Date of Award

Summer 2025

Document Type

Open Access Dissertation

Department

Educational Studies

First Advisor

Todd Lilly

Abstract

Lack of diversity in healthcare and healthcare education contributes to health disparities. Holistic admission practices and understanding underrepresented minority student experiences in healthcare education are critical to addressing diversity. The problem of practice addressed in this study is to better understand the critical elements pertinent to recruiting and retaining a diverse student body for a DPT program at a southeastern state university. A qualitative case study action research design was used to examine the perspectives and experiences of underrepresented students compared to their White counterparts in the first year of a Doctor of Physical Therapy program. When enrolling in the physical therapy program, underrepresented minority students uniquely valued early communication from the program and affordability. Additionally, underrepresented minority students believed personal growth and development during the first year in the physical therapy program contributed to their feelings of belonging. Underrepresented minority students identified several unique barriers to belonging that their White student counterparts did not. Underrepresented minority students expressed difficulty with transitioning into the physical therapy program, difficulties connecting with their peers and faculty, and feelings of low self-efficacy or imposter syndrome. Additionally, all URM students and one White student shared experiences or observations of negative or offensive behaviors from classmates and instructors during their first year in the program. While race was hypothesized to impact the experiences of underrepresented minority students and was the focus of this study, other elements of students' secondary Discourse, or identity, were barriers to feelings of belonging. Secondary Discourses that contributed to feelings of isolation and lack of belonging included non-traditional student qualities, such as older age, pursuit of a second career, religious beliefs, disability status, and sexual orientation.

Rights

© 2025, Alicia Flach

Available for download on Monday, May 31, 2027

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