Evidence map›Paper›PMID 42467624›Full record

ArticlePloS one2026

First-generation medical school applicants: A quantitative study designed to identify areas of educational support.

Bethsabe Romero, Amanda K Burbage

Abstract read
In one paragraph

Article in PloS one, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

2 authors.

Bethsabe RomeroEastern Virginia Medical School, Macon & Joan Brock Virginia Health Sciences at Old Dominion University, Norfolk, Virginia, United States of America.ORCID https://orcid.org/0009-0004-6952-2410
Amanda K BurbageMedical & Health Professions Education (PhD, MHPE, Certificate), Macon & Joan Brock Virginia Health Sciences at Old Dominion University, Norfolk, Virginia, United States of America.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

First-generation (First Gen) students are unique medical school applicants. Due to their lived experience, they approach patient care by prioritizing trust, comfort and understanding. They have proven ability to overcome obstacles and were found to be more resilient than their continuing generation (Cont Gen) peers. Despite these notable attributes, they face unique challenges in gaining medical school acceptance. There are very few quantitative studies examining this student subpopulation, and our study identifies characteristics of first-generation medical school applicants while highlighting areas of needed support. This cross-sectional study used deidentified Application and Matriculating Student Questionnaire survey data that was obtained from the AAMC for 286,656 total applicants for the 2017-2024 period, in which 12.5% identified as First Gen. Descriptive statistics, Mann-Whitney U, independent-samples t-tests, and Chi-square tests were performed to define medical school applicant characteristics, evaluate applicants' motivations to study medicine, and obstacles to medical school acceptance. All First Gen applicants who reported socioeconomic status (SES) come from low SES backgrounds and are motivated to study medicine by establishing a secure future, eliminating career debt, and affecting social change. First Gen applicants had lower acceptance (43% vs. 57%, p < 0.001) and matriculation rates (42% vs. 56%, p < 0.001). Obstacles to admission include First Gen and low SES statuses, age at matriculation, and time spent in family obligations, each significantly associated with lower acceptance rates (p < 0.001). First Gen medical school applicants and matriculants face disproportionate challenges as they navigate careers in medicine. This diverse group of medical school applicants has much to contribute to the future of medicine. Our study highlights a continued need for academic intervention to reduce barriers in the pre-matriculation stage and throughout medical training for First Gen medical school applicants and matriculants.

Indexed as

School Admission CriteriaSchools, MedicalStudents, MedicalAdultCross-Sectional StudiesFemaleHumansMaleMotivationSurveys and QuestionnairesYoung Adult

Identifiers

PMID42467624
PMCPMC13379014

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.