Dreams Realized: A Long-Term Program Evaluation of Three Summer Diversity Pipeline Programs
Open accessAbstract
Purpose: Pipeline programs are a well-known approach to enhancing health care workforce diversity and reducing health disparities. Few evaluations of pipeline programs include long-term outcome; fewer still, if any explore perceptions of students after completing such programs, to elucidate factors that contribute to successful entry into the health professions. The authors conducted a program evaluation of three summer diversity pipeline programs in the Bronx, NY, investigating both long-term outcomes and participants' hindsight perspectives of the impact of these programs on their career trajectories. Methods: Investigators conducted a cross-sectional, long-term, mixed-methods survey study. The primary and secondary outcomes for the quantitative analysis were matriculation into biomedical programs to pursue MD or PhD degrees and Master's degrees, respectively, and associated demographic factors. Free-text questions explored the most valuable and influential components of the programs; responses were analyzed qualitatively. Results: Of 147 respondents, 107 (73%) were on-track or had entered a doctoral or master's program, achieving either the primary or secondary outcomes, respectively. Components cited as most valuable included clinical experience, mentorship, career exposure, and research opportunities. Three themes were identified from the free-text responses: (1) Dreams realized; (2) Professional identity formation; and (3) Addressing systemic inequities. Conclusions: These three pipeline programs achieved career outcomes similar to published data. Participants' insights highlight the value of relationships, direct exposure to the health professions, and the importance of such programs to address systemic barriers faced. Results can inform criteria both for participant selection, as well as benchmarks used to define individual and programmatic success.
AI snapshot
Written from the paper’s full text.
TL;DR
This long-term mixed-methods evaluation of three Bronx summer diversity pipeline programs found that 107 of 147 respondents (73%) were on-track for or had entered a doctoral or master’s program. Participants most valued clinical exposure, mentorship, career exposure, and research opportunities, and qualitative themes were “Dreams realized,” “Professional identity formation,” and “Addressing systemic inequities.”
Key findings
Of 147 complete surveys, 107 (73%) were on-track or had entered a doctoral or master’s program; among 105 respondents in the outcome table, 34 (32%) achieved the primary outcome (MD/PhD biomedical) and 16 (15%) achieved the secondary outcome (master’s-level health professions).
- Among the 34 who achieved the primary outcome, 65% were enrolled in medical school, 24% had achieved medical school degrees, and 12% were enrolled in a biomedical doctoral program.
- Most valuable program components were clinical exposure (40 mentions), mentorship (25), career exposure (20), and research opportunities (16). Among respondents reporting reasons for being off-track (N=23), time (60%), money (52%), and grades (40%) were most frequent.
- Three qualitative themes emerged: (1) Dreams realized; (2) Professional identity formation; and (3) Addressing systemic inequities. No associations between demographic variables and primary or secondary outcomes reached statistical significance (p>0.05).
Methods
Cross-sectional, long-term, mixed-methods survey evaluation of three summer pipeline programs (SUMP, Monte-HOP, DSSROP) at Albert Einstein College of Medicine/Montefiore Medical Center, using social cognitive career theory as the conceptual framework.
- An 87-item electronic survey with skip logic was sent in spring 2013 to all individuals who completed any program between 2002–2012 and had contact information; three reminders were sent 2 weeks apart.
- Quantitative outcomes were matriculation into medical/graduate school for MD or PhD in biomedical sciences (primary) and master’s-level health professions school (secondary), plus an age-neutral “on-track” outcome; analysis used descriptive statistics, Pearson’s correlation, chi-square tests, p<0.05, and SPSS v.24. Qualitative analysis frequency-coded the first open-ended question and used inductive thematic analysis, a codebook, constant comparative method, and consensus on representative quotes for the remaining two open-ended questions.
Limitations
Stated by the authors: no baseline pre-program characteristics; inability to control for impactful events between program participation and follow-up; randomized controlled trial design was not feasible or ethical with limited resources; inactive email addresses limited reach; SUMP participants were disproportionately represented (57%) likely because its administrator used a personal Facebook page and electronic application; representativeness of URM pipeline participants could not be ascertained because such data are not published; and response bias may have led successful or socially desirable responders to participate disproportionately.
- Evident from the text: the design is cross-sectional and self-report, the response rate was 44% (158/361), and there was no control or comparison group.
Model-written summary. Check it against the paper before relying on it.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
13 of 49 cited sources checked · 3 supported · 1 flagged · accuracy not yet measured
- Premisecitation
One similar program reports 69% (27/39) of graduates matriculated into or on-track to enter health professions graduate programs.
“For instance, one similar program reports 69% (27/39) of graduates matriculated into or on-track to enter health professions graduate programs12”
Quote in the paperNot a substantial claim1 of 1 sources checked- cites [12] Upshur CC, Wrighting DM, Bacigalupe G, et al. The Health Equity Scholars Program: innovation in the Leaky Pipeline. J Racial Ethn Health Disparities. 2018; 5: 342– 350 28526974 PMC5694706 source
The Outcomes section (Graduation rate and post-graduation status; page unavailable) reports only 20 graduates, not 39. Of those, three were enrolled in graduate programs and three were applying to graduate or medical school—not 27 matriculated or on track to enter. (LLM, conf=0.88)
Checked by a reasoning model — may be wrong.
Experimental — accuracy not yet measured
- Premisecitation
A more diverse health professions workforce contributes to reducing racial and ethnic health disparities.
“A more diverse health professions workforce contributes to reducing racial and ethnic health disparities.1–4”
Quote in the paperSubstantial claim1 of 4 sources checked- cites [1] Camacho A, Zangaro G, White KM. Diversifying the health-care workforce begins at the pipeline: a 5-year synthesis of processes and outputs of the scholarships for Disadvantaged Students Program. Eval Health Prof. 2017; 40: 127– 150 26660346 source
- cites [2] Cohen JJ, Gabriel BA, Terrell C. The case for diversity in the health care workforce. Health Aff (Millwood). 2002; 21: 90– 102 12224912 source
- cites [3] Smedley BD, Butler AS, Bristow LR, et al. In the Nation's Compelling Interest: Ensuring Diversity in the Health-Care Workforce. Washington, DC: National Academies Press, 2004 25009857
Couldn’t be matched to a paper in Crossref, so it can’t be checked.
- cites [4] Alsan M, Garrick O, Graziani G. Does diversity matter for health? Experimental evidence from Oakland. Am Econ Rev. 2019; 12: 4071– 4111 source
The opening passage (page not provided) reports that Black men assigned to Black doctors were more likely to choose preventive services and suggests this could reduce the Black–white male cardiovascular mortality gap. The study supports a potential effect of physician diversity on a racial health disparity, but it does not establish that diversity across health professions reduces racial and ethnic disparities generally. (LLM, conf=0.83)
Experimental — accuracy not yet measured
- Premisecitation
The diversity within the health professions is not increasing at a sufficient rate to reflect the racial, ethnic, and linguistic diversity of the current or future U.S. population.
“Yet, the diversity within the health professions is not increasing at a sufficient rate to reflect the racial, ethnic, and linguistic diversity of the current or future U.S. population.3,5”
Quote in the paperSubstantial claim1 of 2 sources checked- cites [3] Smedley BD, Butler AS, Bristow LR, et al. In the Nation's Compelling Interest: Ensuring Diversity in the Health-Care Workforce. Washington, DC: National Academies Press, 2004 25009857
Couldn’t be matched to a paper in Crossref, so it can’t be checked.
- cites [5] Lett LA, Murdock HM, Orji WU, et al. Trends in racial/ethnic representation among US Medical Students. JAMA Netw Open. 2019; 2: e1910490 31483469 PMC6727686 source
The Discussion reports little improvement in racial and ethnic representation among medical school applicants and matriculants relative to the US population, supporting the claim for the physician pipeline. The Discussion’s Limitations say that other health professions still need to be studied. The paper does not assess linguistic diversity or compare the workforce with projections of the future US population. (LLM, conf=0.88)
Experimental — accuracy not yet measured
- Premisecitation
URM faculty members are often tasked with many roles beyond mentoring of URM students and trainees, colloquially called the "minority tax."
