This presentation will examine the obstacles and challenges faced by marginalized communities in accessing STEM and medicine fields and explore strategies for creating more equitable pathways to success. Through an examination of current research, we will delve into the ways in which structural barriers can limit access and opportunities for underrepresented groups. To illustrate these points, the presentation will feature examples of successful outreach programs at the University of Houston College of Medicine and City University of New York School of Medicine. These programs aim to increase the participation of underrepresented groups in STEM and medicine fields by providing research opportunities, mentorship, financial support, and other resources. Overall, this presentation aims to provide understanding of the complex issues surrounding equity in STEM and Medicine, and to inspire attendees to take meaningful steps towards creating a more just and equitable future at their institutions.