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First-generation college students face challenges affecting their representation, application, and matriculation to medical school. The research question examined was: What are the premedical experiences (including available supports and challenges) of first-generation medical students? In 2021-2022, with consent, we conducted, recorded, transcribed, and inductively analyzed semi-structured Zoom interviews (48 students; 27 medical schools). Key themes across the three levels of Bronfenbrenner’s ecological systems model were: individual (family, financial background); interpersonal (advising, mentoring, social connections); and organizational (formal information, pathway programs). Findings highlighted how financial instability, limited social capital, and unfamiliarity with academic systems uniquely burdened first-generation students. Tailored mentorship/advising and participation in pathway programs can reduce structural barriers; foster fairness in medical education; and build a stronger and diverse physician workforce.
Devasmita Chakraverty, Indian Institute of Management
Branden Eggan, Albany Medical College, Union College, Siena College
Hyacinth R.C. Mason, Tufts University
Hannah L'Etoile, Brown University
Jacqueline Diaz, Tufts University
Valerie Rivera, Siena College
Brandon Ascencio, Albany Medical College
Catie Havemann, University of North Carolina, Dept of Emergency Medicine
Regina G. Russell, Vanderbilt University
Tasha R. Wyatt, Uniformed Services University of the Health Sciences
Dowin H. Boatright, New York University
Mytien Nguyen, Yale University