First-Generation Immigrants in Medicine: Overcoming the Challenges

18 Dec 2024

 

By Juliana Ampadu Otiwaah

My Journey

As a first-generation immigrant, my path to becoming a doctor was far from straightforward. My family immigrated from Ghana to Canada nearly 30 years ago. My father arrived first, working tirelessly to create a foundation for us. Three years later, my mother, brother, and I joined him. My parents, both blue-collar workers, did their best to support me, but they weren’t familiar with the complexities of higher education. When making decisions about my future, I had to rely on teachers and school staff for guidance—many of whom underestimated my potential based on early academic performance.

Growing up in a French-speaking region and learning English presented additional challenges, as did navigating schoolwork without my parents’ ability to assist. By high school, I had unlocked my potential and excelled academically, but understanding how to pursue a career in medicine remained a mystery. Nursing became a practical starting point, influenced by my mom’s experience as a hospital aide. It offered financial stability and exposure to healthcare, but deep down, I knew I wanted to become a doctor. The transition wasn’t easy, but I worked hard to carve a path forward. Now, as I prepare for the match process, I reflect on how far I’ve come—a journey defined by resilience and determination.

Challenges and Resilience Required as a First-Generation Immigrant

The challenges faced by first-generation immigrants in medicine are multifaceted, shaped by limited knowledge, financial barriers, and a lack of representation. Many immigrant families are unfamiliar with the education system, which makes navigating prerequisites and applications especially daunting. Without mentors in the family or professional connections, students like me often rely on trial and error, which can delay progress. Financial constraints further complicate the journey. Higher education is expensive, and for families already struggling to make ends meet, the additional costs can feel insurmountable.

Perhaps the most significant challenge, however, is self-doubt. When you don’t see people who share your background in positions of success, it’s easy to question whether you belong. For me, the absence of role models in medicine sometimes made the dream feel out of reach. Yet, these challenges also fostered resilience. I learned to advocate for myself, seek guidance where I could find it, and push through the barriers in my way.

Finding Strength and Building Support

For first-generation immigrants, building a support network is essential. Mentorship programs, student organizations, and online communities can connect aspiring doctors with those who have navigated similar paths. For instance, I relied on the AMG Mentoring Program, the Student National Medical Association (SNMA), the Association of Women Surgeons (AWS), and a local African church support group during my time at SGU. These organizations provided guidance, encouragement, and a sense of belonging that helped me stay focused on my goals. Financial aid opportunities, including scholarships specifically for immigrants and first-generation students, can help alleviate the financial burden. Which can be very difficult—in my case, I worked to support myself but also tried to find a bank loan back in Canada to help me, which wasn’t easy. The process often required navigating complex systems and proving my commitment to education despite limited resources. Schools also offer valuable resources, from academic advisors to career counseling, which can provide guidance when family support isn’t an option.

Above all, it’s important to believe in your potential. Your unique journey—shaped by resilience, determination, and a desire to succeed—adds value to the field of medicine. While the road may be long and filled with obstacles, each step forward is a testament to your strength and capability.

Conclusion

The path to medicine as a first-generation immigrant is undeniably challenging, but it’s also deeply fulfilling. Our diverse experiences, shaped by the sacrifices of our families and our determination to succeed, enrich the medical field. By sharing our stories and supporting one another, we can pave the way for others to follow and show that no dream is out of reach.



Juliana A. Otiwaah, is a 4th-year medical student at St. George’s University School of Medicine. Born in Ghana and raised in Canada, she earned a Bachelor’s of Science in Nursing at McGill University, which launched her career as an emergency department nurse. She later completed a Master’s in Nursing at the University of Toronto and practiced as a nurse practitioner. Her diverse experience has shaped her journey to medicine and she is now applying for the General Surgery Match 2025. Outside of her academic pursuits, Juliana enjoys spending time with family, friends, traveling and exploring her passion for music as an amateur DJ.

2 Replies to “First-Generation Immigrants in Medicine: Overcoming the Challenges”

  1. Absolutely incredible. As a Haitian immigrant living and working as a nurse in Montreal i can relate to your story. Thank you for sharing and thank you for showing minorities that it is indeed possible to pursue medecine regardless of their background and upbringing! Wishing you the best in your journey, and congratulations for breaking barriers. Very very proud of you!

  2. Your testimony is so refreshing and touching.
    It is an inspiring journey which shows that with determination and hard work, you can surely attain your goals. I could literally feel the deep desire for success as I was reading your words. Many of us unfortunately do not exploit our full potential partly, because of the lack of representation and thanks to women like you, who are generous enough to tell their story, we can have a physical example of success and possibility.
    A huge Congratulations to you and to your family for this huge accomplishment and Thank you for sharing your experience.
    I am convinced that it will make inspire many.
    Sincerely,

    Melissa M. Buissereth, RN.

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