Fauci

Incoming 2021 Medical School Class Largest and Most Diverse Ever

The incoming 2021 class of medical students is the largest and the most diverse ever. Compared to 2020, the number of self-identified Black or African American first-year medical students grew by 21 percent, the number of Asian students increased by 8.3 percent, and Hispanic/Latino students increased by 7.1 percent. While the majority of matriculants are White (51.5 percent), there were increasing proportions of Asian (26.5 percent), Hispanic/Latino (12.7 percent) and Black or African American (11.3 percent) students. Women continue to make up the majority of the entering class at 55.5 percent, and of total medical school enrollment at 52.5 percent.

The large class comes at the end of a record-setting year for application submissions, with a 17.8 percent increase. In particular, there was an increase in the number of diverse candidates submitting applications, which was driven by a 41 percent increase in Black or African American candidates and a 25 percent increase in Hispanic/Latino applicants. Last year marked the first year that white candidates did not make up the majority of applicants at 49.7 percent; the next largest proportions of applicants were Asian (25.0 percent), Black or African American (11.7 percent) and Hispanic/Latino (11.7 percent).

The AAMC does not believe that the surge in applicants is expected to continue, and they note that the current year is trending closer to pre-pandemic levels. While there are many hypotheses regarding last year’s surge, many suggest that it was a confluence of factors including lowered application costs due to virtual interviews and expanded MCAT assistance, a dearth of available “gap year” experiences, and an increased awareness of social inequities related to health outcomes and access to health care. While many have considered the unlikely celebrity of Anthony Fauci and how he could have inspired more young people to consider medicine, there is now a real sense among the medical community that the pandemic and its key players did indeed prompt more applications, even from those initially “on the fence.”

 

Related blogs:

Long-Term Study of Medical School Demographics Shows “Persistent Failure” to Improve Diversity

Surge in Medical School Applications Attributed to the “Fauci Effect” and Virtual Interviews

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Surge in Medical School Applications Attributed to the “Fauci Effect” and Virtual Interviews

In September we shared that applications to medical school had risen significantly compared to the same period last year, with both the American Association of Medical Colleges (AAMC) and the American Association of Colleges of Osteopathic Medicine (AACOM) reporting double-digit increases. Last week, MedPage Today confirmed that the upward trend in applications has held throughout the application season with AAMC applications, now closed, up 18 percent over the previous cycle and AACOM schools up 19 percent over the same period last year and up 7 percent over last year’s total with two months remaining in the admissions cycle.

The increase in application volume is significantly larger than recent annual increases (less than 6 percent), which suggests this year’s cycle will be more competitive. Geoffrey Young, PhD, AAMC's Senior Director of Student Affairs and Programs, estimated that just 18 percent of applicants will be accepted to AAMC schools this year. Young, along with Jayme Bograd, AACOM's Director of Application Services, Recruitment, and Student Affairs, via MedPage Today, also suggest that the large number of applicants could have an impact on future application cycles. Noting that this cycle included a similar percentage of re-applicants to previous years, both Young and Bograd agree that, if the rate holds, next year may also bring a larger number of applicants.

Medical school admissions officers have attributed this year’s application uptick to the “Fauci Effect.” Kristen Goodell, Associate Dean of Admissions at the Boston University School of Medicine, which reported a staggering 27 percent increase in applications, told NPR last month that "It may have a lot to do with the fact that people look at Anthony Fauci, look at the doctors in their community and say, 'You know, that is amazing. This is a way for me to make a difference.'"

Young, however, questions the “Fauci Effect,” pointing out that competitive medical school applicants typically spend years amassing a portfolio of educational and extracurricular experiences, rather than making an impulse decision to submit. And Bograd points out that the average age of applicants is the same this year (23.9) as it was last year, suggesting that it was not simply due to applicants opting out of a gap year. Rather, MedPage’s sources, including Young and Bograd, look to a variety of anecdotal factors that may have contributed to this year’s larger number of applicants. Both AAMC and AACOM schools use of virtual interviews significantly reduced the cost burden on applicants. Relatedly, not having to travel for interviews may have allowed applicants to apply to a wider range of schools. Additionally, osteopathic schools have increased program awareness efforts with AACOM, hosting more open houses than usual, virtually, and increasing scholarship funds. And a new DO school in Utah is accepting applications for its first class, while a few other schools have been able to expand their class sizes.