Original Investigation

Medical School Admissions After the Supreme Court’s 2023 Affirmative Action Ruling

JAMA Network Open 10.1001/jamanetworkopen.2025.27008

August 26, 2025 at 11:00 AM EDT

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What are the rates of acceptance and matriculation into doctor of medicine (MD) programs before and after the 2023 US Supreme Court decision on affirmative action?In this cross-sectional study of 291 764 applicants to MD programs, there was a significant decrease in acceptance rates for applicants from race and ethnicity groups who are underrepresented in medicine (URiM) in 2024 relative to 2019 to 2023, with an associated decline of 503 URiM matriculants to MD programs.This study found that the percentage of URiM matriculants to MD programs declined after the 2023 Supreme Court ruling.

Corresponding Author: Mytien Nguyen, MS, Yale School of Medicine, 333 Cedar St, New Haven, CT 06510 (mytien.nguyen@yale.edu).

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