Harry Rakowski: Increasing diversity in medicine is important. TMU is doing it the wrong way

Thoughtful critique and discussion of options:

…TMU wrongly thinks it will level the playing field for students from low-income families. But it does not yet have the funded scholarships for students in need that other universities have. The University of Toronto has the philosophy of helping students find resources. Its admissions policy looks for the best and the brightest yet tries to increase diversity through special streams and increased financial support. It does this without sacrificing quality. It also rewards commitment to advocacy as expressed through community service, leadership skills and academic productivity including publications. TMU doesn’t appear to care much for any of these important qualities.

What do we need in a medical school?

We need effective strategies to improve health outcomes by dealing with unmet needs, and increasing efficiency and innovation of care delivery.  Our current health-care system usually doesn’t deliver on availability and also doesn’t adequately address mental health issues and the need for greater prevention of disease. We lack innovative strategies to improve access and to reduce disease burden and its costly care. We need to modernize the medical curriculum to refocus on these needs and incorporate innovations in learning methods and the use of AI to guide decision-making…

Source: Harry Rakowski: Increasing diversity in medicine is important. TMU is doing it the wrong way

Urback: A hard diversity quota for medical-school admissions is a terrible, counterproductive idea

Lot’s of (negative) commentary on the latest TMU initiative.

…All of this is in service to a genuinely noble goal. But the school’s execution – it’s practically boasting of its lax admission requirements – is clumsy, short-sighted and does a disservice to its own prospective students. The unintended consequences are obvious: Canadian patients will start Googling their physician’s educational background and wonder if the resident doctor performing their next procedure was one of the TMU students who got into med school with an art-history degree, a 3.3 GPA and a compelling personal essay. Indeed, the school’s quota system will inevitably condemn all of its graduates to public skepticism about their qualifications and capabilities, even if the physicians TMU produces are in fact very capable, qualified and skilled. It’s a bias of the school’s own making that it will have to fight to counter, and probably lose anyway….

Source: A hard diversity quota for medical-school admissions is a terrible, counterproductive idea

What is striking about most of the similar commentary I have seen, is that most do not look at what the data says about med school diversity. Earlier and the most recent study I found show largely an issue for Blacks and Indigenous; Chinese and South Asians are over-represented, whites under-represented.The latest analysis of diversity among medical students (English universities) that I found shows that:

A total of 1388 students responded to the survey, representing a response rate of 16.6%. Most respondents identified as women (63.1%) and were born after 1989 (82.1%). Respondents were less likely, compared to the Canadian Census population, to identify as black (1.7% vs 6.4%) (P < 0.001) or Aboriginal (3.5% vs. 7.4%) (P < 0.001), and have grown up in a rural area (6.4% vs. 18.7%) (P < 0.001). Respondents had higher socioeconomic status, indicated by parental education (29.0% of respondents’ parents had a master’s or doctoral degree, compared to 6.6% of Canadians aged 45–64), occupation (59.7% of respondents’ parents were high-level managers or professionals, compared to 19.2% of Canadians aged 45–64), and income (62.9% of respondents grew up in households with income >$100,000/year, compared to 32.4% of Canadians). [2016 census]

Source: Demographic and socioeconomic characteristics of Canadian medical students: a cross-sectional study

Chris Selley: TMU’s anti-Israel meltdown is a warning sign for Canada’s legal community

Cutting but all too accurate. Thanks agin to Robyn Doolittle and the Globe for the in-depth article:

….The “wording that questioned Israel’s legitimacy” was expressed in the letter as follows: “‘Israel’ is not a country.”

But … it is, though. That’s precisely what the signatories are angry about, isn’t it? This is the sort of non-argument you make through a megaphone out front of the student union when you’re, say, 19, not once you’ve invested tens of thousands of dollars in a legal education.

Some in the legal community worry about the free-speech implications of this metropolitan meltdown. On the bright side, these students have helpfully taken that concern out of play by indicating they’re happy to sign very sensitive documents that they haven’t read. There might be a place for them in future on Donald Trump’s legal team, but probably not at one of Canada’s top firms.

And hang on, what the hell is the point of a petition that isn’t public?

It’s as if these people thought they had enrolled in some kind of activist-lawyer fantasy camp, rather than an actual law school. Tough error to make, one would have thought, as it’s a bloody expensive fantasy camp: Upwards of $22,000 per annum; upwards of $25,000 if you’re from outside Ontario. How do you make it to law school not knowing actions have consequences?

Source: Chris Selley: TMU’s anti-Israel meltdown is a warning sign for Canada’s legal community

Only two universities are offering programs for people stuck in citizenship limbo. Why aren’t there more?

Given the recently announced caps on international students and other funding constraints, unlikely these programs will expand significantly. And suspect that university admistrations would run by their legal experts the assertion that “charges and prosecutions using these provisions are highly unlikely,”:

…According to a 2023 York U paper on the issue, without programs like the ones at York and TMU, after students with precarious status turn 18, they are often “blocked from accessing postsecondary education either because they do not have study permits or because they cannot afford prohibitively expensive international tuition fees.”

This is made worse by the fact that “in recent years the Canadian government has ‘increasingly relied on temporary status to manage migration’, which, in turn, ‘facilitates multitude forms of temporariness’,” the paper states.

“You’re stuck in that point in time because you can’t go forward, and you definitely can’t go back,” says Vernetta, who had been waiting “many years” for her PR application to be processed. “It’s a kind of permanent temporariness.”

Tanya Aberman, who coordinates both programs, says “that’s why it became so important to create this pathway: as people are trying to navigate the immigration system, they are still able to pursue their education and pursue their dreams.”

