Abstract Review Exercise Comparing Achievement in College Courses Required for Medical School between Minority and Nonminority Students. INTRODUCTION Increasing the enrollment of students from underrepresented groups in medical schools continues to be a challenge. Recent data (Smith, Jackson & Jones, 2011) showed that only 7% percnt of physicians are minority whereas this proportion is 25% in the US population overall. Pipeline programs are designed to improve diversity in medical schools. This study focused on the academic performance of underrepresented (UR) students on courses that are required for applying to medical school (“gateway courses”). METHOD Using regression analysis, we analyzed academic performance of 5,000 college students in three California colleges who matriculated in the 2009–2010 or 2010–2011 academic year. We compared grade performance of students across ethnic groups in gateway courses and the degree in which they completed at least four gateway courses, using regression methods to control for students’ college admission test scores. Statistical significance was set at 0.05. RESULTS Gateway courses included Biology, Organic Chemistry, Calculus and Physics. Calculating the GPA for these courses, we found that on average, the GPA was lower for UR students compared to non-UR students (p<.05). This gap could not be explained by differences in prior academic performance. However, no statistically significant differences were found in the rate in which UR students completed at least four gateway courses compared to white students. However, after accounting for the lower grades of UR students in their initial classes, UR students were more likely than non-URM students to complete four or more gateway courses (p<.01). DISCUSSION Scores in Gateway courses were statistically lower for UR students compared to white students. However, they completed four or more of these courses at the same rate. Our study clearly shows that academic support for UR students in college targeting gateway courses is crucial for increasing the diversity in medical schools. Word count: 295 Based on: Alexander C, Chen E, Grumbach K. How Leaky is the Health Career Pipeline? Minority Student Achievement in College Gateway Courses. Academic Medicine. 2009;84:797-802. EXAMPLE 1B (annotated) Comparing Achievement in College Courses Required for Medical School between Minority and Nonminority Students. INTRODUCTION Increasing the enrollment of students from underrepresented groups in medical schools continues to be a challenge. Recent data (Smith, Jackson & Jones, 2011) showed that only 7% percnt of physicians are minority whereas this proportion is 25% in the US population overall. Pipeline programs are designed to improve diversity in medical schools. This study focused on the academic performance of underrepresented (UR) students on courses that are required for applying to medical school (“gateway courses”). METHOD Using regression analysis, we analyzed academic performance of 5,000 college students in three California colleges who matriculated in the 2009–2010 or 2010–2011 academic year. We compared grade performance of students across ethnic groups in gateway courses and the degree in which they completed at least four gateway courses, using regression methods to control for students’ college admission test scores. Statistical significance was set at 0.05. RESULTS Gateway courses included Biology, Organic Chemistry, Calculus and Physics. Calculating the GPA for these courses, we found that on average, the GPA was lower for UR students compared to non-UR students (p<.05). This gap could not be explained by differences in prior academic performance. However, no statistically significant differences were found in the rate in which UR students completed at least four gateway courses compared to white students. However, after accounting for the lower grades of UR students in their initial classes, UR students were more likely than non-URM students to complete four or more gateway courses (p<.01). DISCUSSION Scores in Gateway courses were statistically lower for UR students compared to white students. However, they completed four or more of these courses at the same rate. Our study clearly shows that academic support for UR students in college targeting gateway courses is crucial for increasing the diversity in medical schools. Word count: 295 Based on: Alexander C, Chen E, Grumbach K. How Leaky is the Health Career Pipeline? Minority Student Achievement in College Gateway Courses. Academic Medicine. 2009;84:797-802. Feedback to Abstract Authors The authors have addressed an important topic that can provide guidance to medical schools about gateway courses and performance of students from under-represented backgrounds. I have several suggestions that could improve the abstract to convince the audience that this study is making an important contribution. The introduction mixes pipeline programs and gateway courses making the reader uncertain as to the focus of the study. Stating the actual research question study would clarify this and make it easy to follow the rest of the abstract. The methods should define gateway courses (this currently is misplaced in the results) and also how they used ethnicity. The results introduced UR (not defined) and non-UR students; this status should have been clarified in the methods. Results should provide the actual data rather than just the p value. For example, how much of a GPA difference was there between students from a UR and non-UR background? I found that the discussion repeated the results and I had hoped the authors would focus on the meaning and implication of their study. A reference was included and since references generally are not required, the authors may have used the words to expand their introduction. Also, there was a typographical error “percnt” which should have been caught in the review prior to submission.