Hertle MD, Conley JG, Washington LB, Bruns PJ (2004) Assessing precollege science education outreach initiatives: a funder’s perspective. Cell Biol Educ 3(3):189–195. doi:10.1187/cbe.03-10-0017
Friedman LN, Quinn J (2006) Science by stealth. How after-school programs can nurture young scientists and boost the country’s scientific literacy. Education Week 25(24):45 48, 49
Gándara P, Maxwell-Jolly J (1999) Priming the pump: strategies for increasing the achievement of underrepresented minority undergraduates (PDF). The College Board. Retrieved March 5, 2008, from http://professionals.collegeboard.com/data-reports-research/cb/priming-the-pump
Goldsmith MF (1994) ‘Med prep’ college course helps high school students work toward dreams. JAMA 271(19):1467–1468. doi:10.1001/jama.271.19.1467
Grumbach K, Chen E (2006) Effectiveness of University of California postbaccalaureate premedical programs in increasing medical school matriculation for minority and disadvantaged students. JAMA 296(9):1079–1085. doi:10.1001/jama.296.9.1079
Grumbach K, Mendoza R (2008) Disparities in human resources: addressing the lack of diversity in the health professions. Health Aff (Millwood) 27(2):413–422. doi:10.1377/hlthaff.27.2.413
Grumbach K, Coffman J, Muñoz C, Rosenoff E, Gándara P, Sepulveda E (2003) Strategies for improving the diversity of the health professions (TCE0802-2003). Woodland Hills, CA: The California Endowment. Retrieved http://www.calendow.org/reference/publications/work_force_diversity.stm
Hmelo-Silver CE, Duncan RG, Chinn CA (2007) Scaffolding, achievement in problem-based, inquiring learning: a response to Kirschner, Sweller, Clark (2006). Educ Psychol 42(2):99–107
Holzer H, Neumark D (2000) Assessing affirmative action. J Econ Lit 38(3):483–568
Jayaratne TE, Thomas NG, Trautmann M (2003) Intervention program to keep girls in the science pipeline: Outcome differences by ethnic status. J Res Sci Teach 40(4):393–414. doi:10.1002/tea.10082
Jones F, Flowers JC (1990) New York’s statewide approach to increase the number of minority applicants to medical school. Acad Med 65(11):671–674. doi:10.1097/00001888-199011000-00002
Komaromy M, Grumbach K, Drake M, Vranizan K, Lurie N, Keane D et al (1996) The role of black and Hispanic physicians in providing health care for underserved populations. N Engl J Med 334(20):1305–1310. doi:10.1056/NEJM199605163342006
Lave J, Wenger E (1991) Situated learning: legimate peripheral participation. Cambridge University Press, New York
Lee O (2001) Culture and language in science education: what do we know and what do we need to know? J Res Sci Teach 38(5):499–501. doi:10.1002/tea.1015
Lynch SJ (2000) Equity and science education reform. Lawrence Erlbaum Associates, Mahwah
Markowitz DG (2004) Evaluation of the long-term impact of a university high school summer science program on students’ interest and perceived abilities in science. J Sci Educ Technol 13(3):395–407. doi:10.1023/B:JOST.0000045467.67907.7b
Marshall CL (1973) Minority students for medicine and the hazards of high school. J Med Educ 48(2):134–140
McKendall SB, Simoyi P, Chester AL, Rye JA (2000) The health sciences and technology academy: utilizing pre-college enrichment programming to minimize post-secondary education barriers for underserved youth. Acad Med 75(10(Supplement)):S121–S123
Minstrell J, van Zee EH (eds) (2000) Inquiring into inquiry learning and teaching in science. American Association for the Advancement of Science, Washington
Moore DA, Carpenter TE (1999) Spatial analytical methods and geographic information systems: use in health research and epidemiology. Epidemiol Rev 21(2):143–161
National Science Foundation Division of Science Resources Statistics (2007) Women, Minorities, and Persons with Disabilities in Science and Engineering. Retrieved 3/5/08, from http://www.nsf.gov/statistics/wmpd/
Nickens HW, Ready TP, Petersdorf RG (1994) Project 3000 by 2000. Racial and ethnic diversity in US medical schools. N Engl J Med 331(7):472–476. doi:10.1056/NEJM199408183310712
O’Loughlin M (1992) Rethinking science education: beyond piagetian constructivism toward a sociocultural model of teaching and learning. J Res Sci Teach 29(8):791–820
Reede JY (2003) A recurring theme: the need for minority physicians. Health Aff (Millwood) 22(4):91–93. doi:10.1377/hlthaff.22.4.91
Roseberry A, Warren B, Conant F, Hudicourt-Barnes J (1992) Cheche Konnen: scientific sense-making in bilingual education. Hands On 15:1–19
