Medical school

Are you a Premedical Student with a Nonscience Major? Check Out These Schools.

All premedical students are required to take prerequisites in life sciences before applying to medical school. But the humanities also offer valuable preparation for prospective physicians. In the fall of 2020, about 12 percent of the entering students in the U.S. News top 10 programs in research (11.9 percent) and primary care (11.4 percent) came from a social sciences/humanities background. And, in the fall of 2021, ten schools boasted entering classes with a significant proportion of social sciences/humanities undergraduates (see chart below). If you are a premedical student in the social sciences/humanities, you may want to consider one of these schools.  

Additionally, in your applications and interviews to other schools, be sure to articulate the value of your social sciences/humanities background. A study from 2014 found that while medical students with undergraduate degrees in the humanities maintain consistent academic performance with those from science majors, they also tended to show “…better empathy and communication skills, and a more patient-centered outlook.” Similarly, Rishi Goyal, MD, PhD, and Director of the Medicine, Literature, and Society major at Columbia University, argues that college is an ideal time for exposure to the humanities. “It’s a great time to capture students, to help them develop different parts of the brain,” he said. “It’s more difficult to do that in medical school. Students are already so busy, and it’s harder to convince them at that point that memorizing the Krebs cycle is not as important as holding a patient’s hand or talking to them in their same language.” 

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Despite Stress and Burnout, Most Students Feel that Medical School Prepared Them Well for Board Exams and Residency

In Medscape’s 2022 Medical Student Lifestyle report, which included responses from over 2,000 medical students, many respondents reported experiencing burnout: 37 percent of students reported occasional burnout, while a full third of respondents (33 percent) reported frequent burnout, and 12 percent reported constant burnout. And while 37 percent said that they rarely or never experience doubt about becoming a doctor, many said they did experience doubt sometimes (44 percent), frequently (15 percent), or constantly (4 percent).

Despite many medical students experiencing stress and even doubt, most reported feeling that their medical schools prepared them for the future. The majority of students (64 percent) noted that they felt prepared or very prepared for the USMLE, with half favoring the move to a pass/fail format for the test. Just over two-thirds of students, 67 percent, reported satisfaction with the relationships they formed with their professors. And 59 percent reported feeling prepared or very prepared for residency, with that proportion increasing to 75 percent among fourth year respondents. 

Many students also reported that they found meaning during the pandemic. Over one-third of respondents, 39 percent, reported that Covid reinforced or strongly reinforced their drive to become a doctor. In terms of specialty selection, 24 percent noted that Covid slightly or somewhat influenced their specialty choice, and 12 percent said that Covid influenced or strongly influenced their selection of a specialty. The majority of students (54 percent) said that they felt satisfied or very satisfied with how their medical school handled Covid. 

New Study Casts Light on Higher Attrition Rates for Underrepresented Groups in Medical School

A recent JAMA Network Open study found that medical students from underrepresented groups have an attrition rate that is over three times higher than other students. The study analyzed allopathic medical student cohorts in years 2014-2015 and 2015-2016, and divided students into groupings for analysis based on personal (race and ethnicity, family income) and structural (youth neighborhood resources) metrics. 

The study showed:

  • Attrition was highest among students with all three “marginalized identities”—low income, under-resourced neighborhood, and identifying as a historically underrepresented race and ethnicity. The total attrition for this group was almost four times (3.7) higher than for students who did not report any of the three marginalized identities.

  • By race and ethnicity, students who identified as American Indian, Alaska Native, Native Hawaiian, and Pacific Islander had the highest attrition rate (11 percent), followed by Black students (5.7 percent), and Hispanic students (5.2 percent).

  • Students from under-resourced neighborhoods had almost double the attrition rate (4.6 percent) of those who were not from under-resourced neighborhoods (2.4 percent). Similarly, those with low family income had an attrition rate of 4.2 percent compared to 2.3 percent for those who did not.

The researchers noted a need for targeted, structural reforms in medical schools to improve retention rates among high-risk groups. “Given the higher attrition rate among marginalized student groups, medical schools should consider reforms that dismantle structural inequities in medical culture and training that equate privilege with merit and physicians as an elite class of citizens,” they wrote. “These reforms may begin with tuition and debt reform and purposeful partnership and support of local and national under-resourced communities.”