Selected medical students achieve better than lottery-admitted students during clerkships
Medical Education 2011: 45: 1032–1040 Objectives A recent controlled study by our group showed that the dropout rate in the first 2 years of study of medical students selected for entry by the assessment of a combination of non‐cognitive and cognitive abilities was 2.6 times lower than that of a co...
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| creator | Urlings-Strop, Louise C Themmen, Axel P N Stijnen, Theo Splinter, Ted A W |
| description | Medical Education 2011: 45: 1032–1040
Objectives A recent controlled study by our group showed that the dropout rate in the first 2 years of study of medical students selected for entry by the assessment of a combination of non‐cognitive and cognitive abilities was 2.6 times lower than that of a control group of students admitted by lottery. The aim of the present study was to compare the performance of these two groups in the clinical phase.
Methods A prospective cohort study was performed to compare the performance of 389 medical students admitted by selection with that of 938 students admitted by weighted lottery between 2001 and 2004. Follow‐up of these cohorts lasted 5.5–8.5 years. The main outcome measures were the mean grade obtained on the first five discipline‐specific clerkships by all cohorts and the mean grade achieved on all 10 clerkships by the cohorts of 2001 and 2002.
Results Selected students obtained a significantly higher mean grade during their first five clerkships than lottery‐admitted students (mean ± standard error [SE] 7.95 ± 0.03, 95% confidence interval [CI] 7.90–8.00 versus mean ± SE 7.84 ± 0.02, 95% CI 7.81–7.87; p |
| doi_str_mv | 10.1111/j.1365-2923.2011.04031.x |
| format | Article |
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Objectives A recent controlled study by our group showed that the dropout rate in the first 2 years of study of medical students selected for entry by the assessment of a combination of non‐cognitive and cognitive abilities was 2.6 times lower than that of a control group of students admitted by lottery. The aim of the present study was to compare the performance of these two groups in the clinical phase.
Methods A prospective cohort study was performed to compare the performance of 389 medical students admitted by selection with that of 938 students admitted by weighted lottery between 2001 and 2004. Follow‐up of these cohorts lasted 5.5–8.5 years. The main outcome measures were the mean grade obtained on the first five discipline‐specific clerkships by all cohorts and the mean grade achieved on all 10 clerkships by the cohorts of 2001 and 2002.
Results Selected students obtained a significantly higher mean grade during their first five clerkships than lottery‐admitted students (mean ± standard error [SE] 7.95 ± 0.03, 95% confidence interval [CI] 7.90–8.00 versus mean ± SE 7.84 ± 0.02, 95% CI 7.81–7.87; p < 0.001). This difference reflected the fact that selected students achieved a grade of ≥ 8.0 1.5 times more often than lottery‐admitted students. An analysis of all mean grades awarded on 10 clerkships revealed the same results. Moreover, the longer follow‐up period over the clerkships showed that the relative risk for dropout was twice as low in the selected student group as in the lottery‐admitted student group.
Conclusions The selected group received significantly higher mean grades on their first five clerkships, which could not be attributed to factors other than the selection procedure. Although the risk for dropout before the clinical phase increased somewhat in both groups, the actual dropout rate proved to be twice as low in the selected group.</description><identifier>ISSN: 0308-0110</identifier><identifier>EISSN: 1365-2923</identifier><identifier>DOI: 10.1111/j.1365-2923.2011.04031.x</identifier><identifier>PMID: 21883405</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Publishing Ltd</publisher><subject>Achievement ; Biological and medical sciences ; Case-Control Studies ; Clinical Clerkship - standards ; Cohort Studies ; College Admission Test ; Education, Medical - methods ; Education, Medical - standards ; Education, Medical - statistics & numerical data ; Educational Measurement - standards ; Educational Measurement - statistics & numerical data ; Female ; Health participants ; Humans ; Internship and Residency - standards ; Internship and Residency - statistics & numerical data ; Male ; Medical sciences ; Miscellaneous ; Netherlands ; Prospective Studies ; Public health. Hygiene ; Public health. Hygiene-occupational medicine ; School Admission Criteria - statistics & numerical data ; Students, Medical - psychology ; Young Adult</subject><ispartof>Medical education, 2011-10, Vol.45 (10), p.1032-1040</ispartof><rights>Blackwell Publishing Ltd 2011</rights><rights>2015 INIST-CNRS</rights><rights>Blackwell Publishing Ltd 2011.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4381-dc702d55467276ea3bb95f564d7d0c8296121dd0fbbb365db781265f3e156d143</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fj.1365-2923.2011.04031.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.1365-2923.2011.04031.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1416,27922,27923,45572,45573</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=24519852$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21883405$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Urlings-Strop, Louise C</creatorcontrib><creatorcontrib>Themmen, Axel P N</creatorcontrib><creatorcontrib>Stijnen, Theo</creatorcontrib><creatorcontrib>Splinter, Ted A W</creatorcontrib><title>Selected medical students achieve better than lottery-admitted students during clerkships</title><title>Medical education</title><addtitle>Med Educ</addtitle><description>Medical Education 2011: 45: 1032–1040
Objectives A recent controlled study by our group showed that the dropout rate in the first 2 years of study of medical students selected for entry by the assessment of a combination of non‐cognitive and cognitive abilities was 2.6 times lower than that of a control group of students admitted by lottery. The aim of the present study was to compare the performance of these two groups in the clinical phase.
