Evidence map›Paper›PMID 41181526›Full record

ArticlePerspectives on medical education2025

Barriers and Facilitators in the Admission of Underrepresented Groups to Medical School: A Scoping Review.

Oana Raluca Gröne, Mira Lou Stemmann, Josephine Nana Hill, Johanna Hissbach

Abstract readScoping Review
In one paragraph

Article in Perspectives on medical education, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Oana Raluca GröneSelection Procedures Department, Institute of Biochemistry and Molecular Cell Biology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.ORCID 0000-0002-6829-5365
Mira Lou StemmannSelection Procedures Department, Institute of Biochemistry and Molecular Cell Biology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.ORCID 0009-0005-4893-3517
Josephine Nana HillSelection Procedures Department, Institute of Biochemistry and Molecular Cell Biology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.ORCID 0000-0002-4563-3923
Johanna HissbachSelection Procedures Department, Institute of Biochemistry and Molecular Cell Biology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.ORCID 0009-0000-4776-5228

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Lack of diversity in the healthcare workforce harms patient care and outcomes, driving calls for more inclusive medical education. Physicians from disadvantaged backgrounds often serve underserved areas, and diversity improves cultural competence and trust. However, admissions still favour higher socioeconomic applicants, with barriers like standardized exams limiting access for underrepresented groups. This review examined barriers and enablers to medical school access for underrepresented groups, aiming to inform fairer admissions practices. Methods: A scoping review was conducted using Arksey and O'Malley framework to map literature on barriers and facilitators to medical school access for applicants from migration backgrounds and low socioeconomic status. A comprehensive search of PubMed, ERIC, and Google Scholar (Nov 2024-Apr 2025) included studies in five languages published in the past 10 years. Data were extracted in early 2025 and thematically analyzed using Braun and Clarke's method. Results: Underrepresented groups face structural, institutional, economic, social and psychological barriers to medical school entry. Key challenges included financial hardship, inadequate academic support, lack of social capital, exclusionary institutional practices and psychological factors. However, targeted interventions - such as pipeline and outreach programs emphasizing mentorship and support networks - can help mitigate these barriers. Conclusion: Despite ongoing efforts to widen participation, underrepresented groups continued to face complex, intersecting barriers to medical school admission. Addressing these challenges required more than general policy initiatives - it called for intentional, community-based approaches tailored to students' specific needs. This review highlighted the need for sustained, systemic change alongside targeted support strategies.

Indexed as

Minority GroupsSchool Admission CriteriaSchools, MedicalCultural DiversityHumans

Identifiers

PMID41181526
PMCPMC12577556

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.