A Holistic Look at First-Generation College Students in Graduate Healthcare Programs

First-generation college students (FGCS) are considered underrepresented minorities in healthcare. While there are numerous studies on undergraduate students, little is known about FGCS in graduate programs, as this information has not been routinely collected. As such, diversity has been measured only based on race or ethnicity, which may not capture diversity from a broader definition. Furthermore, current research provides a deficit narrative, presenting these students as lacking in abilities and capital. However, these students were successful as undergraduates to enter graduate school and likely have undisclosed strengths. The purpose of this mixed methods study was to develop a comprehensive understanding of FGCS in graduate healthcare programs. All students enrolled in physical therapy, occupational therapy, or pharmacy programs at Creighton University in Phoenix were invited to complete a survey with items related to demographics, parental educational attainment, cultural capital, help-seeking and help-avoidance, and sense of belonging. Additionally, most of the FGCS in this study participated in semi-structured interviews with questions related to cultural capital and experiences in their current programs. The results show that FGCS in this study demonstrate similar cultural capital, help-seeking and help-avoidance, and sense of belonging as their peers. From the interviews, the FGCS strengths include family support, navigational capital, a desire to give back to their communities by providing care in underserved areas, and they have a desire to connect to faculty and peers. Challenges include family stressors, finances, mental health, and academic issues. These are presented with evidence-based recommendations for faculty and administrators. This study provides a more holistic view of FGCS as they navigate graduate school. By avoiding a deficit narrative, this study improves our understanding of FGCS.