An accumulation of two independent selection factors decreases the success rate of female students at the MUV (Medical University of Vienna).

Inspired by the implementation of a reformed medical curriculum at the Medical University of Vienna (Austria, MUV), we have investigated predictors for success in the decisive exam at the end of the first study-year (SIE). In four consecutive cohorts of freshmen, we have found that female students show significantly lower success rates (Odds Ratio, OR=1.67, 95%CI 1.44-1.97). By the introduction of a pre-selection of applicants ("aptitude test for medical studies", EMS) in 2006, a new and additional significant hindrance for female students emerged. Their OR for not being accepted into the second study-year increased to OR=2.14 (95%CI 1.68-2.72), compared to male students.