To Vernetta, it made “a world of a difference.”

“The sanctuary scholars program allows you to move forward, even though it’s just within the space of education, but at least you have that sense of control over your life,” she says. “It’s something in your life that you can control, that you’re making progress in.”

Aberman says students are officially categorized with the province as “Non-Canadian, status unknown (refugees and other foreign students in Canada whose status is unknown).”

In its answers to NCM, IRCC said students considered to be foreign nationals and studying without a study permit “may be determined inadmissible to Canada on the basis of non-compliance with the Act and/or Regulations.”

“As well, the CBSA may conduct criminal investigations when it is determined that organizations/individuals have deliberately circumvented the Immigration and Refugee Protection Act.”

However, Aberman assures the program is based on absolute confidentiality and students only report their status to her. In fact, she says, professors and other staff aren’t even aware of which students are in the program.

This is absolutely key, says Vernetta, because “when you have precarious status, that fear of exposure, of being found out, is very real … Just one unfortunate encounter and you’re going to be exposed.”

That’s why Aberman says “it would be wonderful” and “a positive thing” to expand the programs nationwide.

Yet, outside of those two institutions — which have limited spaces (TMU’s fall cohort, for instance, only admitted 20 students) — people with precarious status continue falling through the cracks.

According to a The Varsity news report from last October, the administration for Toronto’s other major institution — University of Toronto — is “dragging its feet,” avoiding direct questions as to when a similar program might be implemented there.

“We are engaging in conversations and consultations to understand the particular educational barriers that people with precarious immigration status face and possible models to address them. Discussions on this issue are ongoing and no decisions have been made,” a U of T spokesperson is quoted as saying.

The York U academic paper notes that institutions may be fearful that by admitting students without a study permit — which is a violation under IRPA — they may be culpable too.

But “charges and prosecutions using these provisions are highly unlikely,” the authors argue. “Moreover, if such charges were pursued, there is a good argument to be made that the Courts would find the relevant provisions unconstitutional.”

Even if an institution is penalized for breaking the law, they argue, “this is one of the limited sets of circumstances where pushing back against the law — and even breaking the law if necessary — would be warranted.”

Ontario’s Ministry of Colleges and Universities did not reply to NCM’s multiple requests for comments as to their position on such programs and what legal or other barriers institutions might face in implementing them.

Immigration, Refugees and Citizenship Canada (IRCC) replied through email, saying provinces and territories are “responsible for education.” It added that “most people attending elementary or secondary schools in Canada are minors and have the right to study while in Canada. Not all of them require a study permit.”

Source: Only two universities are offering programs for people stuck in citizenship limbo. Why aren’t there more?

Canadian dream elusive for some racialized 2nd-generation Canadians, study finds

Insightful although the differences between racialized groups is not new:

New research has found that the Canadian dream is proving elusive for some racialized second-generation Canadians born since the 1960s, despite having higher educational levels than their white counterparts.

A new study, entitled “Is the Canadian dream broken? Recent trends in equality of opportunity for the racialized second generation,” found that educational attainment and employment earnings are not uniform across groups of racialized second-generation Canadians, with some groups experiencing further disparities below the mainstream average.

And while educational levels for some racialized groups have surged, employment earnings were lower for most groups compared to the mainstream population, the study found. It also discovered intergroup differences.

The study, by researchers at four universities and released on Wednesday, defines the Canadian dream for immigrants as equality of opportunity and the chance to achieve financial security. Even if the first generation lives in poverty, the next generation will be able to pull itself out of poverty and achieve economic success, according to this definition.

“I don’t think the Canadian dream is accessible to everyone equally,” said Rupa Banerjee, one of the authors of the study and associate professor at Toronto Metropolitan University.

“For some, the Canadian dream is holding pretty well, but for others, it’s failing. And that failure has really, really serious and significant repercussions, not just for them and their family, but for the entire society,” added Banerjee, also the Canada Research Chair in the economic inclusion of immigrants.

“We’ve always kind of been smug that Canada is not like Europe or Canada is not like the U.S., that we’re much more multicultural. We believe in pluralism. But I think that’s a bit of a myth that we’ve kind of felt good about but doesn’t really exist, and in that sense, the Canadian dream is failing.”

The study defines second-generation as Canadian-born individuals with at least one immigrant parent.

It looked at educational attainment and employment earnings in three of “successive 10-year birth-cohorts” of second-generation Canadians from the mid-1960s to the mid-1990s, specifically 1966-1975, 1976-1985, and 1986-1995.

It focused on people 26 to 35, using data from the 1981, 1991, 2001, 2021 Canadian Census of Population and the 2011 National Household Survey. Examining the progress of five racialized groups, South Asian, Chinese, Black, Filipino, and Latin American, it compared them to third-and-higher generation white Canadians.

The study sample would have completed their education and begun their work careers.

Anti-Black racism is real, study author says

According to Banerjee, the study’s main findings include:

  • Chinese and South Asian populations have maintained high educational levels, whereas Black individuals, and to some extent Filipino and Latin American individuals, show declining trends across cohorts.
  • Despite a higher proportion of second-generation individuals holding university degrees, earnings were lower for most groups compared to the mainstream population, with pronounced declines observed over time among Black second-generation men and women.
  • Changing characteristics of immigrant parents do not fully account for these trends, raising questions about longer-term integration processes among different ethno-racial minorities in Canada.

Banerjee said the study shows that anti-Black racism is real and Canada is not a post-racial society.

Source: Canadian dream elusive for some racialized 2nd-generation Canadians, study finds