This paper investigates reasons Indigenous Australian medical students gave for leaving their courses prior to graduation. Indigenous students who had withdrawn or deferred from their medical courses were asked about the barriers and disincentives that had dissuaded them from graduating. Although the response rate to the questionnaire was very low, it opened up a way of looking at the particular experiences of Indigenous students. Of the 12 responses, the most prominent reason given for withdrawing was financial. Most were satisfied with enrolment processes but a number were disappointed with their courses and with teaching methods. More support from the university was the only encouragement that would have persuaded most respondents to continue. This paper explores the reasons for the high rate of withdrawal of Indigenous medical students and concludes by suggesting ways in which secondary schools, universities and their medical schools could respond to the recruitment and retention of Indigenous medical students.
A dominant discourse constructs Indigenous secondary school students as likely to leave school early and unlikely to take up a health career. We believe that this failure discourse shapes the school and tertiary transition experience for the majority of Indigenous students, regardless of their capabilities and aspirations. Career development practitioners have the potential to change the experiences of Indigenous school students and play a part in closing the gap between Indigenous and non-Indigenous health outcomes. However, only 18% or 26 out of 144 Victorian secondary school career advisers or guidance counsellors who responded to our survey demonstrated the knowledge, skills and understanding to effectively advise and support an Indigenous student who expressed an interest in a health career.
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