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Recent ideas on ethnic diversity in medical education: one step forward, two steps back?

Editor – Several recent publications in Medical Education have touched on the critical issues of culture and ethnicity and their impact on medical education. In their commentary, Stegers-Jager and Themmen discuss briefly the ethnic disparities in health care education and highlight their own experiences using data showing attainment inequalities between ethnic minority and White Dutch students. Although the authors posit several explanations for the discrepancy, we believe examiner bias and ethnic discrimination are unlikely to account for the full picture as the difference in performance is maintained in machine-marked multiple-choice question examinations.