In the United States, there is a disproportionately low number of Black physicians in comparison to the demographic composition of Black people in the nation. This underrepresentation gap is result of historic systemic racism that led to Black people being abused and left out of healthcare and medical education. Despite improvement in healthcare and educational since the Civil Rights era, the underrepresentation gap amongst physicians persists. While the causes and solutions for the underrepresentation gap are multifactorial, one avenue of exploration is in how universities support Black student persistence in premedical education. Under the framework of Critical Race Theory, this study addresses the research question "what are Black premed students' experiences and perceptions of support programming at public universities in the state of California". The purpose of this study was to identify opportunities to enhance support for Black premedical students by utilizing their voice in literature and practice. This study features semi-structured interviews with seven Black premed students from four public universities in California who were in the process of applying to medical school. Findings show that the participants were overall dissatisfied with their universities' efforts to support Black premed students, citing concerns about a lack of awareness of programs, effectiveness, availability, and a need for community amongst Black students and faculty. These findings provide insight into how to address the high rates of attrition amongst Black premed students at primarily White institutions (PWIs) and produce the physician workforce needed to address health disparities in underrepresented communities. [The dissertation citations contained here are published with the permission of ProQuest LLC. Further reproduction is prohibited without permission. Copies of dissertations may be obtained by Telephone (800) 1-800-521-0600. Web page: http://bibliotheek.ehb.be:2222/en-US/products/dissertations/individuals.shtml.]