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Medical school dropout - testing at admission versus selection by highest grades as predictors.
MedLine Citation:
PMID:  21988626     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Medical Education 2011: 45: 1111-1120 Context  Very few studies have reported on the effect of admission tests on medical school dropout. The main aim of this study was to evaluate the predictive validity of non-grade-based admission testing versus grade-based admission relative to subsequent dropout. Methods  This prospective cohort study followed six cohorts of medical students admitted to the medical school at the University of Southern Denmark during 2002-2007 (n = 1544). Half of the students were admitted based on their prior achievement of highest grades (Strategy 1) and the other half took a composite non-grade-based admission test (Strategy 2). Educational as well as social predictor variables (doctor-parent, origin, parenthood, parents living together, parent on benefit, university-educated parents) were also examined. The outcome of interest was students' dropout status at 2 years after admission. Multivariate logistic regression analysis was used to model dropout. Results  Strategy 2 (admission test) students had a lower relative risk for dropping out of medical school within 2 years of admission (odds ratio 0.56, 95% confidence interval 0.39-0.80). Only the admission strategy, the type of qualifying examination and the priority given to the programme on the national application forms contributed significantly to the dropout model. Social variables did not predict dropout and neither did Strategy 2 admission test scores. Conclusions  Selection by admission testing appeared to have an independent, protective effect on dropout in this setting.
Authors:
Lotte O'Neill; Jan Hartvigsen; Birgitta Wallstedt; Lars Korsholm; Berit Eika
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Publication Detail:
Type:  JOURNAL ARTICLE    
Journal Detail:
Title:  Medical education     Volume:  45     ISSN:  1365-2923     ISO Abbreviation:  -     Publication Date:  2011 Nov 
Date Detail:
Created Date:  2011-10-12     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7605655     Medline TA:  Med Educ     Country:  -    
Other Details:
Languages:  ENG     Pagination:  1111-1120     Citation Subset:  -    
Copyright Information:
© Blackwell Publishing Ltd 2011.
Affiliation:
Institute of Sports Science and Clinical Biomechanics, Faculty of Health Sciences, University of Southern Denmark, Odense, Denmark Clinical Locomotion Science, Faculty of Health Sciences, University of Southern Denmark, Odense, Denmark Education Development Unit, Faculty of Health Sciences, University of Southern Denmark, Odense, Denmark Nordic Institute for Chiropractic and Clinical Biomechanics, Odense, Denmark Unit for Medical Education, Faculty of Health Sciences, University of Aarhus, Aarhus, Denmark.
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