Educating and Retaining the Cancer-Focused Biomedical Workforce from Rural Appalachian Kentucky: The Impact of Experiential Learning and Scholarship Funding.

Kentucky postsecondary education levels are significantly below the national level, with lower levels in the Appalachian region of the state. Health disparities, including high cancer incidence and mortality, make educating and retaining students from the region a priority. The Appalachian Career Training in Oncology (ACTION) program offers cancer-related experiential opportunities and scholarships to Appalachian students. This study examines the ACTION program and its scholarship impact on undergraduate and professional school students' decisions to attend the University of Kentucky, pursue a career in science/medicine, and pay for schooling. Thirty-three ACTION participants and alumni received scholarships through a need-based application process in academic years 2023-2024 and 2024-2025. All students receiving the scholarship were asked to complete a REDCap survey. The survey evaluated both quantitative and qualitative variables, such as the impact of various factors on college decision, the influence of ACTION programs on career choice, and the effect of ACTION scholarship on financial burden. The two most influential factors affecting students' college choice are finances and experiential opportunities. Students in both the high school and undergraduate programs said their experiences significantly encouraged them to attend the University of Kentucky and pursue a career in science/medicine. Although the scholarship did not eliminate financial concerns, it lessened the burden. The ACTION program and scholarship encouraged Appalachian Kentucky students to attend the University of Kentucky and ameliorated financial concerns. This research demonstrates the program's positive impact on rural, Appalachian students and provides evidence for similar programs that may benefit underserved communities.