With increasing numbers of students from widening participation backgrounds now studying medicine, the next challenge for medical schools is to ensure that these students are supported in their transition to university and medical school and have access to the same opportunities as everyone else. The chapter discusses current practice and strategies the schools employ to help the students from widening participation background overcome the barriers in accessing the university and progressing on the course. We discuss social dynamics between different student groups and offer practical measures to nurture confidence to combat ‘imposter syndrome’.