“They are often tasked with many roles beyond mentoring of URM students and trainees, colloquially called the “minority tax.”25,26”
Quote in the paperSubstantial claim2 of 2 sources checked- cites [25] Mahoney MR, Wilson E, Odom KL, et al. Minority faculty voices on diversity in academic medicine: perspectives from one school. Acad Med. 2008; 83: 781– 786 18667896 PMC2868964 source
The Results section, “Diversity-related activities: Personal commitment and institutional pressure” (page unavailable), describes minority faculty being pressed into diversity committees and outreach beyond mentoring, sometimes to the point of overextension. The paper does not call those additional roles the “minority tax”; its Discussion uses “black tax” for the distinct burden of responding to discrimination. (LLM, conf=0.86)
Experimental — accuracy not yet measured - cites [26] Rodriguez JE, Campbell KM, Pololi LH. Addressing disparities in academic medicine: what of the minority tax? BMC Med Educ. 2015; 15: 6 25638211 PMC4331175 source
- Premisecitation
A more racially and ethnically diverse class benefits all students.
“A more racially and ethnically diverse class benefits all students.21,,22”
Quote in the paperNot a substantial claim1 of 2 sources checked- cites [21] Lent RW, Morris TR, Penn LT, et al. Social-cognitive predictors of career exploration and decision-making: longitudinal test of the career self-management model. J Couns Psychol. 2019; 66: 184– 194 30091621 source
- cites [22] Moser A, Korstjens I. Series: practical guidance to qualitative research. Part 3: sampling, data collection and analysis. Eur J Gen Pract. 2018; 24: 9– 18 29199486 PMC5774281 source
The Sampling and Data collection sections discuss selecting research participants and composing focus groups, not the effects of racial or ethnic diversity in a class. Searches for the claim and for classroom diversity and student benefits found no passage addressing it in our copy; page numbers were not available. (LLM, conf=0.75)
Experimental — accuracy not yet measured
- Interpretationcitation
Our findings are in line with similar undergraduate pipeline programs serving URM and disadvantaged students.
“Our findings are in line with similar undergraduate pipeline programs serving URM and disadvantaged students.”
Quote in the paperNot a substantial claim1 of 2 sources checked- cites [12] Upshur CC, Wrighting DM, Bacigalupe G, et al. The Health Equity Scholars Program: innovation in the Leaky Pipeline. J Racial Ethn Health Disparities. 2018; 5: 342– 350 28526974 PMC5694706 source
- cites [16] Kana LA, Noronha C, Diamond S, et al. Experiential-learning opportunities enhance engagement in Pipeline Program: a qualitative study of the Doctors of Tomorrow Summer Internship Program. J Natl Med Assoc. 2020; 112: 15– 23 32037249 source
- Premisecitation
Few program evaluations describe the impact of pipeline programs beyond short-term outcomes.
“Few program evaluations describe the impact of these programs beyond short-term outcomes.10,13,14”
Quote in the paperSubstantial claim1 of 3 sources checked- cites [10] Winkleby MA. The Stanford Medical Youth Science Program: 18years of a biomedical program for low-income high school students. Acad Med. 2007; 82: 139– 145 17264691
Not checked in the free run.
- cites [13] Kuo AA, Verdugo B, Holmes FJ, et al. Creating an MCH pipeline for disadvantaged undergraduate students. Matern Child Health J. 2015; 19: 2111– 2118 26088033 source
- cites [14] Howell LP, Wahl S, Ryan J, et al. Educational and career development outcomes among undergraduate summer research interns: a pipeline for Pathology, Laboratory Medicine, and Biomedical Science. Acad Pathol. 2019; 6: 2374289519893105 31858021 PMC6913060 source
The Methods describe this paper’s evaluation of postinternship career development, and the Discussion says it surveyed interns from a 15-year period. Neither section assesses how many pipeline-program evaluations examine outcomes beyond the short term; searches for short-term, long-term, and longitudinal evaluation language found no such statement. (LLM, conf=0.73)
Experimental — accuracy not yet measured
- Findingown data
Among 147 respondents, 107 (73%) were on-track.
“For our on-track/off track outcome, 147 respondents, 107 (73%) were on-track.”
Quote in the paperSubstantial claim- Rests on an assumption: Participants' self-reported educational and career outcomes and retrospective perceptions are accurate and not systematically biased.
- Rests on an assumption: The survey respondents are representative of all program participants, and non-respondents do not differ systematically in outcomes.
- Rests on an assumption: The 87-item survey accurately measures the intended constructs of academic and career outcomes and program impact.
- Findingown data
For some participants, the program offered necessary resources, networks, and encouragement that were not available on their college campuses.
“For some, the program offered the necessary resources, networks, and encouragement that were not available on their college campuses.”
Quote in the paperSubstantial claim- Rests on an assumption: Participants' self-reported educational and career outcomes and retrospective perceptions are accurate and not systematically biased.
- Rests on an assumption: The survey respondents are representative of all program participants, and non-respondents do not differ systematically in outcomes.
- Rests on an assumption: The 87-item survey accurately measures the intended constructs of academic and career outcomes and program impact.
- Findingown data
Our qualitative analysis revealed that students valued components of the program that provided direct contact and insight into the health care profession that they would not have otherwise had the opportunity to pursue with.
“Our qualitative analysis revealed that students valued components of the program that provided direct contact and insight into the health care profession that they would not have otherwise had the opportunity to pursue with.”
Quote in the paperSubstantial claim- Rests on an assumption: Participants' retrospective self-reports accurately reflect their experiences and the program's effects.
- Findingown data
Participants valued their pipeline program's goals of increasing the diversification of the health care workforce because of the impact that their own dreams being realized could have on the communities with whom they identify.
“In addition, they valued their pipeline program's goals of increasing the diversification of the health care workforce because of the impact that their own dreams being realized could have on the communities with whom they identify.”
Quote in the paperNot a substantial claim- Rests on an assumption: Participants' self-reported educational and career outcomes and retrospective perceptions are accurate and not systematically biased.
- Rests on an assumption: The survey respondents are representative of all program participants, and non-respondents do not differ systematically in outcomes.
- Rests on an assumption: The 87-item survey accurately measures the intended constructs of academic and career outcomes and program impact.
- Findingown data
34 of 105 respondents (32%) achieved the primary outcome (matriculation into medical school or graduate school to pursue an MD or PhD).
“| Achieved primary outcome | 19 (31) | 3 (17) | 12 (46) | 34 (32) |”
Quote in the paperSubstantial claim- Rests on an assumption: Participants' self-reported educational and career outcomes and retrospective perceptions are accurate and not systematically biased.
- Rests on an assumption: The survey respondents are representative of all program participants, and non-respondents do not differ systematically in outcomes.
- Rests on an assumption: The 87-item survey accurately measures the intended constructs of academic and career outcomes and program impact.
- Findingown data
Participants became more confident in embracing their professional identity along with peers, faculty mentors, and role models.
“They became more confident in embracing their professional identity along with peers, faculty mentors, and role models.”
Quote in the paperSubstantial claim- Rests on an assumption: Participants' self-reported educational and career outcomes and retrospective perceptions are accurate and not systematically biased.
- Rests on an assumption: The survey respondents are representative of all program participants, and non-respondents do not differ systematically in outcomes.
- Rests on an assumption: The 87-item survey accurately measures the intended constructs of academic and career outcomes and program impact.
- Findingown data
Many participants relished their relationships with medical students and practicing physicians and scientists.
“Many relished their relationships with medical students and practicing physicians and scientists.”
Quote in the paperNot a substantial claim- Rests on an assumption: Participants' retrospective self-reports accurately reflect their experiences and the program's effects.
- Findingown data
Analysis of the first open-ended question from 133 participants resulted in 31 distinct codes.
“For the first open-ended question, participants (N=133) identified distinct aspects of the programs as most valuable, resulting in 31 distinct codes.”
Quote in the paperNot a substantial claim- Rests on an assumption: Participants' self-reported educational and career outcomes and retrospective perceptions are accurate and not systematically biased.
- Rests on an assumption: The survey respondents are representative of all program participants, and non-respondents do not differ systematically in outcomes.
- Rests on an assumption: The 87-item survey accurately measures the intended constructs of academic and career outcomes and program impact.
- Findingown data
Study skills, time management, organizational strategies, and balancing a challenging work load with personal responsibilities were cited by several participants.
“Study skills, time management, organizational strategies, and balancing a challenging work load with their personal responsibilities were also cited by several participants.”
Quote in the paperNot a substantial claim- Rests on an assumption: Participants' retrospective self-reports accurately reflect their experiences and the program's effects.
- Findingown data
For many students in the programs, dreams of working in health care became attainable.
“For many students in the programs, dreams of working in health care became attainable.”
