Literature DB >> 17430282

Effectiveness of selection in medical school admissions: evaluation of the outcomes among freshmen.

Robert L Hulsman1, Josje S J van der Ende, Frans J Oort, Robert P J Michels, Gerty Casteelen, Francisca M M Griffioen.   

Abstract

CONTEXT: In 2000 our medical school introduced a selection procedure (SP) for 10% of the otherwise randomly selected (RS) applicants. Students with excellent high school grade point averages (GPAs) were allowed direct access (DA) to our medical school. The selection procedure focused on medical comprehension, social and ethical understanding of health care, and communication and interpersonal skills. Objectives We aimed to establish how SP students compared with RS and DA students on motivation, academic achievement, study behaviour and extracurricular activities, and how these variables were interrelated within these groups.
METHODS: In 2003, all Year 1 and 2 students were given a questionnaire on motivation, study behaviour and extra-curricular activities. Primary year GPAs were obtained from our administration department. Student groups were compared using descriptive statistics. The interrelationship between outcomes was tested using structural equation modelling.
RESULTS: The questionnaire was returned by 418 students (76%). Selection procedure students were significantly more highly motivated (59.4) than RS students (56.6) and DA students (52.1). This was not reflected in academic achievement (6.7), which was highest among DA students (7.2). Selection procedure students carried out more extra-curricular activities, often health care-related, and displayed more study behaviour. Academic achievement could not be explained by motivation and study behaviour but motivation affected study behaviour and health care-related extra-curricular activities.
CONCLUSIONS: The more profound commitment of selected students to health care is not primarily reflected in academic achievement but in motivation, extra-curricular activities and study behaviour. Follow-up research including all pre-clinical and clinical years should demonstrate the stability of these characteristics and their effects on graduates' post-qualification clinical performance as practising doctors.

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Mesh:

Year:  2007        PMID: 17430282     DOI: 10.1111/j.1365-2929.2007.02708.x

Source DB:  PubMed          Journal:  Med Educ        ISSN: 0308-0110            Impact factor:   6.251


  14 in total

Review 1.  White Paper on Pharmacy Admissions: Developing a Diverse Work Force to Meet the Health-Care Needs of an Increasingly Diverse Society: Recommendations of the American Association of Colleges of Pharmacy Special Committee on Admissions.

Authors:  Andrea L Wall; Alex Aljets; Steve C Ellis; Daniel J Hansen; W Mark Moore; Heather M W Petrelli; Marilyn K Speedie; Tom TenHoeve; Cynthia Watchmaker; Janeen S Winnike; Stephanie D Wurth
Journal:  Am J Pharm Educ       Date:  2015-09-25       Impact factor: 2.047

2.  How motivation affects academic performance: a structural equation modelling analysis.

Authors:  R A Kusurkar; Th J Ten Cate; C M P Vos; P Westers; G Croiset
Journal:  Adv Health Sci Educ Theory Pract       Date:  2012-02-22       Impact factor: 3.853

3.  Validity evidence for the measurement of the strength of motivation for medical school.

Authors:  Rashmi Kusurkar; Gerda Croiset; Cas Kruitwagen; Olle ten Cate
Journal:  Adv Health Sci Educ Theory Pract       Date:  2010-10-16       Impact factor: 3.853

4.  Motivational component profiles in university students learning histology: a comparative study between genders and different health science curricula.

Authors:  Antonio Campos-Sánchez; Juan Antonio López-Núñez; Víctor Carriel; Miguel-Ángel Martín-Piedra; Tomás Sola; Miguel Alaminos
Journal:  BMC Med Educ       Date:  2014-03-10       Impact factor: 2.463

5.  Non-cognitive selected students do not outperform lottery-admitted students in the pre-clinical stage of medical school.

Authors:  Susanna M Lucieer; Karen M Stegers-Jager; Remy M J P Rikers; Axel P N Themmen
Journal:  Adv Health Sci Educ Theory Pract       Date:  2015-05-03       Impact factor: 3.853

6.  Effects of age, gender and educational background on strength of motivation for medical school.

Authors:  Rashmi Kusurkar; Cas Kruitwagen; Olle ten Cate; Gerda Croiset
Journal:  Adv Health Sci Educ Theory Pract       Date:  2009-09-23       Impact factor: 3.853

7.  Did my M.D. really go to University to learn? Detrimental effects of numerus clausus on self-efficacy, mastery goals and learning.

Authors:  Nicolas Sommet; Caroline Pulfrey; Fabrizio Butera
Journal:  PLoS One       Date:  2013-12-23       Impact factor: 3.240

Review 8.  Determinants and outcomes of motivation in health professions education: a systematic review based on self-determination theory.

Authors:  Cesar Orsini; Vivian I Binnie; Sarah L Wilson
Journal:  J Educ Eval Health Prof       Date:  2016-05-02

9.  Extracurricular activities of medical school applicants.

Authors:  Sang Hyun Kim
Journal:  Korean J Med Educ       Date:  2016-03-17

10.  Motivation of medical students: selection by motivation or motivation by selection.

Authors:  Anouk Wouters; Gerda Croiset; Francisca Galindo-Garre; Rashmi A Kusurkar
Journal:  BMC Med Educ       Date:  2016-01-29       Impact factor: 2.463

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