Methods A prospective cohort study was performed to compare the performance of 389 medical students admitted by selection with that of 938 students admitted by weighted lottery between 2001 and 2004. Follow‐up of these cohorts lasted 5.5–8.5 years. The main outcome measures were the mean grade obtained on the first five discipline‐specific clerkships by all cohorts and the mean grade achieved on all 10 clerkships by the cohorts of 2001 and 2002.
Results Selected students obtained a significantly higher mean grade during their first five clerkships than lottery‐admitted students (mean ± standard error [SE] 7.95 ± 0.03, 95% confidence interval [CI] 7.90–8.00 versus mean ± SE 7.84 ± 0.02, 95% CI 7.81–7.87; p < 0.001). This difference reflected the fact that selected students achieved a grade of ≥ 8.0 1.5 times more often than lottery‐admitted students. An analysis of all mean grades awarded on 10 clerkships revealed the same results. Moreover, the longer follow‐up period over the clerkships showed that the relative risk for dropout was twice as low in the selected student group as in the lottery‐admitted student group.
Conclusions The selected group received significantly higher mean grades on their first five clerkships, which could not be attributed to factors other than the selection procedure. Although the risk for dropout before the clinical phase increased somewhat in both groups, the actual dropout rate proved to be twice as low in the selected group.</description><subject>Achievement</subject><subject>Biological and medical sciences</subject><subject>Case-Control Studies</subject><subject>Clinical Clerkship - standards</subject><subject>Cohort Studies</subject><subject>College Admission Test</subject><subject>Education, Medical - methods</subject><subject>Education, Medical - standards</subject><subject>Education, Medical - statistics & numerical data</subject><subject>Educational Measurement - standards</subject><subject>Educational Measurement - statistics & numerical data</subject><subject>Female</subject><subject>Health participants</subject><subject>Humans</subject><subject>Internship and Residency - standards</subject><subject>Internship and Residency - statistics & numerical data</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Miscellaneous</subject><subject>Netherlands</subject><subject>Prospective Studies</subject><subject>Public health. Hygiene</subject><subject>Public health. Hygiene-occupational medicine</subject><subject>School Admission Criteria - statistics & numerical data</subject><subject>Students, Medical - psychology</subject><subject>Young Adult</subject><issn>0308-0110</issn><issn>1365-2923</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpFkV1v0zAUhi0EYmXwF6bcTFwl82fi3CCNrnRIKyCgoF1Zjn1C3aVpFzuj_fdz2lJ8c450Hj_SOS9CCcEZie9qmRGWi5SWlGUUE5JhjhnJti_Q6DR4iUaYYZnGMT5Db7xfYowLweVrdEaJlIxjMUL3P6ABE8AmK7DO6CbxobfQBp9os3DwBEkFIUCXhIVuk2Y99LtU25ULw68TbfvOtX8S00D34Bdu49-iV7VuPLw71nM0_zT5Ob5N775OP4-v71LDmSSpNQWmVgieF7TIQbOqKkUtcm4Li42kZU4osRbXVVXF1WxVSEJzUTMgIreEs3P0_uDddOvHHnxQK-cNNI1uYd17JUsc1aWgkbw4kn0Vt1Wbzq10t1P_rhGByyOgfTxF3enWOP-f44KUci_6cOD-ugZ2pznBakhHLdUQghpCUEM6ap-O2qrZ5GY-tFGQHgTOB9ieBLp7UHnBCqF-f5kq_m02_vj911TN2DNI8ZJJ</recordid><startdate>201110</startdate><enddate>201110</enddate><creator>Urlings-Strop, Louise C</creator><creator>Themmen, Axel P N</creator><creator>Stijnen, Theo</creator><creator>Splinter, Ted A W</creator><general>Blackwell Publishing Ltd</general><general>Wiley-Blackwell</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>201110</creationdate><title>Selected medical students achieve better than lottery-admitted students during clerkships</title><author>Urlings-Strop, Louise C ; Themmen, Axel P N ; Stijnen, Theo ; Splinter, Ted A W</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4381-dc702d55467276ea3bb95f564d7d0c8296121dd0fbbb365db781265f3e156d143</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Achievement</topic><topic>Biological and medical sciences</topic><topic>Case-Control Studies</topic><topic>Clinical Clerkship - standards</topic><topic>Cohort Studies</topic><topic>College Admission Test</topic><topic>Education, Medical - methods</topic><topic>Education, Medical - standards</topic><topic>Education, Medical - statistics & numerical data</topic><topic>Educational Measurement - standards</topic><topic>Educational