Quote in the paperSubstantial claim- Rests on an assumption: Participants' self-reported educational and career outcomes and retrospective perceptions are accurate and not systematically biased.
- Rests on an assumption: The survey respondents are representative of all program participants, and non-respondents do not differ systematically in outcomes.
- Rests on an assumption: The 87-item survey accurately measures the intended constructs of academic and career outcomes and program impact.
- Findingown data
As a consequence of being immersed in a summer program with a peer network of high-achieving students with similar goals, participants' perspectives of the career possibilities within the medical field were broadened.
“As a consequence of being immersed in a summer program with a peer network of high-achieving students with similar goals, participants' perspectives of the career possibilities within the medical field were broadened.”
Quote in the paperSubstantial claim- Rests on an assumption: Participants' retrospective self-reports accurately reflect their experiences and the program's effects.
- Findingown data
Many participants were motivated to incorporate health disparities, social determinants, and access issues into their future careers.
“Many were motivated to incorporate these topics into their future careers.”
Quote in the paperSubstantial claim- Rests on an assumption: Participants' retrospective self-reports accurately reflect their experiences and the program's effects.
- Findingown data
Meeting and having access to peers, medical/graduate students, and practicing health professionals and scientists with similar personal identities demystified the "black box" of getting into medical or graduate school.
“Meeting and having access to peers, medical/graduate students, and practicing health professionals and scientists with similar personal identities demystified the “black box” of getting into medical or graduate school.”
Quote in the paperSubstantial claim- Rests on an assumption: Participants' retrospective self-reports accurately reflect their experiences and the program's effects.
- Findingown data
73% of respondents matriculated into MD or PhD programs, masters-degree level health professions program, or were on track to achieve these outcomes.
“The results of our quantitative analysis indicate that 73% of our respondents matriculated into MD or PhD programs, masters-degree level health professions program, or were on track to achieve these outcomes.”
Quote in the paperSubstantial claim- Rests on an assumption: The three summer diversity pipeline programs are sufficiently comparable to be evaluated together as a single program.
- Findingown data
Participants' confidence was enhanced.
“Their confidence was enhanced.”
Quote in the paperSubstantial claim- Rests on an assumption: Participants' self-reported educational and career outcomes and retrospective perceptions are accurate and not systematically biased.
- Rests on an assumption: The survey respondents are representative of all program participants, and non-respondents do not differ systematically in outcomes.
- Rests on an assumption: The 87-item survey accurately measures the intended constructs of academic and career outcomes and program impact.
- Findingown data
Participants perceived that their desired professional identity became more attainable.
“They perceived that their desired professional identity became more and attainable.”
Quote in the paperSubstantial claim- Rests on an assumption: Participants' retrospective self-reports accurately reflect their experiences and the program's effects.
- Findingown data
The most valuable components identified by participants, in descending order of frequency, were clinical exposure (40 mentions), mentorship (25 mentions), career exposure (20 mentions), and research opportunities (16 mentions).
“In descending order of frequency, the students identified the overall most valuable components to be (1) clinical exposure (40 mentions); (2) mentorship (25 mentions); (3) career exposure (20 mentions); and (4) research opportunities (16 mentions).”
Quote in the paperNot a substantial claim- Rests on an assumption: Participants' self-reported educational and career outcomes and retrospective perceptions are accurate and not systematically biased.
- Rests on an assumption: The survey respondents are representative of all program participants, and non-respondents do not differ systematically in outcomes.
- Rests on an assumption: The 87-item survey accurately measures the intended constructs of academic and career outcomes and program impact.
- Findingown data
Participants identified many tangible benefits from the programs that helped them overcome their real and perceived systemic, economic, and educational disadvantages.
“Participants identified many tangible benefits from the programs that helped them overcome their real and perceived systemic, economic, and educational disadvantages.”
Quote in the paperSubstantial claim- Rests on an assumption: Participants' retrospective self-reports accurately reflect their experiences and the program's effects.
- Findingown data
No associations between demographic variables (sex, race/ethnicity, academic level at time of participation) and primary or secondary outcomes reached statistical significance (p>0.05).
“No associations between demographic variables and primary or secondary outcomes reached statistical significance (p>0.05 for comparisons).”
Quote in the paperNot a substantial claim- Rests on an assumption: Participants' self-reported educational and career outcomes and retrospective perceptions are accurate and not systematically biased.
- Rests on an assumption: The survey respondents are representative of all program participants, and non-respondents do not differ systematically in outcomes.
- Rests on an assumption: The 87-item survey accurately measures the intended constructs of academic and career outcomes and program impact.
- Findingown data
Participants realized they could be advocates for patients, their communities, and other students.
“They realized that they could be advocates for patients, their communities, and other students.”
Quote in the paperSubstantial claim- Rests on an assumption: Participants' retrospective self-reports accurately reflect their experiences and the program's effects.
- Findingown data
Programs and mentors fostered or enhanced a desire to work in underserved communities through lectures and shadowing.
“Programs and mentors fostered or enhanced a desire to work in underserved communities through lectures and shadowing.”
Quote in the paperSubstantial claim- Rests on an assumption: Participants' retrospective self-reports accurately reflect their experiences and the program's effects.
- Findingown data
Of 147 respondents, 107 (73%) were on-track or had entered a doctoral or master's program, achieving either the primary or secondary outcomes.
“Of 147 respondents, 107 (73%) were on-track or had entered a doctoral or master's program, achieving either the primary or secondary outcomes, respectively.”
Quote in the paperSubstantial claim- Rests on an assumption: Participants' self-reported educational and career outcomes and retrospective perceptions are accurate and not systematically biased.
- Rests on an assumption: The survey respondents are representative of all program participants, and non-respondents do not differ systematically in outcomes.
- Rests on an assumption: The 87-item survey accurately measures the intended constructs of academic and career outcomes and program impact.
- Findingown data
Several participants felt that they were the only URMs on their campuses undertaking the medical school application process.
“Several participants felt that they were the only URMs on their campuses undertaking the medical school application process.”
Quote in the paperNot a substantial claim- Rests on an assumption: Participants' retrospective self-reports accurately reflect their experiences and the program's effects.
- Findingown data
Participants discovered career options serving underserved communities.
“Participants also discovered career options serving underserved communities.”
Quote in the paperNot a substantial claim- Rests on an assumption: Participants' retrospective self-reports accurately reflect their experiences and the program's effects.
- Findingown data
16 of 105 respondents (15%) achieved the secondary outcome (matriculation into a health professions school at the master's degree level).
“| Achieved secondary outcome | 7 (12) | 4 (22) | 5 (19) | 16 (15) |”
Quote in the paperSubstantial claim- Rests on an assumption: Participants' self-reported educational and career outcomes and retrospective perceptions are accurate and not systematically biased.
- Rests on an assumption: The survey respondents are representative of all program participants, and non-respondents do not differ systematically in outcomes.
- Rests on an assumption: The 87-item survey accurately measures the intended constructs of academic and career outcomes and program impact.
- Findingown data
The program experience often gave participants the courage to pursue their passions.
“Often, the experience gave them the courage to pursue their passions.”
Quote in the paperSubstantial claim- Rests on an assumption: Participants' self-reported educational and career outcomes and retrospective perceptions are accurate and not systematically biased.
- Rests on an assumption: The survey respondents are representative of all program participants, and non-respondents do not differ systematically in outcomes.
- Rests on an assumption: The 87-item survey accurately measures the intended constructs of academic and career outcomes and program impact.
- Findingown data
Close to three quarters (74%) of respondents identified as black or Hispanic/Latino/a/x.
“Close to three quarters (74%) of our respondents identified as black or Hispanic/Latino/a/x.”
Quote in the paperNot a substantial claim - Findingown data
Participants believed the relationships they built with both their peers and mentors helped them clearly see the pathway to an advanced degree in health care.
“They believed the relationships they built with both their peers and mentors helped them clearly see the pathway to an advanced degree in health care.”
Quote in the paperSubstantial claim- Rests on an assumption: Participants' retrospective self-reports accurately reflect their experiences and the program's effects.
- Premisecitation
The federal Health Careers Opportunity Program, the major funding source for pipeline programs since 1972, has for more than a decade received less than half its FY2005 level.
“The federal Health Careers Opportunity Program, the major funding source for pipeline programs since 1972, has for more than a decade received less than half its FY2005 level.18”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [18] Lipscomb WL, President. National Council for Diversity in the Health Professions, Testimony on FY2011-LHHS Appropriations. US House Appropriations Subcommittee Labor, Health and Human Services, Education, and Related Agencies, 2020
Not checked in the free run.
