Perceptions of medical school among high school students in southwestern Ontario

Canadian medical students are more likely to come from urban and high-income areas and to have well-educated, professional parents. Physicians who grew up in rural areas are more likely to serve in rural and lower-income areas. We identify perceptions held by rural high school students regarding the affordability and attainability of a medical education.

We distributed a survey to high school students who attended the MedQUEST Health Career Exploration Program in southwestern Ontario. The survey assessed socioeconomic background and perceived barriers to a medical education (including affordability as well as encouragement and discouragement from others).

Of the 119 attendees, 106 (89.1%) completed the survey. Of the students who were interested in becoming physicians, most expected to fund their medical education through scholarships (56 [69.1%]), parental support (50 [61.7%]) or student employment (45 [55.6%]). However, less than half of all respondents (48 [45.3%]) provided reasonably correct estimates for annual medical tuition fees. If at least 1 parent had a postsecondary education, respondents were less likely to cite affordability as a barrier to attending medical school (p = 0.05).

Although students interested in obtaining a medical education cited affordability as a potential barrier, many were not aware of the actual cost of attending medical school. We found an association between perceived affordability of medical school and parents' level of education. To define this relation further, research is needed to collect more accurate data on family income. Students may benefit from more information about funding opportunities for medical school.