Research indicates that First Gen undergraduates encounter challenges with the following: understanding the college process, financing college, finding a community while at school, balancing family obligations with school, and navigating college while lacking cultural capital. Since medical schools are increasingly collecting information on their First Gen populations and considering this metric for admission into medical school, residencies, and fellowships, the need for data on First Gen individuals in medical training is a priority for medicine and academia. The AAMC has also encouraged medical schools to undertake “holistic reviews” that allow admissions committees to give equal consideration to the experiences, attributes (including First Gen status), and metrics of medical school applicants. ![]() For instance, beginning in 2017, the AAMC introduced a “First Generation College Student Indicator” on the American Medical College Application Service. However, more recently, accrediting organizations have begun advising medical schools on how to collect information on First Gen applicants. ![]() Past research has used terms like “underrepresented minority,” “low socioeconomic status,” “disadvantaged,” “at-risk,” and “vulnerable” to describe First Gen students and since these terms were often used as proxies for First Gen status, many historical details on this group went uncaptured. Difficulties in studying the First Gen population are due, in part, to historical reports’ infrequent use of the term “first-generation” and conflation of demographic identifiers.
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