Medical student attrition: a 10-year survey in one medical school.

Abstract:

:Medical student wastage leads to adverse emotional and social consequences for individual students and financial difficulties and morale problems for medical schools. This study retrospectively assessed the records of all students at Leeds School of Medicine who left the course prematurely between 1983 and 1992. The demographic data of the leavers were compared with those of all students entering the school during the 10 years studied. A-level examination choices and results of the leavers were compared with those of a control group of all students who entered the school in 1990. The attrition rate over the 10 years was 14% (283 students), with more males than females leaving. Fewer mature students than expected left the course. More leavers had A-level physics and lacked A-level biology compared with the control group. The leavers were academically less able than the controls. Fifty-three per cent of leavers were asked to withdraw from the course for academic reasons; the rest left voluntarily. Thirty per cent had personal problems, 9% had a combination of academic and personal problems and 8% had health problems (psychological difficulties were the commonest). Seventy-one per cent of leavers entered another degree course; science degrees were the most popular. Reasons for medical student wastage and possible solutions are discussed.

journal_name

Med Educ

journal_title

Medical education

authors

Simpson KH,Budd K

doi

10.1111/j.1365-2923.1996.tb00739.x

subject

Has Abstract

pub_date

1996-05-01 00:00:00

pages

172-8

issue

3

eissn

0308-0110

issn

1365-2923

journal_volume

30

pub_type

杂志文章
  • Inquiry: the pedagogical importance of a skill central to clinical practice.

    abstract::The skill of inquiry is central to the task of the doctor confronted with a patient problem. Despite its importance this skill is not given appropriate emphasis in the education of medical students or in research concerning the clinical reasoning skills of doctors. ...

    journal_title:Medical education

    pub_type: 杂志文章

    doi:10.1111/j.1365-2923.1990.tb02428.x

    authors: Barrows HS

    更新日期:1990-01-01 00:00:00

  • Conditional reliability of admissions interview ratings: extreme ratings are the most informative.

    abstract:CONTEXT:Admissions interviews are unreliable and have poor predictive validity, yet are the sole measures of non-cognitive skills used by most medical school admissions departments. The low reliability may be due in part to variation in conditional reliability across the rating scale. OBJECTIVES:To describe an empiric...

    journal_title:Medical education

    pub_type: 杂志文章

    doi:10.1111/j.1365-2929.2006.02634.x

    authors: Stansfield RB,Kreiter CD

    更新日期:2007-01-01 00:00:00

  • The consequences of authentic early experience for medical students: creation of mētis.

    abstract:CONTEXT:Authentic early experience (AEE) describes experiences provided to new medical students to undertake 'human contact' to enhance learning. Although the concept of AEE is not new, and was commonplace prior to the Flexner Report of 1910, little is known about how or why meaning and knowledge are constructed throug...

    journal_title:Medical education

    pub_type: 杂志文章

    doi:10.1111/j.1365-2923.2012.04287.x

    authors: Yardley S,Brosnan C,Richardson J

    更新日期:2013-01-01 00:00:00

  • Self-explanation in learning clinical reasoning: the added value of examples and prompts.

    abstract:CONTEXT:Recent studies suggest that self-explanation (SE) while diagnosing cases fosters the development of clinical reasoning in medical students; however, the conditions that optimise the impact of SE remain unknown. The example-based learning framework justifies an exploration of students' use of their own SEs combi...

    journal_title:Medical education

    pub_type: 杂志文章,随机对照试验

    doi:10.1111/medu.12623

    authors: Chamberland M,Mamede S,St-Onge C,Setrakian J,Bergeron L,Schmidt H

    更新日期:2015-02-01 00:00:00

  • Surgical skills training: simulation and multimedia combined.

    abstract:CONTEXT:Basic surgical skills are needed throughout the medical profession, but current training is haphazard and unpredictable. There is increasing pressure to provide transparency about training and performance standards. There is a clear need for inexperienced learners to build a framework of basic skills before car...

    journal_title:Medical education

    pub_type: 杂志文章

    doi:10.1046/j.1365-2923.2001.00997.x

    authors: Kneebone R,ApSimon D

    更新日期:2001-09-01 00:00:00

  • Edgar Dale's Pyramid of Learning in medical education: Further expansion of the myth.

    abstract:INTRODUCTION:A mythical Pyramid of Learning, usually attributed to Edgar Dale (or the National Training Laboratories [NTL]) and giving student learning retention rates, has been cited in a wide range of educational literature. A 2013 literature review indicated that medical education literature similarly cites this Pyr...

