Medical students impacted by discrimination: a qualitative study into their experiences of belonging and support systems at medical schools in the UK

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 v...

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Main Authors: Megan E L Brown, Sonia Kumar, Ravi Parekh, Victoria Collin, Hamza Ikhlaq, Srishti Agarwal, Catharine Kwok, Hadiya Golamgouse, Simone Derby, Nicola McRae
Format: Article
Language:English
Published: BMJ Publishing Group 2023-12-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/13/12/e078314.full
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author Megan E L Brown
Sonia Kumar
Ravi Parekh
Victoria Collin
Hamza Ikhlaq
Srishti Agarwal
Catharine Kwok
Hadiya Golamgouse
Simone Derby
Nicola McRae
author_facet Megan E L Brown
Sonia Kumar
Ravi Parekh
Victoria Collin
Hamza Ikhlaq
Srishti Agarwal
Catharine Kwok
Hadiya Golamgouse
Simone Derby
Nicola McRae
author_sort Megan E L Brown
collection DOAJ
description 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.
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issn 2044-6055
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series BMJ Open
spelling doaj-art-d8bce4541d4e416cabbd70418c4710422025-08-20T03:10:53ZengBMJ Publishing GroupBMJ Open2044-60552023-12-01131210.1136/bmjopen-2023-078314Medical students impacted by discrimination: a qualitative study into their experiences of belonging and support systems at medical schools in the UKMegan E L Brown0Sonia Kumar1Ravi Parekh2Victoria Collin3Hamza Ikhlaq4Srishti Agarwal5Catharine Kwok6Hadiya Golamgouse7Simone Derby8Nicola McRae95 Medical Education Innovation & Research Centre, School of Public Health, Imperial College London, London, UKUniversity of Leeds, Leeds, UK5 Medical Education Innovation & Research Centre, School of Public Health, Imperial College London, London, UK5 Medical Education Innovation & Research Centre, School of Public Health, Imperial College London, London, UKacademic specialised foundation programme doctor2 University College London, London, UK2 University College London, London, UK2 University College London, London, UK3 University of Nottingham, Nottingham, UK4 University of Dundee, Dundee, UKObjective 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.https://bmjopen.bmj.com/content/13/12/e078314.full
spellingShingle Megan E L Brown
Sonia Kumar
Ravi Parekh
Victoria Collin
Hamza Ikhlaq
Srishti Agarwal
Catharine Kwok
Hadiya Golamgouse
Simone Derby
Nicola McRae
Medical students impacted by discrimination: a qualitative study into their experiences of belonging and support systems at medical schools in the UK
BMJ Open
title Medical students impacted by discrimination: a qualitative study into their experiences of belonging and support systems at medical schools in the UK
title_full Medical students impacted by discrimination: a qualitative study into their experiences of belonging and support systems at medical schools in the UK
title_fullStr Medical students impacted by discrimination: a qualitative study into their experiences of belonging and support systems at medical schools in the UK
title_full_unstemmed Medical students impacted by discrimination: a qualitative study into their experiences of belonging and support systems at medical schools in the UK
title_short Medical students impacted by discrimination: a qualitative study into their experiences of belonging and support systems at medical schools in the UK
title_sort medical students impacted by discrimination a qualitative study into their experiences of belonging and support systems at medical schools in the uk
url https://bmjopen.bmj.com/content/13/12/e078314.full
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