Elsevier

The Lancet

Volume 346, Issue 8986, 18 November 1995, Pages 1329-1333
The Lancet

Time for a review of admission to medical school?

https://doi.org/10.1016/S0140-6736(95)92344-6Get rights and content

Abstract

Summary

Appropriate selection of medical students is a fundamental prerequisite if medical schools are to produce competent and caring doctors. The selection criteria for entry to the medical degree course at the University of Newcastle, New South Wales, are unique in Australia. The purpose of this study was to identify admission criteria that may predict performance in the first postgraduate (intern) year.

Performance ratings were obtained from the clinical supervisors of two graduating classes of Newcastle University medical students during their five terms in internship (first postgraduate year). At least one rating was obtained for 93% of interns. A subset analysis of interns with multiple ratings (57%) showed that combining previous study in both humanities and science before medical school entry was predictive of higher intern performance ratings. These interns were rated more favourably than those who had studied science alone. Moreover, students who had earlier studied both humanities and science were twice as likely to complete their medical degree as those who had studied science alone. Age, gender, admission interview results, written psychometric test scores, academic marks, and whether previous tertiary study had been undertaken prior to medical school entry were not predictive of intern performance ratings.

Subject spread, including a background in humanities, is important for effective medical practice, at least in the immediate postgraduate period. Perhaps it is time to evaluate the admission criteria by which medical students are selected.

References (28)

  • Rlb Neame et al.

    Should medical students be selected only from recent school leavers who have studied science?

    Med Educ

    (1992)
  • Lk Gunzburger et al.

    Premedical and medical school performance in predicting first year residency performance

    J Med Educ

    (1987)
  • Jr Wingard et al.

    Grades as predictors of physicians' career performance: an evaluative literature review

    J Med Educ

    (1973)
  • Pb Price et al.

    Attributes of a good practicing physician

    J Med Educ

    (1971)
  • Ca Woodward et al.

    Can the academic background of medical graduates be detected during internship?

    Can Med Assoc J

    (1983)
  • Rl Dickman et al.

    Medical students from natural science and nonscience undergraduate backgrounds: similar academic performance and residency selection

    JAMA

    (1980)
  • A. Lipton et al.

    Predictors of success in a cohort of medical students

    Med Educ

    (1984)
  • Ca Woodward et al.

    Performance of McMaster Medical School graduates during the first postgraduate year; final report

    (1980)
  • Gj Huxham et al.

    What 'makes' a good doctor?

    Med Educ

    (1989)
  • Sd Day et al.

    Gender differences in the clnical competence of residents in internal medicine

    J Gen Intern Med

    (1989)
  • Ie Rolfe et al.

    Clinical competence of interns in New South Wales, Australia

    Med Educ

    (1995)
  • Gi Feletti et al.

    Evaluating a new approach to selecting medical students

    Med Educ

    (1985)
  • Da Powis et al.

    The objective structured interview for medical student selection

    BMJ

    (1988)
  • View full text