    journal_title:Medical education

    pub_type: 杂志文章,评审

    doi:10.1111/medu.13813

    authors: Masters K

    更新日期:2020-01-01 00:00:00

  • Assessing procedural skills in context: Exploring the feasibility of an Integrated Procedural Performance Instrument (IPPI).

    abstract:BACKGROUND:The assessment of clinical procedural skills has traditionally focused on technical elements alone. However, in real practice, clinicians are expected to be able to integrate technical with communication and other professional skills. We describe an integrated procedural performance instrument (IPPI), where ...

    journal_title:Medical education

    pub_type: 杂志文章

    doi:10.1111/j.1365-2929.2006.02612.x

    authors: Kneebone R,Nestel D,Yadollahi F,Brown R,Nolan C,Durack J,Brenton H,Moulton C,Archer J,Darzi A

    更新日期:2006-11-01 00:00:00

  • Host community perspectives on trainees participating in short-term experiences in global health.

    abstract:CONTEXT:High-income country (HIC) trainees are undertaking global health experiences in low- and middle-income country (LMIC) host communities in increasing numbers. Although the benefits for HIC trainees are well described, the benefits and drawbacks for LMIC host communities are not well captured. OBJECTIVES:This st...

    journal_title:Medical education

    pub_type: 杂志文章

    doi:10.1111/medu.13106

    authors: Kung TH,Richardson ET,Mabud TS,Heaney CA,Jones E,Evert J

    更新日期:2016-11-01 00:00:00

  • Responding to the implications of the genetics revolution for the education and training of doctors: a medical humanities approach.

    abstract:BACKGROUND:Rapid advances in the field of genetics continue to present medical educators with significant challenges. Whilst there is undoubtedly a pressing need to educate doctors about genetic disorders, research and therapies, there is a parallel need to provide a context for all of these. CONTENT:An interdisciplin...

    journal_title:Medical education

    pub_type: 杂志文章

    doi:10.1046/j.1365-2923.2003.01433.x

    authors: Kirklin D

    更新日期:2003-02-01 00:00:00

  • Current status of curriculum mapping in Canada and the UK.

    abstract:CONTEXT:As part of curriculum evaluation, management and quality assurance strategies, many undergraduate medical schools are in the process of constructing computer-based curriculum maps. METHODS:A survey was distributed to Canadian and UK medical schools to determine the current status, characteristics, and challeng...

    journal_title:Medical education

    pub_type: 杂志文章,多中心研究

    doi:10.1111/j.1365-2923.2008.03093.x

    authors: Willett TG

    更新日期:2008-08-01 00:00:00

  • Avoidable breaches of confidentiality: a study among students of medicine and of law.

    abstract:OBJECTIVES:Avoidable breaches of patient confidentiality due to inadvertence or ignorance occur frequently. The aim of this study was to explore whether participants were able to identify violations of confidentiality and how serious these violations were. DESIGN:After a 2-hour theoretical education session, participa...

    journal_title:Medical education

    pub_type: 杂志文章

    doi:10.1111/j.1365-2929.2005.02097.x

    authors: Elger BS,Harding TW

    更新日期:2005-03-01 00:00:00

  • Embarking upon a medical career: psychological morbidity in first year medical students.

    abstract::This study was undertaken to measure the prevalence of psychological morbidity, and the nature and source of stress, in first year medical students. Two hundred and four first year medical students at a university in the north of England were sent a postal, self-report questionnaire. They were asked to complete the Ge...

    journal_title:Medical education

    pub_type: 杂志文章

    doi:10.1111/j.1365-2923.1995.tb00022.x

    authors: Guthrie EA,Black D,Shaw CM,Hamilton J,Creed FH,Tomenson B

    更新日期:1995-09-01 00:00:00

  • Teaching and learning away from the medical centre. The potential contribution of new technology to continuing medical education in the United Kingdom (working document).

    abstract::Continuing education should be convenient, relevant, individualized, systematic and include means of assessment. Educational technology provides the link between teaching and learning; it should accommodate the essential interactions between learner, instructor, environment and material. Media in open learning systems...

    journal_title:Medical education

    pub_type: 杂志文章

    doi:10.1111/j.1365-2923.1985.tb01328.x

    authors: Cairncross RG

    更新日期:1985-07-01 00:00:00

  • Moral reasoning as a criterion for admission to medical school.

    abstract::To determine whether admission interviews could differentiate applicants on their personal qualities (such as integrity, empathy and commitment) 456 applicants from two medical schools were tested on the Defining Issues Test (DIT), which measures the amount of principled or post-conventional moral reasoning. No differ...

