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September 2022; 1 (1) RESEARCH ARTICLEOpen Access

Curriculum Innovations: Creation of a Longitudinal, Neurology-Centered Pipeline Program to Motivate and Support Students From Racial/Ethnically Marginalized Groups

Shane Fuentes, Rachel M.E. Salas, Olivia Brumfield, Robert Thompson Stone
First published October 18, 2022, DOI: https://doi.org/10.1212/NE9.0000000000200007
Shane Fuentes
From the University of Rochester (S.F., O.B., R.T.S.), NY; and Johns Hopkins University (R.M.E.S.), Baltimore, MD.
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Rachel M.E. Salas
From the University of Rochester (S.F., O.B., R.T.S.), NY; and Johns Hopkins University (R.M.E.S.), Baltimore, MD.
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Olivia Brumfield
From the University of Rochester (S.F., O.B., R.T.S.), NY; and Johns Hopkins University (R.M.E.S.), Baltimore, MD.
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Robert Thompson Stone
From the University of Rochester (S.F., O.B., R.T.S.), NY; and Johns Hopkins University (R.M.E.S.), Baltimore, MD.
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Curriculum Innovations: Creation of a Longitudinal, Neurology-Centered Pipeline Program to Motivate and Support Students From Racial/Ethnically Marginalized Groups
Shane Fuentes, Rachel M.E. Salas, Olivia Brumfield, Robert Thompson Stone
Neurol Edu Sep 2022, 1 (1) e200007; DOI: 10.1212/NE9.0000000000200007

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Abstract

Introduction Premedical students who identify from historically marginalized racial and ethnic backgrounds are more likely to lose interest in medicine than their White counterparts. Loss of interest has been attributed to a lack of exposure to the field and little mentorship.

Objectives The PreDoc Program was designed as a longitudinal experience to promote exposure to and interest in academic medicine, particularly through the lens of neurology for premedical students who identify from historically marginalized racial and ethnic backgrounds.

Methods and Curriculum The program included the following core components: (1) senior (faculty) mentor to facilitate direct contact with a physician, networking, and professional development coaching; (2) junior (medical student) mentor to provide near peer support and increased knowledge of the medical school application process; (3) large group meetings aimed at teaching professional development and working through clinical problem-based learning; (4) shadowing experiences aimed at increasing knowledge of patient care delivery and other academic roles; and (5) a clinically oriented project. After initial grant support to create the program, it has been maintained successfully with minimal funding through the Department of Neurology.

Results and Assessment The program recruited 29 student participants who completed at least 1 year of the program, 18 senior mentors, and 23 junior mentors over 4 academic years. The overall quality of the program was rated at 4.7 of 5 (median 5, range 2), with an upward trend seen over time. Over its first 2 years, the program facilitated the following estimated activities: 45 in-person senior mentor meetings, 27 in-person junior mentor meetings, 42 shadowing experiences, 60 large group meetings, and 360 email communications. Student-reported strengths included ease of shadowing, usefulness of problem-based learning cases, mentor relationships, and encouragement received. Areas for improvement included increasing the strength of junior mentor relationships and increased opportunities for socialization outside of the formal meetings.

Discussion and Lessons Learned It is feasible to create a successful, longitudinal, clinically focused undergraduate pipeline program for students who identify with historically minoritized racial and ethnic backgrounds with minimal funding centered in a Department of Neurology to help promote diversity within the field.

Glossary

COVID-19=
coronavirus disease 2019;
GPA=
grade point average;
JHM=
Johns Hopkins Medicine;
STEP=
Science and Technology Entry Program

Footnotes

  • Go to Neurology.org/NE for full disclosures. Funding information and disclosures deemed relevant by the authors, if any, are provided at the end of the article.

  • Editorial Neurology® Education Fulfilling an Age Old Mantra in Medicine: Building the Neuroscience Pipeline Page e200011

  • Received February 7, 2022.
  • Accepted in final form August 3, 2022.
  • Copyright © 2022 American Academy of Neurology

This is an open access article distributed under the terms of the Creative Commons Attribution License 4.0 (CC BY), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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