- Premisecitation
URM medical students are more likely to work in minority and underserved patient populations.
“URM medical students are more likely to work in minority and underserved patient populations.3,28”
Quote in the paperSubstantial claim0 of 2 sources checked- cites [3] Smedley BD, Butler AS, Bristow LR, et al. In the Nation's Compelling Interest: Ensuring Diversity in the Health-Care Workforce. Washington, DC: National Academies Press, 2004 25009857
Couldn’t be matched to a paper in Crossref, so it can’t be checked.
- cites [28] Xierali IM, Castillo-Page L, Zhang K, et al. AM last page: the urgency of physician workforce diversity. Acad Med. 2014; 89: 1192 24918758 source
- Interpretationown data
Beyond the skills and academic preparation offered, the programs offered support both peer support and mentorship, to facilitate success.
“Beyond the skills and academic preparation offered, the programs offered support both peer support and mentorship, to facilitate success.”
Quote in the paperSubstantial claim - Study design and conductnone given
Inactive email addresses limited our ability to reach many participants.
“Inactive email addresses limited our ability to reach many participants.”
Quote in the paperNot a substantial claim - Study design and conductreasoning
The disproportionate representation of SUMP participants (57%) among respondents is likely because the SUMP program's administrator used a personal Facebook page to remain in contact with program alumni over time.
“The disproportionate representation of SUMP participants (57%) among respondents is likely because the SUMP program's administrator (H.S.) used a personal Facebook page to remain in contact with program alumni over time.”
Quote in the paperNot a substantial claim - Interpretationown data
These three pipeline programs achieved career outcomes similar to published data.
“These three pipeline programs achieved career outcomes similar to published data.”
Quote in the paperNot a substantial claim- Rests on an assumption: The published data used as a benchmark are comparable to the study's programs and population.
- Interpretationown data
Our programs have a significant positive impact on the academic and career trajectories of URM students.
“Our outcomes suggest that our programs have a significant positive impact on the academic and career trajectories of URM students.”
Quote in the paperSubstantial claim- Rests on an assumption: The observed academic and career outcomes of participants are attributable to the pipeline programs rather than to pre-existing characteristics or other experiences.
- Rests on an assumption: The sample of respondents is representative enough of URM students in educational pipeline programs to generalize the findings.
- Rests on an assumption: The three summer diversity pipeline programs are sufficiently comparable to be evaluated together as a single program.
- Premisecitation
A consensus on the methods and benchmarks used to define successful pipeline programs and the factors that influence them is lacking.
“Limited program evaluation data hinder program developers' ability to quantify successful attainment of stated goals: A consensus on the methods and benchmarks used to define successful programs and the factors that influence them are lacking.8”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [8] Smith SG, Nsiah-Kumi PA, Jones PR, et al. Pipeline programs in the health professions, part 1: preserving diversity and reducing health disparities. J Natl Med Assoc. 2009; 101: 836 –840, 45–51. 19806840 source
- Premisecitation
URM faculty members represent only 8% of faculty in US medical schools.
“URM faculty members represent only 8% of faculty in US medical schools.24”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [24] Census.gov. Quick Facts United States. 2018
Couldn’t be matched to a paper in Crossref, so it can’t be checked.
- Premisecitation
Limited program evaluation data hinder program developers' ability to quantify successful attainment of stated goals.
“Limited program evaluation data hinder program developers' ability to quantify successful attainment of stated goals: A consensus on the methods and benchmarks used to define successful programs and the factors that influence them are lacking.8”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [8] Smith SG, Nsiah-Kumi PA, Jones PR, et al. Pipeline programs in the health professions, part 1: preserving diversity and reducing health disparities. J Natl Med Assoc. 2009; 101: 836 –840, 45–51. 19806840 source
- Interpretationcitation
These findings align with SCCT, in that, learning experiences within the pipeline programs which increased self-efficacy and favorable outcome expectations, in turn, influenced career interests, goal choices, and intentions to pursue a health career path.
“These findings align with SCCT, in that, learning experiences within the pipeline programs which increased self-efficacy and favorable outcome expectations, in turn, influenced career interests, goal choices, and intentions to pursue a health career path.21”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [21] Lent RW, Morris TR, Penn LT, et al. Social-cognitive predictors of career exploration and decision-making: longitudinal test of the career self-management model. J Couns Psychol. 2019; 66: 184– 194 30091621 source
- May combine two claims. 41
- Classified as probably not a substantial claim. 31
May combine two claims.
PremisecitationThere are minimal reports about the personal impact of pipeline programs on participants and what elements contribute most to students' perception of their own success pursuing a health career.
“This gap in our knowledge is further compounded by minimal reports about the personal impact they have on participants, and what elements contribute most to the students' perception of their own success pursuing a health career.15–17”
Quote in the paperSubstantial claim1 of 3 sources checked- cites [15] Patel SI, Rodriguez P, Gonzales RJ. The implementation of an innovative high school mentoring program designed to enhance diversity and provide a pathway for future careers in healthcare related fields. J Racial Ethn Health Disparities. 2015; 2: 395– 402 26863468 source
The Introduction says literature on pipeline-program implementation and efficacy is limited, few studies mentor high-school students, and one did not follow participant outcomes. This supports a general gap in evidence about participants’ experiences. It does not specifically say that reports are scarce on which program elements contribute most to students’ perceived success in pursuing a health career. (LLM, conf=0.83)
Experimental — accuracy not yet measured - cites [16] Kana LA, Noronha C, Diamond S, et al. Experiential-learning opportunities enhance engagement in Pipeline Program: a qualitative study of the Doctors of Tomorrow Summer Internship Program. J Natl Med Assoc. 2020; 112: 15– 23 32037249 source
- cites [17] Derck J, Zahn K, Finks JF, et al. Doctors of tomorrow: an innovative curriculum connecting underrepresented minority high school students to medical school. Educ Health (Abingdon) 2016; 29: 259– 265 28406112 source
Probably not a substantial claim: may not pass S2 (checkable), S3 (load-bearing). May combine two claims.
InterpretationcitationThe importance of mentorship combined with the difficulty URM and women have in obtaining suitable mentors implies that pipeline programs might benefit from incorporating willing faculty from all racial, ethnic, and gender backgrounds to serve as mentors for URM students.
“The importance of mentorship combined with the difficulty URM and women have in obtaining suitable mentors,25 implies that pipeline programs might benefit from incorporating willing faculty from all racial, ethnic, and gender backgrounds to serve as mentors for URM students.27”
Quote in the paperNot a substantial claim2 of 2 sources checked- cites [25] Mahoney MR, Wilson E, Odom KL, et al. Minority faculty voices on diversity in academic medicine: perspectives from one school. Acad Med. 2008; 83: 781– 786 18667896 PMC2868964 source
The Results section (‘Mentorship: Significant needs and limited choices’; page unavailable) says all mentors can help minority faculty and describes a shortage of suitable minority mentors. The paper does not assess whether pipeline programs benefit from recruiting faculty of all racial, ethnic, and gender backgrounds to mentor URM students; that is the citing authors’ inference from findings about faculty. (LLM, conf=0.82)
Experimental — accuracy not yet measured - cites [27] Carapinha R, Ortiz-Walters R, McCracken CM, et al. Variability in women faculty's preferences regarding mentor similarity: a Multi-Institution Study in Academic Medicine. Acad Med. 2016; 91: 1108– 1118 27332871 PMC4965308 source
Split into 2 atoms — 0 confirmed, 2 partially supported, 0 disputed, 0 misattributed, 0 unverifiable. Expand the claim to see per-atom verdicts.
Experimental — accuracy not yet measured
Probably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationMany institutions offer pipeline programs to address educational and social barriers to successful matriculation into health professional schools faced by economically and educationally underserved and/or URM groups.
“In response, many institutions offer “pipeline” programs, interventions addressing the educational and social barriers to successful matriculation into health professional schools faced by economically and educationally underserved and/or URM groups.8–12”
Quote in the paperNot a substantial claim1 of 5 sources checked- cites [8] Smith SG, Nsiah-Kumi PA, Jones PR, et al. Pipeline programs in the health professions, part 1: preserving diversity and reducing health disparities. J Natl Med Assoc. 2009; 101: 836 –840, 45–51. 19806840 source
- cites [9] Grumbach K, Munoz C, Coffman J, Rosenoff E, Gandara P, Sepulveda E. Strategies for Improving Diversity in the Health Professions. San Francisco: Center for California Health Workforce Studies, University of California, 2005. Available at: http://www.calendow.org/reference/publications/pdf/workforce/TCE0802-2003_Strategies_For.pdf Accessed 3 7, 2020
Not checked in the free run.