    journal_title:Medical education

    pub_type: 杂志文章

    doi:10.1111/j.1365-2923.1984.tb01297.x

    authors: Benor DE,Notzer N,Sheehan TJ,Norman GR

    更新日期:1984-11-01 00:00:00

  • Interactive video in medical education: a program on jugular venous pressure and the cardiac cycle.

    abstract::Interactive video is a new teaching medium that has much potential in medical education. Hitherto, the realization of this potential has been restrained by lack of awareness among medical teachers of the advantageous features provided and how to implement them, while computer specialists lack the required medical know...

    journal_title:Medical education

    pub_type: 杂志文章

    doi:10.1111/j.1365-2923.1991.tb00044.x

    authors: Jamison JP,Brannigan P

    更新日期:1991-03-01 00:00:00

  • Outcomes of longitudinal integrated clinical placements for students, clinicians and society.

    abstract:CONTEXT:Longitudinal integrated clerkships (LICs) have been widely implemented in both rural and urban contexts, as is now evident in the wealth of studies published internationally. This narrative literature review aims to summarise current evidence regarding the outcomes of LICs for student, clinician and community s...

    journal_title:Medical education

    pub_type: 杂志文章,评审

    doi:10.1111/j.1365-2923.2012.04331.x

    authors: Walters L,Greenhill J,Richards J,Ward H,Campbell N,Ash J,Schuwirth LW

    更新日期:2012-11-01 00:00:00

  • The risks and benefits of being a young female adolescent standardised patient.

    abstract:OBJECTIVE:To follow the progress of young female adolescents, as risk-taking standardised patients (SPs), and to monitor for adverse affects that role-playing may have on the adolescents. METHODS:A prospective design was used in which 11 female adolescents, aged 13-15 years, were recruited from 2 schools. The adolesce...

    journal_title:Medical education

    pub_type: 杂志文章

    doi:10.1111/j.1365-2929.2005.02343.x

    authors: Blake KD,Gusella J,Greaven S,Wakefield S

    更新日期:2006-01-01 00:00:00

  • Current efforts in medical education to incorporate national health priorities.

    abstract::As a reflection on the Edinburgh Declaration, this conceptual synthesis presents six important challenges in relation to the role of medical education in meeting current national health priorities. CONTEXT:This paper presents a conceptual synthesis of current efforts in medical education to incorporate national healt...

    journal_title:Medical education

    pub_type: 杂志文章

    doi:10.1111/medu.13395

    authors: Nair M,Fellmeth G

    更新日期:2018-01-01 00:00:00

  • An ethnographic study of attending rounds in general paediatrics: understanding the ritual.

    abstract:OBJECTIVES:Teaching at the bedside during attending rounds is considered to be fundamental to medical education. We conducted an ethnographic case study to investigate such teaching in general paediatrics as a social phenomenon and to explore change over time in both the meaning of rounds and the context in which round...

    journal_title:Medical education

    pub_type: 杂志文章

    doi:10.1111/j.1365-2923.2010.03767.x

    authors: Balmer DF,Master CL,Richards BF,Serwint JR,Giardino AP

    更新日期:2010-11-01 00:00:00

  • Ethnography in health professions education: Slowing down and thinking deeply.

    abstract:CONTEXT:Ethnography has been gaining appreciation in the field of health professions education (HPE) research, yet it remains misunderstood. Our article contributes to this growing literature by describing some of the key tensions with which both aspiring and seasoned ethnographers should productively struggle. METHOD...

    journal_title:Medical education

    pub_type: 杂志文章

    doi:10.1111/medu.14033

    authors: Bressers G,Brydges M,Paradis E

    更新日期:2020-03-01 00:00:00

  • Everyday classism in medical school: experiencing marginality and resistance.

    abstract:OBJECTIVE:To explore the medical school experiences of students who self-identify as coming from a working-class or impoverished family background. METHODS:A questionnaire was administered to Year 3 medical students at a Canadian medical school and in-depth interviews were held with 25 of these students (cohort 1). Th...

    journal_title:Medical education

    pub_type: 杂志文章

    doi:10.1111/j.1365-2929.2005.02225.x

    authors: Beagan BL

    更新日期:2005-08-01 00:00:00

  • Anxiety and stress reduction in medical education: an intervention.

    abstract:OBJECTIVES:To assess the effectiveness of a stress reduction elective on Year 2 medical students and to assess the sustainability of any noted improvement. METHODS:A new elective entitled 'Mind-Body Medicine: an Experiential Elective' was offered to Year 2 medical students. It was based on a course developed by the Ce...