Measurement - statistics & numerical data</topic><topic>Female</topic><topic>Health participants</topic><topic>Humans</topic><topic>Internship and Residency - standards</topic><topic>Internship and Residency - statistics & numerical data</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Miscellaneous</topic><topic>Netherlands</topic><topic>Prospective Studies</topic><topic>Public health. Hygiene</topic><topic>Public health. Hygiene-occupational medicine</topic><topic>School Admission Criteria - statistics & numerical data</topic><topic>Students, Medical - psychology</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Urlings-Strop, Louise C</creatorcontrib><creatorcontrib>Themmen, Axel P N</creatorcontrib><creatorcontrib>Stijnen, Theo</creatorcontrib><creatorcontrib>Splinter, Ted A W</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>Medical education</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Urlings-Strop, Louise C</au><au>Themmen, Axel P N</au><au>Stijnen, Theo</au><au>Splinter, Ted A W</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Selected medical students achieve better than lottery-admitted students during clerkships</atitle><jtitle>Medical education</jtitle><addtitle>Med Educ</addtitle><date>2011-10</date><risdate>2011</risdate><volume>45</volume><issue>10</issue><spage>1032</spage><epage>1040</epage><pages>1032-1040</pages><issn>0308-0110</issn><eissn>1365-2923</eissn><abstract>Medical Education 2011: 45: 1032–1040
Objectives A recent controlled study by our group showed that the dropout rate in the first 2 years of study of medical students selected for entry by the assessment of a combination of non‐cognitive and cognitive abilities was 2.6 times lower than that of a control group of students admitted by lottery. The aim of the present study was to compare the performance of these two groups in the clinical phase.
Methods A prospective cohort study was performed to compare the performance of 389 medical students admitted by selection with that of 938 students admitted by weighted lottery between 2001 and 2004. Follow‐up of these cohorts lasted 5.5–8.5 years. The main outcome measures were the mean grade obtained on the first five discipline‐specific clerkships by all cohorts and the mean grade achieved on all 10 clerkships by the cohorts of 2001 and 2002.
Results Selected students obtained a significantly higher mean grade during their first five clerkships than lottery‐admitted students (mean ± standard error [SE] 7.95 ± 0.03, 95% confidence interval [CI] 7.90–8.00 versus mean ± SE 7.84 ± 0.02, 95% CI 7.81–7.87; p < 0.001). This difference reflected the fact that selected students achieved a grade of ≥ 8.0 1.5 times more often than lottery‐admitted students. An analysis of all mean grades awarded on 10 clerkships revealed the same results. Moreover, the longer follow‐up period over the clerkships showed that the relative risk for dropout was twice as low in the selected student group as in the lottery‐admitted student group.
Conclusions The selected group received significantly higher mean grades on their first five clerkships, which could not be attributed to factors other than the selection procedure. Although the risk for dropout before the clinical phase increased somewhat in both groups, the actual dropout rate proved to be twice as low in the selected group.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>21883405</pmid><doi>10.1111/j.1365-2923.2011.04031.x</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Achievement Biological and medical sciences Case-Control Studies Clinical Clerkship - standards Cohort Studies College Admission Test Education, Medical - methods Education, Medical - standards Education, Medical - statistics & numerical data Educational Measurement - standards Educational Measurement - statistics & numerical data Female Health participants Humans Internship and Residency - standards Internship and Residency - statistics & numerical data Male Medical sciences Miscellaneous Netherlands Prospective Studies Public health. Hygiene Public health. Hygiene-occupational medicine School Admission Criteria - statistics & numerical data Students, Medical - psychology Young Adult |
| title | Selected medical students achieve better than lottery-admitted students during clerkships |
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