- cites [10] Winkleby MA. The Stanford Medical Youth Science Program: 18years of a biomedical program for low-income high school students. Acad Med. 2007; 82: 139– 145 17264691
Not checked in the free run.
- cites [11] Crews DC, Wilson KL, Sohn J, et al. Helping scholars overcome socioeconomic barriers to medical and biomedical careers: creating a Pipeline Initiative. Teach Learn Med. 2020; 32: 422– 433 32096414 source
- cites [12] Upshur CC, Wrighting DM, Bacigalupe G, et al. The Health Equity Scholars Program: innovation in the Leaky Pipeline. J Racial Ethn Health Disparities. 2018; 5: 342– 350 28526974 PMC5694706 source
Probably not a substantial claim: may not pass S2 (checkable). May combine two claims.
InterpretationreasoningA holistic approach and flexibility to recruit students who have the potential and interest to matriculate into health professions schools and who need the "intangible" supports may lead to an overall decrease in the percentage of "successful" participants, but will likely lead to an increase in medical school matriculants from disadvantaged backgrounds and enhance overall diversification of the健康
“We recognize this may lead to an overall decrease in the percentage of “successful” participants, but will likely lead to an increase in medical school matriculants from disadvantaged backgrounds and enhance overall diversification of the health care workforce in line with the social justice mission of many of these programs.12,13,16”
Quote in the paperNot a substantial claim1 of 3 sources checked- cites [12] Upshur CC, Wrighting DM, Bacigalupe G, et al. The Health Equity Scholars Program: innovation in the Leaky Pipeline. J Racial Ethn Health Disparities. 2018; 5: 342– 350 28526974 PMC5694706 source
The Abstract and Conclusions and Recommendations (pages not provided) support flexible recruitment and tailored support for disadvantaged students as ways to broaden participation in health careers. They do not predict a lower percentage of “successful” participants or an increase specifically in medical-school matriculants; the reported outcomes concern bachelor’s degree completion and a range of health-related careers. (LLM, conf=0.84)
Experimental — accuracy not yet measured - cites [13] Kuo AA, Verdugo B, Holmes FJ, et al. Creating an MCH pipeline for disadvantaged undergraduate students. Matern Child Health J. 2015; 19: 2111– 2118 26088033 source
- cites [16] Kana LA, Noronha C, Diamond S, et al. Experiential-learning opportunities enhance engagement in Pipeline Program: a qualitative study of the Doctors of Tomorrow Summer Internship Program. J Natl Med Assoc. 2020; 112: 15– 23 32037249 source
May combine two claims.
Findingnone givenParticipants valued exposure to clinical and research environments, as well as learning about career options and receiving direct mentorship.
“Participants valued exposure to clinical and research environments, as well as learning about career options and receiving direct mentorship.”
Quote in the paperNot a substantial claim- Rests on an assumption: Participants' retrospective self-reports accurately reflect their experiences and the program's effects.
May combine two claims.
Findingown dataParticipants felt empowered with a road map to navigate the application process, finance their education, and maximize their competitiveness for ultimate matriculation to medical or graduate school.
“Participants felt empowered with a road map to navigate the application process, finance their education, and maximize their competitiveness for ultimate matriculation to medical or graduate school.”
Quote in the paperSubstantial claim- Rests on an assumption: Participants' retrospective self-reports accurately reflect their experiences and the program's effects.
May combine two claims.
Findingown dataParticipants valued learning about health disparities, social determinants of health, and issues around access to health care.
“Participants valued learning about health disparities, social determinants of health, and issues around access to health care.”
Quote in the paperNot a substantial claim- Rests on an assumption: Participants' retrospective self-reports accurately reflect their experiences and the program's effects.
May combine two claims.
Findingown dataAmong respondents who reported reasons for being off-track (N=23), time (60%) and money (52%) were the most frequently reported reasons, followed by grades (40%).
“Among the respondents who reported reasons for being off-track (N=23), time (60%) and money (52%) were the most frequently reported reasons, followed by grades (40%).”
Quote in the paperNot a substantial claim- Rests on an assumption: Participants' self-reported educational and career outcomes and retrospective perceptions are accurate and not systematically biased.
- Rests on an assumption: The survey respondents are representative of all program participants, and non-respondents do not differ systematically in outcomes.
- Rests on an assumption: The 87-item survey accurately measures the intended constructs of academic and career outcomes and program impact.
May combine two claims.
Findingown dataParticipants were inspired to take greater initiative and persevere despite obstacles.
“Participants were inspired to take greater initiative and persevere despite the obstacles in their path.”
Quote in the paperSubstantial claim- Rests on an assumption: Participants' self-reported educational and career outcomes and retrospective perceptions are accurate and not systematically biased.
- Rests on an assumption: The survey respondents are representative of all program participants, and non-respondents do not differ systematically in outcomes.
- Rests on an assumption: The 87-item survey accurately measures the intended constructs of academic and career outcomes and program impact.
Probably not a substantial claim: may not pass S3 (load-bearing), S4 (based). May combine two claims.
Findingnone givenThe authors have learned through nonsystematic follow-up that many nonresponders actually entered medical or graduate school and, thus, became too busy to respond.
“However, the authors have learned through nonsystematic follow-up that many nonresponders actually entered medical or graduate school and, thus, became too busy to respond.”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown dataMeeting other URM professionals allowed students to visualize their own career paths and form a professional identity.
“Meeting other URM professionals allowed students to visualize their own career paths and form a professional identity.”
Quote in the paperSubstantial claim- Rests on an assumption: Participants' retrospective self-reports accurately reflect their experiences and the program's effects.
Classified as probably not a substantial claim.
Findingown dataIf such programs were not offered, participants identified the potential loss of talent and dreams unfulfilled with personal- and society-level consequences.
“If such programs were not offered, participants identified the potential loss of talent and dreams unfulfilled with personal- and society-level consequences.”
Quote in the paperSubstantial claim- Rests on an assumption: Participants' self-reported educational and career outcomes and retrospective perceptions are accurate and not systematically biased.
- Rests on an assumption: The survey respondents are representative of all program participants, and non-respondents do not differ systematically in outcomes.
- Rests on an assumption: The 87-item survey accurately measures the intended constructs of academic and career outcomes and program impact.
Classified as probably not a substantial claim. May combine two claims.
Findingown dataSeveral participants believed that such programs help level the playing field for all applicants and increase equity of opportunity to enter a career in science or the health professions.
“Several participants believed that such programs help level the playing field for all applicants and increase equity of opportunity to enter a career in science or the health professions.”
Quote in the paperSubstantial claim- Rests on an assumption: Participants' retrospective self-reports accurately reflect their experiences and the program's effects.
May combine two claims.
Findingown dataParticipants' relationships lasted longitudinally, not just with their peers, but with many of the faculty and their mentors as well.
“Their relationships lasted longitudinally, not just with their peers, but with many of the faculty and their mentors as well.”
Quote in the paperSubstantial claim- Rests on an assumption: Participants' retrospective self-reports accurately reflect their experiences and the program's effects.
May combine two claims.
Findingown dataOf the 34 respondents who achieved the primary outcome, 65% were enrolled in medical school, 24% achieved medical school degrees, and 12% were enrolled in a biomedical doctoral program.
“Of the 34 who achieved our primary outcome, 65% were enrolled in medical school, 24% achieved medical school degrees, and 12% were enrolled in a biomedical doctoral program.”
Quote in the paperSubstantial claim- Rests on an assumption: Participants' self-reported educational and career outcomes and retrospective perceptions are accurate and not systematically biased.
- Rests on an assumption: The survey respondents are representative of all program participants, and non-respondents do not differ systematically in outcomes.
- Rests on an assumption: The 87-item survey accurately measures the intended constructs of academic and career outcomes and program impact.
May combine two claims.
Findingnone givenSeveral participants are the first in their families to attend college and did not have role models within their social circles to inspire and guide them toward the health professions.
“Several participants are the first in their families to attend college and did not have the role models within their social circles to inspire and guide them toward the health professions.”
Quote in the paperNot a substantial claim- Rests on an assumption: Participants' self-reported educational and career outcomes and retrospective perceptions are accurate and not systematically biased.
- Rests on an assumption: The survey respondents are representative of all program participants, and non-respondents do not differ systematically in outcomes.
