EDI 08.12.2021

Active inclusion: Challenging exclusions in medical education

This framework sets out guidance for UK medical schools to create more inclusive environments and address systemic exclusions in medical education. It emphasises the need for proactive, intersectional approaches to equality, diversity and inclusion (EDI), and outlines practical steps to support students and staff from marginalised backgrounds. 

Summary

This publication presents recommendations and areas for action across six key themes:

  • embedding accountability and data-driven evaluation
  • inclusive recruitment and selection practices
  • creating supportive and equitable learning environments
  • diversifying and decolonising the curriculum
  • addressing discrimination in clinical placements
  • promoting inclusive employment and career progression
Key findings
  • Students from ethnic minority backgrounds face persistent award gaps not due to individual deficits but systemic barriers.
  • LGBTQIA+, Muslim, and disabled students report high levels of discrimination and exclusion in higher education.
  • Inclusive learning environments improve outcomes for all students and lead to better patient care.
  • Clinical placements are a key area where students experience discrimination, requiring stronger oversight and support.
  • Staff diversity, inclusive curricula and robust reporting systems are essential to challenging exclusions.
Recommendations
  • Develop and implement a ‘challenging exclusions’ strategy with clear accountability, data collection and student involvement.
  • Ensure recruitment materials and outreach reflect diverse student experiences and aspirations.
  • Audit and adapt curricula to include diverse perspectives, challenge stereotypes and address health inequalities.
  • Provide training for staff and assessors on EDI, and ensure assessments are fair and inclusive.
  • Establish safe reporting systems for discrimination and support student-led EDI societies.
  • Promote inclusive employment practices, monitor staff diversity and support equitable promotion pathways.
Download this guidance
Active inclusion: Challenging exclusions in medical education (PDF)
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