As first generation (FG)/low income (LI) students enter the elite profession of medicine, schools make presumptions about how FGLI students allocate their time. However, their lives are markedly different compared to their peers. This study argues that while all forms of capital are necessary for success, time as a specific form keeps classism in place. Using constructivist grounded theory techniques, we interviewed 48 FGLI students to understand where, why and how they allocated their time, and the perceived impact it had on them. Using open coding and constant comparison, we developed an understanding of FGLI students' relationship to time and then contextualized it within larger conversations on how time is conceptualized in a capitalist system that demands time efficiency, and the activities where time is needed in medical school. When students discussed time, they invoked the concept of 'time famine;' having too much to do and not enough time. In attempting to meet medicine's expectations, they conceptualized time as something that was 'spent' or 'given/taken' as they traversed different marketplaces, using their time as a form of currency to make up for the social capital expected of them. This study shows that because medical education was designed around the social elite, a strata of individuals who have generational resources, time is a critical aspect separating FGLI students from their peers. This study undergirds the idea that time is a hidden organizational framework that helps to maintain classism, thus positioning FGLI students at a disadvantage.

中文翻译：

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医学教育中阶级主义的维护：“时间”作为第一代和低收入医学生的社会资本形式。

随着第一代 (FG)/低收入 (LI) 学生进入医学精英行业，学校会对 FGLI 学生如何分配时间做出假设。然而，他们的生活与同龄人相比却截然不同。这项研究认为，虽然所有形式的资本都是成功所必需的，但时间作为一种特定形式使阶级主义得以保留。使用建构主义扎根理论技术，我们采访了 48 名 FGLI 学生，以了解他们在哪里、为什么以及如何分配时间，以及这些时间对他们产生的影响。通过开放编码和不断比较，我们了解了 FGLI 学生与时间的关系，然后将其置于更大的对话中，讨论时间在要求时间效率的资本主义体系中如何概念化，以及医学院需要时间的活动。当学生讨论时间时，他们引用了“时间饥荒”的概念；有太多事情要做而没有足够的时间。为了满足医学的期望，他们将时间概念化为在穿越不同市场时“花费”或“给予/获取”的东西，将时间作为一种货币形式来弥补对他们的社会资本的期望。这项研究表明，由于医学教育是围绕社会精英（拥有代际资源的个人阶层）设计的，因此时间是将 FGLI 学生与同龄人区分开来的一个关键因素。这项研究强化了这样一种观点，即时间是一个隐藏的组织框架，有助于维持阶级主义，从而使 FGLI 的学生处于不利地位。