- Rests on an assumption: The 87-item survey accurately measures the intended constructs of academic and career outcomes and program impact.
May combine two claims.
Findingown dataMeeting other ambitious URM students helped overcome feelings of isolation and expanded their network of peers with similar personal and emerging professional identities.
“Meeting other ambitious URM students helped overcome feelings of isolation and expanded their network of peers with similar personal and emerging professional identities.”
Quote in the paperSubstantial claim- Rests on an assumption: Participants' retrospective self-reports accurately reflect their experiences and the program's effects.
May combine two claims.
Findingown dataParticipants believed in themselves more and realized they could accomplish their goals.
“Participants believed in themselves more and realized they could accomplish their goals.”
Quote in the paperSubstantial claim- Rests on an assumption: Participants' self-reported educational and career outcomes and retrospective perceptions are accurate and not systematically biased.
- Rests on an assumption: The survey respondents are representative of all program participants, and non-respondents do not differ systematically in outcomes.
- Rests on an assumption: The 87-item survey accurately measures the intended constructs of academic and career outcomes and program impact.
May combine two claims.
Findingown dataFaculty level connections often resulted in timely introductions to new career opportunities, letters of recommendation, feedback on personal statements, and often intangible, but no less important benefits.
“Faculty level connections often resulted in timely introductions to new career opportunities, letters of recommendation, feedback on personal statements, and often intangible, but no less important benefits.”
Quote in the paperSubstantial claim- Rests on an assumption: Participants' retrospective self-reports accurately reflect their experiences and the program's effects.
May combine two claims.
Findingown dataParticipants found the programs to be enriching experiences, gaining confidence, focus, and clarity.
“Participants found the programs to be enriching experiences, as they gained confidence, focus, and clarity.”
Quote in the paperSubstantial claim- Rests on an assumption: Participants' self-reported educational and career outcomes and retrospective perceptions are accurate and not systematically biased.
- Rests on an assumption: The survey respondents are representative of all program participants, and non-respondents do not differ systematically in outcomes.
- Rests on an assumption: The 87-item survey accurately measures the intended constructs of academic and career outcomes and program impact.
May combine two claims.
Findingown dataParticipants valued the long-term relationships they formed and opportunities to work with and learn from URM mentors, faculty, and peers.
“Participants also valued the long-term relationships they formed and opportunities to work with and learn from URM mentors, faculty, and peers.”
Quote in the paperSubstantial claim- Rests on an assumption: Participants' retrospective self-reports accurately reflect their experiences and the program's effects.
May combine two claims.
Findingown dataBefore their experience in these programs, many participants perceived the process of getting into medical or graduate school as a mystery only known to "others" and had limited opportunities to find suitable mentorship.
“Before their experience in these programs, many participants perceived the process of getting into medical or graduate school as a mystery only known to “others” and had limited opportunities to find suitable mentorship.”
Quote in the paperSubstantial claim- Rests on an assumption: Participants' retrospective self-reports accurately reflect their experiences and the program's effects.
Probably not a substantial claim: may not pass S3 (load-bearing).
Findingown dataSome participants noted that many of their college classmates had parents in the medical field who provided them with guidance and insight.
“Some noted that many of their college classmates had parents in the medical field who provided them with guidance and insight.”
Quote in the paperNot a substantial claim- Rests on an assumption: Participants' retrospective self-reports accurately reflect their experiences and the program's effects.
May combine two claims.
Findingown dataThe research components enhanced participants' skills and confidence, also allowing for continued and new experiences beyond participation in the program, even leading to a first publication for some.
“The research components enhanced their skills and confidence, also allowing for continued and new experiences beyond participation in the program, even leading to a first publication for some.”
Quote in the paperSubstantial claim- Rests on an assumption: Participants' retrospective self-reports accurately reflect their experiences and the program's effects.
May combine two claims.
Findingown dataThese examples encouraged and motivated participants to persevere and realize they could achieve their goals.
“These examples encouraged and motivated them to persevere and realize they, too, could achieve their goals.”
Quote in the paperSubstantial claim- Rests on an assumption: Participants' retrospective self-reports accurately reflect their experiences and the program's effects.
May combine two claims.
Findingown dataSeeing role models from similar backgrounds and learning how they overcame obstacles helped participants.
“It often helped to see role models who come from similar backgrounds and learn how they overcame obstacles to achieve their goals.”
Quote in the paperSubstantial claim- Rests on an assumption: Participants' retrospective self-reports accurately reflect their experiences and the program's effects.
May combine two claims.
Findingown dataThree themes were identified from the free-text responses: (1) Dreams realized; (2) Professional identity formation; and (3) Addressing systemic inequities.
“Three themes were identified from the free-text responses: (1) Dreams realized; (2) Professional identity formation; and (3) Addressing systemic inequities.”
Quote in the paperSubstantial claim- Rests on an assumption: Participants' self-reported educational and career outcomes and retrospective perceptions are accurate and not systematically biased.
- Rests on an assumption: The survey respondents are representative of all program participants, and non-respondents do not differ systematically in outcomes.
- Rests on an assumption: The 87-item survey accurately measures the intended constructs of academic and career outcomes and program impact.
May combine two claims.
Findingown dataParticipants' will was fortified and their resilience increased.
“Their will was fortified and their resilience increased.”
Quote in the paperSubstantial claim- Rests on an assumption: Participants' self-reported educational and career outcomes and retrospective perceptions are accurate and not systematically biased.
- Rests on an assumption: The survey respondents are representative of all program participants, and non-respondents do not differ systematically in outcomes.
- Rests on an assumption: The 87-item survey accurately measures the intended constructs of academic and career outcomes and program impact.
Probably not a substantial claim: may not pass S2 (checkable).
InterpretationreasoningSetting a percentage benchmark arbitrarily may risk increased selection of students who would reach medical school regardless of participation in a pipeline program and whose lives would not be markedly affected by program participation.
“Setting a percentage benchmark arbitrarily may risk increased selection of students who would reach medical school regardless of participation in a pipeline program and whose lives would not be markedly affected by program participation.”
Quote in the paperNot a substantial claimClassified as probably not a substantial claim.
Study design and conductnone givenThree investigators independently read one-third of the free-text responses line-by-line and applied categories following inductive coding to the text.
“three investigators (C.M.G., N.R., and L.S.) independently read one-third of the free-text responses line-by-line and applied categories following inductive coding to the text.”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductnone givenWe were unable to ascertain if our sample was representative of URM students who participate in educational pipeline programs because, to our knowledge, those data are not published.
“We were unable to ascertain if our sample was representative of URM students who participate in educational pipeline programs because, to our knowledge, those data are not published.”
Quote in the paperNot a substantial claimMay combine two claims.
PremisecitationA diverse health care workforce enhances patient outcomes and decreases health disparities.
“A diverse health care workforce enhances patient outcomes and decreases health disparities.3”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [3] Smedley BD, Butler AS, Bristow LR, et al. In the Nation's Compelling Interest: Ensuring Diversity in the Health-Care Workforce. Washington, DC: National Academies Press, 2004 25009857
Couldn’t be matched to a paper in Crossref, so it can’t be checked.
May combine two claims.
InterpretationreasoningParticipation enabled participants to pursue their dreams, see themselves in others with a similar professional identity, and mitigate the impact systemic inequities had on their individual trajectories.
“Participation enabled them to pursue their dreams, see themselves in others with a similar professional identity, and mitigate the impact systemic inequities had on their individual trajectories.”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S2 (checkable), S3 (load-bearing). May combine two claims.
InterpretationreasoningOur findings illustrate the challenges to long-term follow-up and the need for funding to support broader data-sharing agreements.
“Our findings illustrate the challenges to long-term follow-up and the need for funding to support broader data-sharing agreements.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S2 (checkable). May combine two claims.
InterpretationreasoningCreative solutions to expose students to successful role models of similar backgrounds while having the more intense relationship with a mentor of any background could still capitalize on the power of seeing role models in positions to which they aspire, as SCCT predicts.
“Creative solutions to expose students to successful role models of similar backgrounds while having the more intense relationship with a mentor of any background could still capitalize on the power of seeing role models in positions to which they aspire, as SCCT predicts.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductown dataThe codebook was independently applied by at least two investigators to the remaining free-text responses and further refined.
“This codebook was independently applied by at least two investigators to the remaining free-text responses and further refined.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S2 (checkable).
InterpretationreasoningMentorship from URM faculty members, and its positive effects on URM professional identity formation, would therefore be a key component of a successful pipeline program.
