ArticleThe Lancet regional health. Europe2023
Diversity in the pathway from medical student to specialist in the Netherlands: a retrospective cohort study.
Article in The Lancet regional health. Europe, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.
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Who cites it
21 citing papers in PubMed.
- Adjustment of Assessors' First Impressions Differs by Student Ethnicity.Perspectives on medical education · 2025Trial
- Ethnic and social diversity among hospital pharmacy residents in the Netherlands and its importance in resident selection.BMC medical education · 2026Article
- Who becomes a dermatologist? A repeated cross-sectional study on diversity in the Dutch dermatology workforce.PloS one · 2026Article
- Bridging the Gap: Designing Medical Integration Curricula for Foreign Healthcare Graduates in the Netherlands.Perspectives on medical education · 2026Article
- Professional identity formation for underrepresented groups in medicine: challenges and interventions for Dutch medical schools: a systematic scoping review.BMC medical education · 2025Article
- "You think, like, you're neutral but you're not": a mixed- methods study of racial/ethnic bias in pain assessment, management and treatment in maternal and newborn care in the Netherlands.International journal for equity in health · 2025Article
- Psychoactive Substance Use and Its Association with Mental Health Symptomatology Among Latvian Medical Students: A Cross-Sectional Study.International journal of environmental research and public health · 2025Article
- Observational
- Exploring diversity and inclusion in surgery: Insights from the 2025 Dutch Surgical Society Symposium.Surgery open science · 2025Article
- "A Role Model Is Someone Who…" A Multi-institutional Study of Clinical Role Models According to Ethnic Minority and Majority Medical Students.Medical science educator · 2025Article
- Ethnic diversity and inclusiveness among medical residents in the Netherlands: results from a single-centered survey study.BMC medical education · 2025Article
- Arab representation in Israeli healthcare professions: achievements, challenges and opportunities.Israel journal of health policy research · 2025Article
- Country categorization of diversity in the pathway from medical student to specialist in the Netherlands.The Lancet regional health. Europe · 2025Article
- Exploring Junior Residents' Barriers in Mobilizing Social Capital and Their Coping: A Qualitative Ego Social Network Study.Perspectives on medical education · 2025Article
- Investigating the support for equitable admissions policies in health professions education: the Formal Consensus method.BMC medical education · 2024Article
- Article
- Unprofessional behaviour of GP residents leading to a dismissal dispute: characteristics and outcomes of those who appeal.BMC primary care · 2024Article
- Widening the Gates: Redefining Excellence in Selection for Health Professions Education for a Diverse Future Workforce.Perspectives on medical education · 2024Article
- Mapping the roots of specialist disparities.The Lancet regional health. Europe · 2024Article
- Patterns of Medical Residents' Preferences for Organizational Socialization Strategies to Facilitate Their Transitions: A Q-study.Perspectives on medical education · 2024Article
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Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Medical specialist workforces are not representative of the society they serve, partially due to loss of diversity in the path from student to specialist. We investigated which demographic characteristics of bachelor students of medicine (BSM) are associated with becoming a physician and (particular type of) medical specialist; and whether this suggests 'cloning' (reproduction of sameness) of the existing workforce. Methods: We used a retrospective cohort design, based on Statistics Netherlands data of all first-year BSM in 2002-2004 in The Netherlands (N = 4503). We used logistic regression to analyze the impact of sex, migration background, urbanity of residence, parental income and assets categories, and having healthcare professional parents, on being registered as physician or medical specialist in 2021. We compared our results to the national pool of physicians (N = 76,845) and medical specialists (N = 49,956) to identify cloning patterns based on Essed's cultural cloning theory. Findings: Female students had higher odds of becoming a physician (OR 1.87 [1.53-2.28], p < 0.001). Physicians with a migration background other than Turkish, Moroccan, Surinamese, Dutch Caribbean or Indonesian (TMSDI) had lower odds of becoming a specialist (OR 0.55 [0.43-0.71], p < 0.001). This was not significant for TMSDI physicians (OR 0.74 [0.54-1.03], p = 0.073). We found a cloning pattern with regard to sex and migration background. Nationwide, physicians with a Turkish or Moroccan migration background, and female physicians with other migration backgrounds, are least likely to be a medical specialist. Interpretation: In light of equity in healthcare systems, we recommend that every recruitment body increases the representativeness of their particular specialist workforce. Funding: ODISSEI.
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