For more than 50 years, National Medical Fellowships, Inc. (NMF) has b
een the only private national organization dedicated exclusively to in
creasing the numbers of minorities in medicine. In the 1920s, Franklin
C. McLean, an eminent physician in Chicago, began working to include
Negro physicians in high-ranked hospital residencies. In 1946 he and h
is colleagues founded Provident Medical Associates (PMA), which would
later become National Medical Fellowships, Inc. During the late 1940s
and 1950s, the challenge was to break down the barriers that prevented
Negro physicians from training. In the 1950s, the NMF made steady pro
gress in increasing the number of black physicians, but it was in the
1960s that the barriers to blacks in medical training began to fall an
d their numbers increased dramatically, In the 1970s the NMF expanded
its focus to include all minorities underrepresented in medicine, and
through its programs and the broad social changes in U.S. society, unp
recedented proportions of blacks, Hispanics, and Native Americans ente
red medical training. In the 1980s the commitment to bring minority ph
ysicians into medicine deepened and broadened, yet in the late 1990s t
he progress of past decades is jeopardized by legal and administrative
restrictions. Now, when the numbers of underrepresented minorities ar
e declining, the need to maintain and expand programs such as those of
the NMF is more urgent than ever.