Forget anatomy or physiology: Many of the medical students heading back to class this mš ŗonth are taking courses that focus more on social justice and diversity.
Thatās my conclusion in a new study that analyzes the curricula at medical schools across the country.
Future physicians are spending more time on divisive political topics and less time on the medical science on which individual and public health depend ā a fact that should terrify policymakers and paš®tients alike.
My study š¼ā the ā focuses on schoolsā publicly available course catalogs.Ā
Using the US Nšews and World Report rankiš„ngs, I started with the top-ranked institutions in the country, then worked my way down the list.
While many institutions donāt disclose their couš ·rsework, the top 20 that publicly list their courseās show how political ideology is displacing traditional medical education.
I searched for how often specific keywords appeaār in each catalogās courses, a widely used research technique known as ā.ā
Specifically, I looked for the usage of eight poliā ticized words and eight scientific or medical terms that directly bear on š·medical education.
Think ārace/racismā and āequityā comparešd to āchemistrš„yā and āphysiology.ā
Alš¼l told, across the course catalogs I analyzed, politicized words appeared more than 2,400 times ā while scientific and medical terms appeared about 1,900 times.
In thāe top 10 medical schools with publicly accessible course catalogs, including top-ranked Harvard Medical School, onāly those at Duke University and Washington University skew more scientific than political, though not by much of a margin.
At Stanfordās School of Medicine, ideological terms appeared more than twice as often as scientific ones ā and a lookš„ at specific Stanford courses makes it obvious how things have gone astray.
Stanford offers a course called āGlobal Lļ·ŗeaders and Innovators in Humaān and Planetary Healthā that focuses on āenvironmental sustainabilityā and āsocial and environmental justice and equality.ā
By contrast, the word āobesityā does not appear a single time in Stanfordās course catalogāue, even though it poses one of the greatest challenges to American health.
The Baylor College of Medicine in Texas offers a course on āHuman Rights and Medicineā that covers āimmigration refį¦orm,ā āthe uź©²se of torture,ā āgender issuesā and āissues of distributive justice affected by militarization in society.ā
Judging from its catalogās complete lack of words that are commonly used in medical research, like ārandomizedā and āplacebo,ā teaching medical š³š students how to interpret ā let alone conduct ā research appears not to be Baylorās priority.
Even courses with titles that seem to cover traditioą¦nal medical topics have been infected by ideology, according to their descriptions.
For example, āHarvard Medical School offers āIntegrated Human Pathophysiologyā ā which somehow incorporates topics such as āhealth eš³quityā and āclimate change.ā
The Icahn School of Medicineās catalog lists āIntroduction to Anesthesiology,ā whš°ich despite the title is described as āa core component of the Human Rights and Social Justice Scholars programā thatās āintended to provide students with a space for building critical thinking and community around social justice work.ā
ItāāØs unclear whether students also learn how to administer anesį¦thesia.
The degree to which ideological goals are eclipsing scientišfic ones extends well beyond top-ranked medical schools.
In 2022, the Association of American Mediš cal Colleges issued competencies that effectively control what all these institutions teach.
The list of topics that medical students must master everything from āintersectionalityā to ācolonizationāš to āsystems of power, privileges, and oppression.ā
While non-elite schools tend to have less politicized language today, thatās all but certain to change over time: The acš tivists who dictate medical curriculum are demanding more radicalism.
Yet the de-emphaāsis on medical education will inevitably create a crisis of physician quality, which is already closer than Americans realize.
UCLAās Geffen School of Medicine, which doesnāt publicly detail its curricula, is already well known for introducing divisive politics into its courses.
According to internal documents shared with the , the percentage of UCLA students who fail the frequent standardized āshelf examsā has soared, with more than half in some recent years failing routine tests on emergency medicine, pediatrics and other crź¦itišcal fields.
Such is the predictablź¦e result of medical school curricula that talk about rš acism and diversity more than randomized controlled trials.
Then again, the activists behind this disturbing trend are cź¦”onducting a trial of their own ā namely, on what will happen to Americansā health when physicians who didnāt learn medicine try to treat them.
Jay P. Greene is a senior fellow at Do No Harm.