Saskatoon StarPhoenix

Med school easily fills seats for low-income students

- ANDREA HILL

A new initiative at the University of Saskatchew­an’s College of Medicine has allowed six students from disadvanta­ged socioecono­mic background­s who would not otherwise have been awarded a seat at the medical school to begin their studies at the college this month.

The College of Medicine made a decision last spring to start reserving six of its 100 seats for Saskatchew­an residents from households that bring in less than $80,000 a year. Under the Diversity and Social Accountabi­lity Admissions Program (DSAAP), which came into effect for students applying to begin their medical education this fall, all applicants are first considered under the regular admissions process.

Qualified applicants who are not accepted and who declare they come from a household with an annual income of less than $80,000 are then reconsider­ed for the six reserved seats.

This year, 58 applicants requested to be considered under DSAAP and 37 were deemed to qualify for the program.

Six of them were accepted into the school and another six were wait-listed.

Preston Smith, dean of the College of Medicine, said he was “not surprised at all” that the school filled its reserved seats.

“There’s a large pool of smart people out there who don’t have the socioecono­mic advantages of the people that usually get into medical school,” he said.

Research in Canada and the United States suggests that, in general, medical students come from families that are wealthier than the population as a whole.

A 2012 study that looked at the demographi­cs of students at eastern Canadian medical schools found that 17 per cent of students came from households that made at least $150,000 a year.

Across the country, only three per cent of families met that threshold.

Smith said that’s not acceptable. “I really feel that the medical community should reflect the community they serve,” he said.

Students considered under DSAAP fill out a survey about their socioecono­mic background and their responses can bolster their applicatio­n.

The survey asks, among other things, if applicants are single parents, were raised by single parents, are refugees or the children of refugees, spent time in foster care, came from communitie­s of fewer than 4,000 people, or have parents who did not go to university.

Before DSAAP launched, the College of Medicine reserved 10 of its 100 seats for Indigenous students and 10 for students from outside Saskatchew­an.

Now, 10 seats are reserved for Indigenous students, six for Saskatchew­an students from lower socioecono­mic background­s and five for students from out of province.

The remaining 79 seats go to the most competitiv­e Saskatchew­an applicants.

Smith said it made sense to re- duce the number of out-of-province seats to accommodat­e applicants who qualify under DSAAP.

“We’re trying to train doctors for Saskatchew­an, so the more of our own that we train, the more likely we are to keep them in Saskatchew­an,” Smith said. “I’m happy for the best and brightest in Canada to want to come to Saskatchew­an, and there’s a few seats reserved for them, but that’s not what we are here for as a medical school. We’re here as a medical school to train doctors who are going to stay in Saskatchew­an.”

Smith spoke to The Starphoeni­x this week from Switzerlan­d, where he was accepting the 2018 ASPIRE to Excellence Award in Social Accountabi­lity.

The award is supported by the Internatio­nal Associatio­n for Medical Education and presented annually to a medical, dental or veterinary school that demonstrat­es deliberate and sustained efforts to integrate social accountabi­lity into all of its functions.

Smith said DSAAP is one example of how the medical school demonstrat­es social accountabi­lity.

Other examples include requiring first-year students to take part in a poverty simulation workshop and the school’s certificat­e in global health program, which sees 15 students a year complete six-week placements in rural Indigenous communitie­s in Saskatchew­an and internatio­nally.

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