Purpose
This scoping review identified peer-reviewed literature highlighting support and resources available to underrepresented minoritized (URM) medical students. The search focused on available support for URM medical students and changes that have occurred in how URM medical students benefit from available resources. The scoping review will broadly track trends in publications and changes that influenced the development and accessibility of resources for underrepresented minority (URM) medical students.

Methods
The Preferred Reporting Items for Systematic Reviews and Meta-Analysis extension for Scoping Reviews (PRISMA-ScR) framework was used to guide the search methodology. We utilized multiple databases including Medline-Ovid, PsycInfo-Ovid, Google Scholar, and Scopus, with citation tracking to identify publication trends from 1960-2024. Inclusion criteria were peer-reviewed, English-language studies focusing on underrepresented minority (URM) pre-clinical medical school populations in the United States. Our keyword search included:

• URM,
• undergraduate medical students,
• support and resources, and
• pre-clerkship.

A systematic article screening, de-duplication, and extraction processes were completed using Covidence, a systematic review management system. Articles were further organized and categorized for thematic analysis in Excel.

Results
Initially, 463 articles were identified, with 190 duplicates and non-peer-reviewed articles removed. Of the remaining 273 articles, 196 did not meet the established inclusion criteria. Seventy-seven articles spanning qualitative, quantitative, mixed-method studies, and evidence synthesis designs met the criteria for in-depth analysis. Early thematic analysis revealed key URM student support resources, including financial, mental health, social, and academic support, with a notable increase in research depth and publication volume on these topics since the early 2000s.

Conclusions
The increasing volume of published research over the past two decades demonstrates a growing commitment to understanding and addressing systemic barriers for underrepresented minority (URM) medical students. The literature indicates a shifting focus from student access to resources to comprehensive support strategies for URM medical students. Yet, significant research gaps persist, necessitating further investigation.