Enhancing Equity in a Widening Participation Scheme for School Students

Author:

Kirkham EN1ORCID,Rozwadowski S1,Wijeyaratne M1,Ferris L2,Bennett J1,Coyle M1

Affiliation:

1. Department of Surgery, Gloucester Royal Hospital, Gloucester, UK

2. Apprenticeships and Careers Team, Gloucester Royal Hospital, Gloucester, UK

Abstract

OBJECTIVES The Royal College of Surgeons (RCS) Diversity Review 2021 found that premedical school students from ethnic minority backgrounds were dissuaded from pursuing a surgical career. Gloucestershire is in the bottom 20% of disadvantaged counties; there is no widening participation (WP) scheme in the county. We implemented a fully inclusive WP scheme in Gloucester, with means of accessing virtual and face-to-face work experience, to enhance the equity of work experience. METHODS A three-stage project was conducted. Stage 1; two separate virtual Q and A sessions, to allow students to ask questions about life as a doctor. Stage 2; conversation between student and patient held virtually, to gain insight into working as a doctor to help determine whether medicine is the career for them. Stage 3; face-to-face work experience. Distribution sent to all 58 schools (state and private) in the county, targeted at secondary school children. RESULTS One hundred twenty-nine people attended the Q and A; 70 feedback responses received. Of the total, 86% female and 56% of ethnic minority background. 26% did not have an immediate family member that attended university, 10% had care-giving responsibilities. Eighty-one percent rated the session >8/10 for usefulness. Twenty-seven undertook the virtual conversation, feedback from 11; 91% female, 45% of ethnic minority background, and 27% did not have an immediate family member that attended university. All rated the session 10/10 for usefulness. 10 attended the face-to-face experience, 50% from an ethnic minority background. CONCLUSION The RCS Report identified barriers to aspiring students from less-privileged backgrounds pursuing a medical career. More needs to be done with WP schemes to promote equity. Targeted distribution of WP schemes to all schools, utilization of a variety of means of offering work experience, and accessibility to any school-aged student were aspects of our WP to improve exposure to the medical profession.

Publisher

SAGE Publications

Subject

General Medicine

Reference17 articles.

1. The Royal College Surgeons. An independent review on diversity and inclusion for the Royal College of Surgeons of England. https://www.rcseng.ac.uk/about-the-rcs/about-our-mission/diversity-review-2021/. Cited August 2022.

2. Understanding the Patient Experience Through the Lenses of Racial/Ethnic and Gender Patient-Physician Concordance

3. Fair access to medicine? Retrospective analysis of UK medical schools application data 2009-2012 using three measures of socioeconomic status

4. BMA: Widening participation in medicine. Widening participation in medicine (bma.org.uk). Cited August 2022.

5. Widening participation in medicine: what, why and how?

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