Acceptance into medical school and racial discrimination

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Abstract
We obtained permission from the deans of all medical schools in the United Kingdom to analyse the data from the Universities and Colleges Admission Service on candidates who applied and were accepted for places in 1992. We classified candidates as belonging to an ethnic minority group when they identified themselves as being Chinese, Bangladeshi, Indian, Pakistani, Afro-Caribbean, or black. Candidates who did not provide information on their ethnic origin and those from overseas were excluded from the analysis. Applicants were stratified according to score at A level (30-26 or 25 or less, grade A scoring 10 points, grade B eight, grade C six, grade D four, and grade E two, with the maximum possible score being 30). Applicants with passes in the Scottish Certificate of Education were excluded because of problems in comparing the two examinations. To adjust for A level score a stratified analysis using a Mantel-Haenszel test1 was carried out and expressed as an odds ratio—that is, the odds of white candidates being accepted into medical school compared with the odds of candidates from ethnic minority groups being accepted.

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