AMERICAN MEDICAL ASSOCIATION

 

Resolution:

(I-16)

 

Introduced by:         

GLMA

Massachusetts

Medical Student Section

Minority Affairs Section

New York

Resident and Fellow Section

As individuals: Robert Goldberg, John Vasudevan, Laura Shea, Mike Hoover, Paul Bozyk, Bassam Nasr, Louito Edje, Regina Whitfield-Kekessi, Joshua Cohen, Pratistha Koirala

Subject:              Support for DACA-eligible healthcare professionals

 

Referred to:             

                                  (_____, Chair)

 

 

Whereas, Deferred Action for Childhood Arrivals (DACA) was established in June, 2012 to allow individuals who were brought to the United States as minors, either without proper documentation or who lost legal status subsequent to arrival, to pursue education and employment in the United States1; and

 

Whereas, DACA recipients have been identified as an underutilized resource for providing medical care in underserved medical communities, including recent immigrants2; and

 

Whereas, AMA policy supports increasing diversity in the physician workforce, including “broad-based efforts that involve partners within and beyond the medical profession and medical education community” (D-200.985); and

 

Whereas, Our AMA has opted to study the potential role of DACA-eligible medical students, residents, and physicians in our professional community (D-350.986); and

 

Whereas, In 2015 the AAMC opted to amend the medical school application process to encourage DACA-eligible individuals to apply, leading to 65 medical schools currently accepting DACA-eligible students3; and

 

Whereas, 31 DACA-eligible students matriculated into medical training programs in 2014 and 2015, and applications increased 83% for the 2016 admission cycle4; and

 

Whereas, DACA status must be renewed every two years, destabilizing the careers of DACA-status physicians and jeopardizing the education of DACA-status medical students, residents, and fellows1; and

 

Whereas, President-elect has stated plans for use of an executive action to eliminate DACA, placing the positions of these healthcare professionals and trainees at risk5; and

 

Whereas, A federal prosecutor for the Department for Homeland security acknowledges the ambiguity of the future status of DACA and its implications on medical professionals and trainees; Therefore be it

 

RESOLVED, that our AMA issue a statement in support of current US healthcare professionals, including those currently training as medical students or residents and fellows, who are Deferred Action for Childhood Arrivals recipients.

 

References:

  1. U.S. Immigrations and Custom Enforcement. 2016. “Deferred Action for Childhood Arrivals (DACA) and Deferred Action for Parents of Americans and Lawful Permanent Residents (DAPA)” https://www.ice.gov/daca accessed Nov 11, 2016.
  2. Anaya, YBM, del Rosario, M, Doyle, L, and Hayes-Bautista, DE. Undocumented Students Pursuing Medical Education: The Implications of Deferred Action for Childhood Arrivals (DACA). Acad Med. 2014;89:1599–1602. doi: 10.1097/ACM.0000000000000407

3.      American Association of Medical Colleges. 2016. “Medical School Policies on Deferred Action for Childhood Arrivals (DACA).” https://aamc-orange.global.ssl.fastly.net/production/media/filer_public/e8/f4/e8f4a47f-2ac1-467c-9317-e6cbce10fc5c/daca_policies_oct_2016.pdf accessed Nov 11, 2016.

  1. Pre-Health Dreamers. 2016. “Residency Program Guide to Considering Candidates with DACA” http://www.phdreamers.org/resources/residency-program-guide-to-considering-candidates-with-daca/ accessed Nov 11, 2016
  2. Trump, DJ. “Donald J. Trump’s Vision” https://www.donaldjtrump.com/policies/immigration accessed Nov 11, 2016

RELEVANT AMA POLICY:

D-200.985 Strategies for Enhancing Diversity in the Physician Workforce

1. Our AMA, independently and in collaboration with other groups such as the Association of American Medical Colleges (AAMC), will actively work and advocate for funding at the federal and state levels and in the private sector to support the following: a. Pipeline programs to prepare and motivate members of underrepresented groups to enter medical school; b. Diversity or minority affairs offices at medical schools; c. Financial aid programs for students from groups that are underrepresented in medicine; and d. Financial support programs to recruit and develop faculty members from underrepresented groups. 2. Our AMA will work to obtain full restoration and protection of federal Title VII funding, and similar state funding programs, for the Centers of Excellence Program, Health Careers Opportunity Program, Area Health Education Centers, and other programs that support physician training, recruitment, and retention in geographically-underserved areas. 3. Our AMA will take a leadership role in efforts to enhance diversity in the physician workforce, including engaging in broad-based efforts that involve partners within and beyond the medical profession and medical education community. 4. Our AMA will encourage the Liaison Committee on Medical Education to assure that medical schools demonstrate compliance with its requirements for a diverse student body and faculty.

 

D-350.986 Evaluation of DACA-Eligible Medical Students, Residents and Physicians in Addressing Physician Shortages

 

Our American Medical Association will study the issue of Deferred Action for Childhood Arrivals-eligible medical students, residents, and physicians and consider the opportunities for their participation in the physician profession and report its findings to the House of Delegates.