Schuman H, Steeh C, Bobo LD, Krysan M (1998) Racial attitudes in America. Trends and interpretations, revised edition. Harvard University Press, Cambridge
Summers MF, Hrabowski FA 3rd (2006) Diversity. Preparing minority scientists and engineers. Science 311(5769):1870–1871. doi:10.1126/science.1125257
Thurmond VB, Cregler LL (1994) Career choices of minority high school student research apprentices at a health science center. Acad Med 69(6):507. doi:10.1097/00001888-199406000-00020
U.S. Census Bureau (2003) Census 2000 Summary File 4—United States. Retrieved 1/4/08, from http://www.census.gov/prod/cen2000/doc/sf4.pdf
U.S. Census Bureau (2004a) Educational attainment in the United States: 2004. Population Division, Education and Social Stratification Branch. Retrieved May 1, 2006, from http://www.census.gov/population/www/socdemo/education/cps2004.html
U.S. Census Bureau (2004b) U.S. interim projections by age, sex, race, and Hispanic origin. Retrieved January 4, 2008, from http://www.census.gov/ipc/www/usinterimproj/
U.S. Census Bureau (2005) Current Population Survey, 2005 Annual Social and Economic Supplement. Population Division, Education and Social Stratification Branch. Retrieved January 7, 2008, from http://www.census.gov/population/www/socdemo/educ-attn.html
U.S. Department of Education (2007a) Report of the Academic Competitiveness Council, [PDF]. Retrieved January 22, 2008, from http://www.ed.gov/about/inits/ed/index.html
U.S. Department of Education, National Center for Education Statistics (2007b) The condition of education 2007. Washington, DC: U.S. Government Printing Office. Retrieved http://nces.ed.gov/programs/coe/
U.S. News and World Report (2008) America’s best colleges 2008, [webpage]. Retrieved January 4, 2008, from http://colleges.usnews.rankingsandreviews.com/usnews/edu/college/rankings/brief/t1natudoc_brief.php
Williams DR, Jackson PB (2005) Social sources of racial disparities in health. Health Aff (Millwood) 24(2):325–334. doi:10.1377/hlthaff.24.2.325
Winkleby MA (2007) The Stanford Medical Youth Science Program: 18 years of a biomedical program for low-income high school students. Acad Med 82(2):139–145. doi:10.1097/ACM.0b013e31802d8de6
Winkleby MA, Cubbin C (2003) Influence of individual and neighbourhood socioeconomic status on mortality among black, Mexican–American, and white women and men in the United States. J Epidemiol Community Health 57(6):444–452. doi:10.1136/jech.57.6.444
Yager RE, Falk JH (eds) (2008) Exemplary science in informal education settings. Standards-based success stories. National Science Teachers Association Press, Arlington
Yen IH, Syme SL (1999) The social environment and health: a discussion of the epidemiologic literature. Annu Rev Public Health 20(4):287–308. doi:10.1146/annurev.publhealth.20.1.287
Acknowledgments
The following grants to Dr. Winkleby funded this work: The Stanford MKITS Science Program: CVD and Public Health (National Heart, Lung, and Blood Institute, R25 HL075748); Howard Hughes Medical Institute’s Grants for Precollege Science Education (Grant # 51006099); Stanford Medical Youth Science Program School-Based Science Initiative (Fund for the Improvement of Postsecondary Education, FIPSE, U.S. Department of Education, P116B040327); and Stanford College Outreach Program in Education (California Educational Facilities Authority, CEFA 94215). In-kind resources are provided by: Stanford University, Stanford School of Medicine, Stanford Prevention Research Center, Stanford Hospital and Clinics, Lucile Packard Children’s Hospital, and the Veterans Affairs Palo Alto Health Care System. The authors thank Nell Curran and Dale Lemmerick for leadership within the organization, Kathleen Fagliano for the annual evaluation of students, members of the SMYSP advisory board, and the many foundations and individual donors that have helped sustain the program over the years. The authors also thank Julia Steele, Kathy Sloane, and Abby Ginzberg who contributed to the SMYSP book, Healing Journeys: Teaching Medicine, Nurturing Hope, and the SMYSP documentary film, Opportunity of a Lifetime.
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Winkleby, M.A., Ned, J., Ahn, D. et al. Increasing Diversity in Science and Health Professions: A 21-Year Longitudinal Study Documenting College and Career Success. J Sci Educ Technol 18, 535–545 (2009). https://doi.org/10.1007/s10956-009-9168-0
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DOI: https://doi.org/10.1007/s10956-009-9168-0