Presented By: Priyadarshini Dattathreya, Hackensack Meridian School of Medicine

Purpose
This narrative literature review describes the scope of pre-matriculation courses in medical schools and their ability to facilitate transition of diverse groups of students into medical schools. With a focus on objectives, structure, and outcomes, the review aims to develop a conceptual framework that provides a comprehensive understanding of the pre-matriculation initiatives in medical education.

Methods
Employing a critical narrative approach, this review explores pre-matriculation initiatives through a systematic search targeting peer-reviewed publication from 1985 to 2023. Databases such as MEDLINE, ProQuest, Google Scholar, and EBSCO were utilized, covering articles reporting on goals, structures, outcomes, and evaluations of pre-matriculation initiatives. Articles were categorized based on the scope of the initiatives including their objectives and the activities/experiences offered to students.

Results
The review uncovers a spectrum of pre-matriculation initiatives designed to support transition of students into medical schools. Significant variation exists in program length, mode of delivery, objectives and reported outcomes. When compared across the spectrum, the scope of the initiatives can be described as multi-layered that spans from broader community immersion.  Nested within this overarching framework are targeted focuses, including integration into the learning environment, introduction to the curriculum, and development of skills essential for success in medical school. However, reported outcomes exhibit notable variance, emphasizing the complexity of creating equitable courses that address diverse student needs. The review also reveals a need for an overarching level that promotes equity, inclusivity, and individualization in pre-matriculation courses.

Conclusion
The conceptual framework derived from this narrative review offers valuable insights into pre-matriculation initiatives in medical education. This framework serves as a guide for medical schools in tailoring initiatives that effectively facilitate a smoother transition of students into the unique contexts of their respective institutions. Further research could explore innovative initiatives that enhance the effectiveness of pre-matriculation initiatives while supporting equity, inclusivity, and individualized support.