An equity-oriented admissions model for Indigenous student recruitment in an undergraduate medical education program

Authors

  • Rita Isabel Henderson University of Calgary
  • Ian Walker University of Calgary
  • Douglas Myhre University of Calgary
  • Rachel Ward University of Calgary
  • Lynden (Lindsay) Crowshoe University of Calgary

DOI:

https://doi.org/10.36834/cmej.68215

Abstract

Background: With the 2015 publication of the Truth and Reconciliation Commission of Canada’s calls to action, health professional schools are left grappling with how to increase the recruitment and success of Indigenous learners. Efforts to diversify trainee pools have long looked to quota-based approaches to recruit students from underserved communities, though such approaches pose dilemmas around meaningfully dismantling structural barriers to health professional education. Lessons shared here from developing one multi-layered admissions strategy highlight the importance of equity—rather than equality—in any recruitment for learners from medically underserved communities.  

Summary: The promotion of fairness in the recruitment of future practitioners is not just a question of equalizing access to, in this case, medical school; it involves recognizing the wider social and structural mechanisms that enable privileged access to the medical profession by members of dominant society. This recognition compels a shift in focus beyond merely giving the disadvantaged increased access to an unfair system, towards building tools to address deeper questions about what is meant by the kind of excellence expected of applicants, how it is to be measured, and to what extent these recruits may contribute to improved care for the communities from which they come. 

Conclusion: Equity-based approaches to student recruitment move health professional schools beyond the dilemma of recruiting students from marginalized backgrounds who happen to be most similar to the dominant student population. Achieving this requires a complex view of the target population, recognizing that disadvantage is experienced in many diverse ways, that barriers are encountered along a spectrum of access, and that equity may only emerge when a critically, socially conscious approach is embedded throughout institutional practices.

Author Biographies

Rita Isabel Henderson, University of Calgary

Assistant Professor

Department of Family Medicine

Department of Community Health Sciences

Ian Walker, University of Calgary

Director, Admissions & Financial Aid

Douglas Myhre, University of Calgary

Former Associate Dean, Distributed Learning & Rural Initiatives
Former Chair of Admissions

Lynden (Lindsay) Crowshoe, University of Calgary

Director, Aboriginal Health Program

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Published

2021-03-04

How to Cite

1.
Henderson RI, Walker I, Myhre D, Ward R, Crowshoe L (Lindsay). An equity-oriented admissions model for Indigenous student recruitment in an undergraduate medical education program. Can. Med. Ed. J [Internet]. 2021Mar.4 [cited 2021Aug.3];12(2):e94-e99. Available from: https://journalhosting.ucalgary.ca/index.php/cmej/article/view/68215

Issue

Section

Canadiana