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Patterns of privilege: A total cohort analysis of admission and academic outcomes for Māori, Pacific and non-Māori non-Pacific health professional students

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Summary:

This paper sought to determine the reasons for academic inequities experienced by Māori and Pacific health professional students attending the University of Auckland in 2002–2012. Using Kaupapa Māori methodology, the researchers analysed data for 2686 health professional students. Māori and Pacific students were more likely than non-Māori non-Pacific (nMnP) students to attend low-decile schools (27% Māori, 33% Pacific vs 5% nMnP; p<0.01), complete bridging foundation programmes (43% Māori, 50% Pacific vs 5% nMnP; p<0.01), and have lower secondary school results (Rank Score 197 Māori, 178 Pacific vs 231 nMnP; p<0.01). Moreover, nMnP students achieved a higher first-year grade point average (GPA) (3.6 Māori, 2.8 Pacific vs 4.7 nMnP; p<0.01), were more likely to pass all first-year courses (61% Māori, 41% Pacific vs 78% nMnP; p<0.01), to graduate from the intended programme (66% Māori, 69% Pacific vs 78% nMn;, p<0.01), and to achieve optimal completion (9% Māori, 2% Pacific vs 20% nMnP; p<0.01) compared with Māori and Pacific students.

Comment:
This paper was well received at the recent Ngā Pae o te Māramatanga conference, not only for the results and recommendations, but also for the robust methodology. A great example of the power of statistical Kaupapa Māori research.
Reference: BMC Med Educ. 2016;16(1):262
Independent commentary by Dr. Matire Hardwood

Dr Matire Harwood (Ngapuhi) has worked in Hauora Māori, primary health and rehabilitation settings as clinician and researcher since graduating from Auckland Medical School in 1994. She also holds positions on a number of boards, committees and advisory groups including the Health Research Council. Matire lives in Auckland with her whānau including partner Haunui and two young children Te Rangiura and Waimarie.

Research Review publications are intended for New Zealand health professionals.

Disclaimer: This publication is not intended as a replacement for regular medical education but to assist in the process. The reviews are a summarised interpretation of the published study and reflect the opinion of the writer rather than those of the research group or scientific journal. It is suggested readers review the full trial data before forming a final conclusion on its merits.

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