    journal_title:Medical education

    pub_type: 杂志文章

    doi:10.1111/j.1365-2929.2007.02685.x

    authors: Finkelstein C,Brownstein A,Scott C,Lan YL

    更新日期:2007-03-01 00:00:00

  • Evaluation of teaching on interpersonal interactions.

    abstract::In 1978, the second-year pre-clinical Behavioural Sciences course at Monash University Medical School was restructured to improve monitoring of, and feedback on, the development of interpersonal relationships between individual students and individual old age pensioners they were studying. Results indicate that integr...

    journal_title:Medical education

    pub_type: 杂志文章

    doi:10.1111/j.1365-2923.1981.tb02314.x

    authors: Jones KV,Hornblow AR,Tiller JW

    更新日期:1981-01-01 00:00:00

  • Performance correlates in a postgraduate psychiatric examination.

    abstract::This paper has reported some aspects of an analysis of the correlates of success in candidates' first attempts at the postgraduate psychiatric examinations of the R.A.N.Z.C.P. These are developed to suggest some attributes which selectors of trainees could take into account. Profitable future areas for research are de...

    journal_title:Medical education

    pub_type: 杂志文章

    doi:10.1111/j.1365-2923.1981.tb02482.x

    authors: Mellsop G

    更新日期:1981-05-01 00:00:00

  • Theme-oriented discourse analysis of medical encounters.

    abstract:APPROACH:Theme-oriented discourse analysis looks at how language constructs professional practice. Recordings of naturally occurring interactions are transcribed and combined with ethnographic knowledge. Analytic themes drawn primarily from sociology and linguistics shed light on how meaning is negotiated in interactio...

    journal_title:Medical education

    pub_type: 杂志文章

    doi:10.1111/j.1365-2929.2005.02171.x

    authors: Roberts C,Sarangi S

    更新日期:2005-06-01 00:00:00

  • Improving medical student performance in adolescent anti-smoking health promotion.

    abstract:BACKGROUND:We developed a 1-hour teaching seminar for medical students on anti-smoking health promotion for adolescents. We report the development of the programme and a performance-based evaluation. AIM:To develop a seminar for medical students with the objective of improving medical student inquiry into smoking and ...

    journal_title:Medical education

    pub_type: 杂志文章

    doi:10.1046/j.1365-2923.2003.01560.x

    authors: Roseby R,Marks MK,Conn J,Sawyer SM

    更新日期:2003-08-01 00:00:00

  • Chaos, complexity and complicatedness: lessons from rocket science.

    abstract:CONTEXT:Recently several authors have drawn parallels between educational research and some theories of natural science, in particular complexity theory and chaos theory. The central claim is that both the natural science theories are useful metaphors for education research in that they deal with phenomena that involve...

    journal_title:Medical education

    pub_type: 杂志文章

    doi:10.1111/j.1365-2923.2011.03945.x

    authors: Norman G

    更新日期:2011-06-01 00:00:00

  • Applying the science of learning to medical education.

    abstract::OBJECTIVE The goal of this paper is to examine how to apply the science of learning to medical education. SCIENCE OF LEARNING The science of learning is the scientific study of how people learn. Multimedia learning - learning from words and pictures - is particularly relevant to medical education. The cognitive theory...

    journal_title:Medical education

    pub_type: 杂志文章

    doi:10.1111/j.1365-2923.2010.03624.x

    authors: Mayer RE

    更新日期:2010-06-01 00:00:00

  • Patient involvement in teaching and assessing intimate examination skills: a systematic review.

    abstract:OBJECTIVES:There are recognised difficulties in teaching and assessing intimate examination skills that relate to the sensitive nature of the various examinations and the anxiety faced by novice learners. This systematic review provides a summary of the evidence for the involvement of real patients (RPs) and simulated ...

    journal_title:Medical education

    pub_type: 杂志文章,评审

    doi:10.1111/j.1365-2923.2009.03608.x

    authors: Jha V,Setna Z,Al-Hity A,Quinton ND,Roberts TE

    更新日期:2010-04-01 00:00:00

  • The value of student-made models as learning aids in physiology.

    abstract::In a new educational scheme introduced in Malta in 1978, university students spend half of the academic year studying and the other half as workers in various departments. During their work phase, students designed and made working models as teaching aids for the study of physiology. The value of these models was asse...

    journal_title:Medical education

    pub_type: 杂志文章

    doi:10.1111/j.1365-2923.1984.tb01277.x

    authors: Abu-Sitta SA,Shalaby MA,Hajek J

    更新日期:1984-09-01 00:00:00