Medical students impacted by discrimination: a qualitative study into their experiences of belonging and support systems at medical schools in the United Kingdom
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Accepted version
Author(s)
Type
Journal Article
Abstract
Objective To better understand the broader experience of medical students impacted by discrimination and the support systems they engage with.
Design Qualitative study using semi-structured interviews.
Setting Four medical schools based in the UK.
Participants 17 medical students were recruited using volunteer and snowball sampling: all students self-identified as being impacted by discrimination.
Results 5 themes were identified: feelings of isolation, imposter syndrome and exclusion; a lack of representation and positive role modelling; the importance of peer support; issues relating to the accessibility of support; building support networks through shared experiences and attempts to foster a sense of inclusion through peer and institutionally led initiatives.
Conclusions The findings of this study suggest medical schools could do more to recognise the importance of acknowledging the multiple identities at risk of discrimination held by students, perpetuating feelings of isolation and exclusion. Our research highlights the need for practical systemic initiatives to improve the sense of belonging of medical students who are impacted by discrimination. Medical educators and institutions should consider formal and informal provisions, such as creating time and space for students to meet and share experiences, access support and reporting networks, to foster a greater sense of belonging.
Design Qualitative study using semi-structured interviews.
Setting Four medical schools based in the UK.
Participants 17 medical students were recruited using volunteer and snowball sampling: all students self-identified as being impacted by discrimination.
Results 5 themes were identified: feelings of isolation, imposter syndrome and exclusion; a lack of representation and positive role modelling; the importance of peer support; issues relating to the accessibility of support; building support networks through shared experiences and attempts to foster a sense of inclusion through peer and institutionally led initiatives.
Conclusions The findings of this study suggest medical schools could do more to recognise the importance of acknowledging the multiple identities at risk of discrimination held by students, perpetuating feelings of isolation and exclusion. Our research highlights the need for practical systemic initiatives to improve the sense of belonging of medical students who are impacted by discrimination. Medical educators and institutions should consider formal and informal provisions, such as creating time and space for students to meet and share experiences, access support and reporting networks, to foster a greater sense of belonging.
Date Issued
2023-12-28
Date Acceptance
2023-12-11
Citation
BMJ Open, 2023, 13 (12)
ISSN
2044-6055
Publisher
BMJ Publishing Group
Journal / Book Title
BMJ Open
Volume
13
Issue
12
Copyright Statement
© Author(s) (or their employer(s)) 2023. Re-use permitted under CC BY. Published by BMJ. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution 4.0 Unported (CC BY 4.0) license, which permits others to copy, redistribute, remix, transform and build upon this work for any purpose, provided the original work is properly cited, a link to the licence is given, and indication of whether changes were made. See: https://creativecommons.org/licenses/by/4.0/.
License URL
Publication Status
Published
Article Number
ARTN e078314