Joshua Spear grew up in poverty, one of six siblings. Only three of them graduated high school. His parents struggled to pay bills. He had to borrow clothes for his high school prom and couldn't afford a senior class trip to the bowling alley. With Georgia State University's help, he's on his way to medical school. This video is part of Generation Georgia State, a series that highlights the academic, personal and career accomplishments of Georgia State University students, alumni, faculty and staff who are the first in their families to attend college.