Broadening access to undergraduate medical education

Angel, Carole A.; Johnson, Allan A.

doi:10.1136/bmj.321.7269.1136

Cited by 31 publications

(25 citation statements)

References 1 publication

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“…Their outcome evaluations, especially in relation to non-traditional students, may be important in guiding future policy across the UK 2 16 17. Our data suggest that the current four stage approach to student selection is sound, but we now have concerns that the introduction by UCAS of open references will reduce the opportunities for head teachers to draw attention to personal qualities or difficulties that might make it difficult for a student to succeed in medicine; structured references might be more helpful.…”

Section: Discussionmentioning

confidence: 99%

Predicting the “strugglers”: a case-control study of students at Nottingham University Medical School

Yates

James

2006

BMJ

110

120

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Objective To identify potential predictors of undergraduate students who struggle during their medical training. Design Case-control study. Cases were students who had experienced academic or personal difficulties that affected their progression on the course ("strugglers"). Controls were selected at random from the corresponding year cohorts, using a ratio of four controls for each struggler. Setting University of Nottingham Medical School. Participants Students who entered the course over five consecutive years. Main outcome measures Likelihood ratios for independent risk factors for struggling on the course Results 10-15% of each year's student intake were identified as strugglers. Significant independent predictors of students being in this category were negative comments in the academic reference (likelihood ratio 2.25, 95% confidence intervals 1.44 to 3.50), lower mean examination grade at A level (2.19, 1.37 to 3.51), and the late offer of a place (1.98, 1.19 to 3.30). Male sex was a less significant risk factor (1.70, 1.09 to 2.65) as was a lower grade at GCSE science (2.13, 1.12 to 4.05). In UK students whose ethnicity was known, not being white was a significant predictor of struggling (2.77, 1.52 to 5.05) but the presence of negative comments was not. Age at entry to the course and the possession of a previous degree were not predictive. Conclusions Our results support retention of existing selection practices relating to academic achievement and critical review of students' references. We plan to undertake further investigation of the reasons why some students, including men, those with late offers and those from ethnic minority backgrounds, may do less well on the Nottingham course.

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Section: Discussionmentioning

confidence: 99%

Predicting the “strugglers”: a case-control study of students at Nottingham University Medical School

Yates

James

2006

BMJ

110

120

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“…The principle that medical school intake should reflect the ethnic and socioeconomic mix of the population has been endorsed by the UK Council on Heads of Medical Schools1 and underwritten by generous “Widening Participation” payments to universities that recruit from underrepresented postcodes 2 3. Despite these incentives, recruiting applicants from non-traditional groups is proving difficult,4 and major disparities by socioeconomic status and some ethnic groups remain 5 – 7…”

Section: Introductionmentioning

confidence: 99%

“Not a university type”: focus group study of social class, ethnic, and sex differences in school pupils' perceptions about medical school

Greenhalgh

Seyan²,

Boynton³

2004

BMJ

138

176

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“…38 Admissions systems seek to achieve a fair and equitable system to select doctors of the future; however, these data from 2006 reveal that neither the applicants, nor successful applicants, are representative of their cohort in society. Angel and Johnson, 39 argue that the 'social, cultural and ethnic background of medical graduates should refl ect broadly the diversity of the patient population', and that 'the groups of people that are underrepresented in the medical profession tend to be overrepresented in the patient population who may be better served by doctors from these sub-populations'. Comparing the best data available, it would seem that the ethnic takeup by UCAS in general is more closely aligned with the young adult population in England (the best data available).…”

Section: Admissionsmentioning

confidence: 99%

Widening access? Characteristics of applicants to medical and dental schools, compared with UCAS

Gallagher¹,

Niven²,

Donaldson

et al. 2009

Br Dent J

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Broadening access to undergraduate medical education

Cited by 31 publications

References 1 publication

Predicting the “strugglers”: a case-control study of students at Nottingham University Medical School

Predicting the “strugglers”: a case-control study of students at Nottingham University Medical School

“Not a university type”: focus group study of social class, ethnic, and sex differences in school pupils' perceptions about medical school

Widening access? Characteristics of applicants to medical and dental schools, compared with UCAS

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