“Mentorship from URM faculty members, and its positive effects on URM professional identity formation, would therefore be a key component of a successful pipeline program.”
Quote in the paperNot a substantial claimClassified as probably not a substantial claim.
Interpretationnone givenOur study presents a unique approach to program evaluation of pipeline programs by applying a cross-sectional, long-term design to collect participants' educational and career outcomes and their hindsight perspectives of the factors which influenced these outcomes.
“Our study presents a unique approach to program evaluation of pipeline programs by applying a cross-sectional, long-term design to collect participants' educational and career outcomes and their hindsight perspectives of the factors which influenced these outcomes.”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationAnother pipeline program's longitudinal 10-year retrospective study revealed that 74% of graduates matriculated into graduate school in the biomedical sciences.
“another pipeline program's longitudinal 10-year retrospective study revealed that 74% of graduates matriculated into graduate school in the biomedical sciences.16”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [16] Kana LA, Noronha C, Diamond S, et al. Experiential-learning opportunities enhance engagement in Pipeline Program: a qualitative study of the Doctors of Tomorrow Summer Internship Program. J Natl Med Assoc. 2020; 112: 15– 23 32037249 source
May combine two claims.
Interpretationown dataOur programs successfully prepared participants for medical and graduate school matriculation and fortified their resilience, motivating them to persist along their chosen path.
“Our programs successfully prepared participants for medical and graduate school matriculation and fortified their resilience, motivating them to persist along their chosen path.”
Quote in the paperSubstantial claim- Rests on an assumption: The observed academic and career outcomes of participants are attributable to the pipeline programs rather than to pre-existing characteristics or other experiences.
Classified as probably not a substantial claim.
Study design and conductown dataAfter excluding surveys without a response to the education question and duplicate surveys, 147 complete, distinct surveys were analyzed.
“Surveys without a response to the question, “Education completed since participating in last pipeline program” and duplicate surveys were excluded from our analysis, resulting 147 complete, distinct surveys.”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S2 (checkable), S3 (load-bearing), S4 (based). May combine two claims.
Premisenone givenPipeline programs are a well-known approach to enhancing health care workforce diversity and reducing health disparities.
“Pipeline programs are a well-known approach to enhancing health care workforce diversity and reducing health disparities.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationGrumbach et al. (2003) review of 19 controlled studies found that the most rigorously designed studies indicated that special summer enrichment programs can boost the success of URM students in applying to medical school by approximately 25%.
“In 2003, Grumbach et al. wrote in their review of 19 controlled studies “the most rigorously designed studies indicated that special summer enrichment programs can boost the success of URM… students in applying to medical school by approximately 25%”9 (p. 79).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [9] Grumbach K, Munoz C, Coffman J, Rosenoff E, Gandara P, Sepulveda E. Strategies for Improving Diversity in the Health Professions. San Francisco: Center for California Health Workforce Studies, University of California, 2005. Available at: http://www.calendow.org/reference/publications/pdf/workforce/TCE0802-2003_Strategies_For.pdf Accessed 3 7, 2020
Not checked in the free run.
Classified as probably not a substantial claim.
PremisecitationSCCT holds that self-efficacy and outcome expectations developed through social learning experiences increase one's motivation to persist toward academic and career goals.
“SCCT holds that self-efficacy and outcome expectations developed through social learning experiences increase one's motivation to persist toward academic and career goals.21”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [21] Lent RW, Morris TR, Penn LT, et al. Social-cognitive predictors of career exploration and decision-making: longitudinal test of the career self-management model. J Couns Psychol. 2019; 66: 184– 194 30091621 source
Probably not a substantial claim: may not pass S2 (checkable).
InterpretationreasoningWithout pipeline programs, the cycle of privilege could be perpetuated, because the students served by pipeline programs often do not have the opportunities to become competitive applicants at their colleges or the necessary connections within their networks.
“Without pipeline programs, the cycle of privilege could be perpetuated, because the students served by pipeline programs often do not have the opportunities to become competitive applicants at their colleges or the necessary connections within their networks.”
Quote in the paperNot a substantial claimMay combine two claims.
Interpretationown dataParticipants' insights highlight the value of relationships, direct exposure to the health professions, and the importance of such programs to address systemic barriers faced.
“Participants' insights highlight the value of relationships, direct exposure to the health professions, and the importance of such programs to address systemic barriers faced.”
Quote in the paperSubstantial claim- Rests on an assumption: Participants' self-reported educational and career outcomes and retrospective perceptions are accurate and not systematically biased.
- Rests on an assumption: The survey respondents are representative of all program participants, and non-respondents do not differ systematically in outcomes.
- Rests on an assumption: The 87-item survey accurately measures the intended constructs of academic and career outcomes and program impact.
Probably not a substantial claim: may not pass S2 (checkable), S3 (load-bearing), S4 (based).
InterpretationreasoningStudents can still be exposed to role models from similar racial, ethnic, and socioeconomic backgrounds during their clinical experiences, through didactics, and potentially with more time-limited programs such as a "Meet the Professor" format.
“Students can still be exposed to role models from similar racial, ethnic, and socioeconomic backgrounds during their clinical experiences, through didactics, and potentially with more time-limited programs such as a “Meet the Professor” format.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
PremisecitationSCCT has been used for over 25 years, across numerous career settings, and within various underserved populations to explain career development.
“The model been used for over 25 years, across numerous career settings, and within various underserved populations to explain career development.20,21”
Quote in the paperNot a substantial claim0 of 2 sources checked- cites [20] Lent RW, Brown SD. Social cognitive model of career self-management: toward a unifying view of adaptive career behavior across the life span. J Couns Psychol. 2013; 60: 557– 568 23815631 source
- cites [21] Lent RW, Morris TR, Penn LT, et al. Social-cognitive predictors of career exploration and decision-making: longitudinal test of the career self-management model. J Couns Psychol. 2019; 66: 184– 194 30091621 source
Probably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductnone givenThe study received exempt status by the Institutional Review Board of the Albert Einstein College of Medicine.
“The study received exempt status by the Institutional Review Board of the Albert Einstein College of Medicine.”
Quote in the paperNot a substantial claimMay combine two claims.
Study design and conductown dataThis evaluation is limited due to the lack of information about the students' baseline characteristics before participating in the program, as well as our inability to control for impactful events or experiences between the time of program participation and this follow-up evaluation.
“This evaluation is limited due to the lack of information about the students' baseline characteristics before participating in the program, as well as our inability to control for impactful events or experiences between the time of program participation and this follow-up evaluation.”
Quote in the paperSubstantial claimClassified as probably not a substantial claim.
PremisecitationSocial cognitive career theory (SCCT) explains how learning experiences influence the development of education and career choice and achievement through cognitive factors, including self-efficacy and outcome expectations.
“SCCT explains how learning experiences influence the development of education and career choice and achievement through cognitive factors, including self-efficacy and outcome expectations.”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [19] Lent RW, Lopez FG, Brown SD, et al. Latent structure of the sources of mathematics self-efficacy. J Vocat Behav. 1996; 49: 292– 308 8980086 source
Probably not a substantial claim: may not pass S3 (load-bearing), S4 (based). May combine two claims.
Study design and conductnone givenResponse bias may have led successful participants to disproportionately respond or others to respond with more socially desirable outcomes.
“Response bias may have led successful participants to disproportionately respond or others to respond with more socially desirable outcomes.”
Quote in the paperNot a substantial claimClassified as probably not a substantial claim.
PremisecitationPipeline programs seek to increase the number of well-prepared URM students (in grades K-16) motivated to enter the health professions.
“Programs seek to “increase the number of well-prepared URM students (in grades K-16) motivated to enter the health professions.”2”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [2] Cohen JJ, Gabriel BA, Terrell C. The case for diversity in the health care workforce. Health Aff (Millwood). 2002; 21: 90– 102 12224912 source
May combine two claims.
Interpretationown dataOur pipeline program served to enhance students' self-efficacy and resulted in successful academic and career trajectories to become health professionals at the doctorate and master's degree level.
“Our pipeline program served to enhance students' self-efficacy and resulted in successful academic and career trajectories to become health professionals at the doctorate and master's degree level.”
Quote in the paperSubstantial claim- Rests on an assumption: The observed academic and career outcomes of participants are attributable to the pipeline programs rather than to pre-existing characteristics or other experiences.
- Rests on an assumption: The sample of respondents is representative enough of URM students in educational pipeline programs to generalize the findings.
