@bladerz1,
I’ll speak for my class only, but I don’t believe my entire class was filled with rich/well-to-do people. I also don’t believe that UMKC purposefully recruits students who are rich. I think that’s just the way it ends up sometimes. UMKC is “different” in terms of being a program right after high school, that combines undergrad + medical school in 6 years, and I think that appeals to a lot of families or gets their attention. Many I’m sure are turned off by the price tag, but I’m sure there are just as many that are not, and can easily write a check. If you talk to many traditional students, and outside of CC, they never even knew about BS/MD programs, so it really is an alternative pathway overall, if you compare the percentage of BS/MDers to traditional students.
That being said, I do think there is a sizable majority of students in the BA/MD program at UMKC who are very well off financially, many of whom have either direct family members who are physicians (or in healthcare in general), whether they be UMKC Med alumni (brother or sister, but in the past few years very recently, parents) or not. So just playing the odds, you are going to naturally get people who are more entitled and maybe more spoiled. When I started in 2003, it was only in-state or out-of-state available, so in the out-of-state pool, the above scenario in terms of being well off financially/physician parents was much more common, since the tuition was very high at about $51,000. Now with possibility of paying regional tuition all 6 years, where you’re only paying 1.5x in-state instead of 2x, I’m not really sure – probably the same. In-state has always been a variety in terms of financial background - but the financial risk is SO MUCH less for them, so they can effectively feel out the program to see if it is the right path for them, without too much financial risk. I know, as there were in-state students I knew who left, who did well academically, but felt that the program wasn’t right for them – so some went the traditional route, I know one who went for Dentistry, another for Nursing, or changed majors completely, etc. If you’re in-state, I think you have more of a luxury to do that and see how things are for yourself with no regrets, although even if you’re regional/out-of-state, if you leave at the end of Year 2, you’re still in the clear financially in being able to backtrack, without being chained to 6 figure debt (it would be 5 figures).
I don’t think having a UMKC Med Alumni gives that huge of an advantage in terms of getting through the program, but maybe slightly more in knowing how to navigate the program, depending on when that relative graduated. It’s not anything that can’t be made up with other resources though: College Confidential, administrative faculty, or just asking the right people.
I do think that if you’re well off financially you have a lot lower risk going thru this program (a.k.a. parents are footing the bill). So naturally, it would be a lot lower financial stress (which might affect your studying) than someone who is paying for his/her cost-of-attendance mainly through loans and has to think about that while you’re studying. I knew people who were paying tuition & fees AND room & board on loans, and so that can definitely contribute to stress, but they made it through. At least in my class, the ones with parents who were pressuring or forcing to take the doctor path, tended to make it through the program, mainly due to external reasons, although maybe not the happiest. I have seen and know students who felt almost obligated or were encouraged by their parents to do the program, who ended up failing out, leaving, or were dismissed, so it’s really hard sometimes to predict these things, as there are a lot of factors that play here. Just as a personal aside, it was almost never the people you wanted to leave the program, who end up leaving, go figure.
In terms of residencies, I think it depends on the connection. If someone has a brother, sister, mom, or dad, who works in academic medicine (a professor at a medical school) then yes, they do have an advantage at that academic medical center and maybe in that specialty. Medicine is definitely not immune to connections and networking, just like any other profession, that can supercede good grades and great board scores. Even without family, it’s almost always a combination of hard work, determination, networking, personality, and sometimes just plain luck. I know that’s really hard for students to understand, because they’re so used to things being objective (GPA, SAT/ACT scores, etc.), but you’ll see very quickly that a lot of medical school and medicine isn’t objective, but rather subjective. So it’s not always the best person in terms of grades and scores that is chosen. Sometimes those other things can play a role.
All you can do is just play the best with the cards you are dealt with in life, and try not to get too wrapped up in how much easier or harder other people have it even if it is 100% true. It’s a sure fire formula to being very unhappy. I would also make sure you are doing this 100% for yourself, and not at all for your parents – whether you think they’ll be happy and proud, and you can’t see yourself as anything but a physician. As @blugrn6, mentioned before, this is made harder by the fact that you’re 18, and you don’t really have that much overall life experience yet, and haven’t gotten to rule other things out.