journals.sagepub.com/home/rcpThere has been significant investment in widening participation to medicine over the last decade or so in many countries, including the United Kingdom. 1 However, these efforts to increase diversity and equity within the medical profession are threatened by the current economic and political climate. Previously, Smith and Cleland 2 highlighted that the changed ways of working in response to coronavirus disease 2019 (COVID-19) would likely exacerbate existing educational attainment gaps between different societal groups and thus impact significantly on young people from less privileged backgrounds who aspired to study medicine. These predictions held true: recent research demonstrated that the impact of the pandemic on loss of learning amongst those from less privileged backgrounds is greater than peers from more privileged backgrounds. 3 Certainly, there has been significant effort by universities to promote widening participation since the pandemic. These efforts include expanding the use of contextualised admissions (i.e., considering, and adjusting for, the context of the circumstances in which applicants achieved their education) 2 along with the development of online outreach activities. 4 However, we argue that these efforts are not sufficient given that the gap between students who have experienced disadvantage and those from more privileged backgrounds has widened. 3 Moreover, getting more diverse students into medicine is only one part of the picture: students need to be supported to stay in medicine until they successfully graduate, enter the medical workforce and complete training.Recent data from the British Medical Association 5 student finance survey suggest that of their sample of UK medical school students, nearly half (44.3%) expect to run out of money before the end of the academic year, over a tenth are unable to travel for their studies and/or training because of financial circumstances, around 1 in 25 were using a food bank, and 1 in 7 had applied for hardship funding. The latter was linked with markers of disadvantage at the point of entry to medical school. Medical students from underprivileged backgrounds may also need to juggle working multiple jobs while on clinical placement. 6