- Rests on an assumption: The three summer diversity pipeline programs are sufficiently comparable to be evaluated together as a single program.
Probably not a substantial claim: may not pass S2 (checkable).
InterpretationreasoningRacial, ethnic, and/or language minority patient populations are affected if there were decreased opportunities to participate in pipeline programs.
“Racial, ethnic, and/or language minority patient populations are also affected if there were decreased opportunities to participate in pipeline programs.”
Quote in the paperNot a substantial claim- Rests on an assumption: Participants' self-reported educational and career outcomes and retrospective perceptions are accurate and not systematically biased.
- Rests on an assumption: The survey respondents are representative of all program participants, and non-respondents do not differ systematically in outcomes.
- Rests on an assumption: The 87-item survey accurately measures the intended constructs of academic and career outcomes and program impact.
May combine two claims.
PremisecitationIn 2018-2019, URMs represented 29% of the total U.S. population but only 13% of medical school entrants (7.1% African American, 6.2% Latino, and 0.2% American Indian/Alaska Native).
“While URMs represent 29% of the total U.S. population, the percentage of URMs entering medical school in 2018–2019 was only 13% (7.1% African American, 6.2% Latino, and 0.2% American Indian/Alaska Native).7”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [7] Diversity in Medicine: Facts and Figures 2019. 2019. Available at https://www.aamc.org/data-reports/workforce/interactive-data/figure-6-percentage-acceptees-us-medical-schools-race/ethnicity-alone-academic-year-2018-2019. Accessed 9 5, 2020
Not checked in the free run.
Probably not a substantial claim: may not pass S2 (checkable).
InterpretationcitationWithout a better understanding of the components of pipeline programs that most effectively contribute to participant success, there is a risk of wasting opportunities and resources, especially given the limited funding climate.
“Without a better understanding of the components of pipeline programs that most effectively contribute to participant success, we risk wasting opportunities and resources, an especially important risk to avoid given the current, limited funding climate.2”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [2] Cohen JJ, Gabriel BA, Terrell C. The case for diversity in the health care workforce. Health Aff (Millwood). 2002; 21: 90– 102 12224912 source
May combine two claims.
Study design and conductown dataOf 361 summer program graduates with known addresses, 158 responded to the survey, a response rate of 44%.
“We reached out to these 361 and received 158 responses to the survey, resulting in a response rate of 44% (158/361).”
Quote in the paperNot a substantial claimMay combine two claims.
InterpretationcitationContextual supports in the form of mentors, peers, and academic resources, as well as barriers, including finances and grades, both directly and indirectly influenced career interests, choice goals, and subsequent career attainment, as evidenced by reasons for being off-track.
“In addition, contextual supports in the form of mentors, peers, and academic resources, as well as barriers, including finances and grades, both directly and indirectly influenced career interests, choice goals, and subsequent career attainment, as evidenced by reasons for being off-track.20”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [20] Lent RW, Brown SD. Social cognitive model of career self-management: toward a unifying view of adaptive career behavior across the life span. J Couns Psychol. 2013; 60: 557– 568 23815631 source
Probably not a substantial claim: may not pass S2 (checkable), S3 (load-bearing), S4 (based). May combine two claims.
Interpretationnone givenReturning to the federal funding levels of 15 years ago could more than double the scale of the Health Career Opportunity Program and support long-term program evaluations so as to develop efficient, effective best practices to diversify the health care workforce and improve the health of all communities.
“Returning to the federal funding levels of 15 years ago could more than double the scale of the Health Career Opportunity Program and support long-term program evaluations so as to develop efficient, effective best practices to diversify the health care workforce and improve the health of all communities.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S2 (checkable). May combine two claims.
InterpretationreasoningSuccessful pipeline programs would therefore not only benefit individual students, but have potential to benefit communities and the health of our society as a whole.
“Successful pipeline programs would therefore not only benefit individual students, but have potential to benefit communities and the health of our society as a whole.3,29”
Quote in the paperNot a substantial claim0 of 2 sources checked- cites [3] Smedley BD, Butler AS, Bristow LR, et al. In the Nation's Compelling Interest: Ensuring Diversity in the Health-Care Workforce. Washington, DC: National Academies Press, 2004 25009857
Couldn’t be matched to a paper in Crossref, so it can’t be checked.
- cites [29] Evans M. Healthcare's minority report. Sullivan Commission, IOM try to make patient, hospital staff makeup more reflective of the nation's ever-changing population. Mod Healthc. 2004; 34: 6 –7, 14, 1. 15506502
The paper relies on this without support.
Participants' self-reported educational and career outcomes and retrospective perceptions are accurate and not systematically biased.
“Survey items included demographic information, academic and career achievements, most beneficial components of the program, and barriers to meeting career goals; it included three questions with the opportunity to provide free-text, narrative responses.”
The paper relies on this without support.
The survey respondents are representative of all program participants, and non-respondents do not differ systematically in outcomes.
“Of our 461 summer program graduates, there were 361 with known addresses. We reached out to these 361 and received 158 responses to the survey, resulting in a response rate of 44% (158/361).”
The paper relies on this without support.
The published data used as a benchmark are comparable to the study's programs and population.
“These three pipeline programs achieved career outcomes similar to published data.”
The paper relies on this without support.
The 87-item survey accurately measures the intended constructs of academic and career outcomes and program impact.
“Two authors (C.M.G. and H.S.) developed an 87-item electronic survey based on a literature review and on our previous experience administering pipeline programs.”
The paper relies on this without support.
The observed academic and career outcomes of participants are attributable to the pipeline programs rather than to pre-existing characteristics or other experiences.
“This evaluation is limited due to the lack of information about the students' baseline characteristics before participating in the program, as well as our inability to control for impactful events or experiences between the time of program participation and this follow-up evaluation.”
The paper relies on this without support.
Participants' retrospective self-reports accurately reflect their experiences and the program's effects.
“Our qualitative analysis revealed that students valued components of the program that provided direct contact and insight into the health care profession that they would not have otherwise had the opportunity to pursue with.”
The paper relies on this without support.
The sample of respondents is representative enough of URM students in educational pipeline programs to generalize the findings.
“We were unable to ascertain if our sample was representative of URM students who participate in educational pipeline programs because, to our knowledge, those data are not published.”
The paper relies on this without support.
The three summer diversity pipeline programs are sufficiently comparable to be evaluated together as a single program.
“The disproportionate representation of SUMP participants (57%) among respondents is likely because the SUMP program's administrator (H.S.) used a personal Facebook page to remain in contact with program alumni over time.”
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
Monte HOP off-track percentage is overstated
MinorTable 4 reports 10 of 34 Monte HOP respondents as 30% off track. The percentage is 29.41%, which rounds to 29%.
Reported 30 · recomputed 29.411765
“| Off track | 23 (27) | 10 (30) | 7 (24) | 40 (27) |”
Monte HOP missing-gender percentage is understated
MinorTable 2 reports 3 of 34 Monte HOP respondents with missing gender as 8%. The percentage is 8.82%, which rounds to 9%.
Reported 8 · recomputed 8.823529
“| Missing | 18 (21) | 3 (8) | 6 (21) | 27 (18) |”
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- Authors
- Stephenson-Hunter, C., Strelnick, A. H., Rodriguez, N., Stumpf, L. A., Spano, H., & Gonzalez, C. M.
- Affiliations
- Albert Einstein College of Medicine (US)
- Department of Medicine, Albert Einstein College of Medicine, Bronx, New York, USA.
- Corresponding author
- Stephenson-Hunter, Cara
- Venue
- Health Equity
- Publisher
- SAGE Publications
- Published
- 2021-08-01
- Volume
- 5
- Issue
- 1
- Pages
- 512-520
- ISSN
- 2473-1242 (ISSN-L)
- PMC
- PMC8409231
- OpenAlex
- W3187130178
- Cited by
- 28
- References
- 23
- Citations by year
- 2026: 2 · 2025: 8 · 2024: 10 · 2023: 6 · 2022: 2
- FWCI
- 6.26
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- Health Equity (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Topics
- Social Sciences › Gender Studies › Diversity and Career in Medicine
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Medical Education and Admissions
- Social Sciences › Safety Research › Career Development and Diversity
- Keywords
- summer programs, health disparities, medical school matriculation, graduate school enrollment, student perceptions, mentoring, clinical experience, professional identity formation, systemic inequities, Bronx
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
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Classified by jev-1.13-20260917 (gold-guideline-v0.2) on 2026-11-03.
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