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Medical education: the discontinuers' view point.

A postal questionnaire was distributed to all students who had discontinued, for any reason, their studies at Aberdeen Medical School. Opinions were sought about their experiences while there, as well as their reactions to the discontinuation therefrom. Claiming that learning to cope with stress was an essential aspect of their professional development, these students were dissatisfied with the extent to which the staff responded to students in need and took their problems not to professional welfare agencies but mainly to family and friends. Almost unanimously they supported the notion of a Student Counselling Service. Problems of adaptation and content of studies were the two items regarded as having made the greatest contribution to their discontinuation. For some of these students and their families, discontinuation had been a distressing experience, but all but one student agreed that they had gained something from their period at medical school, however brief. The medical school can learn much from those who pass out prematurely and not only from those successful on the final day.

Counseling↗

Parental problems influencing the academic achievement of medical students: a prospective study.

The 227 students offered places in the 1988 medical student intake at the University of Queensland were surveyed regarding their demographic characteristics. This was correlated with the students' subsequent performance and persistence during the first year of the medical course. Coming from a lower socioeconomic background and having family problems were both associated with either a decreased academic performance or an increased attrition rate. The results are discussed, relevant literature is reviewed and suggestions for further research are made.

Education, Medical, Undergraduate↗

Student characteristics as predictors of drop-out from medical school: admissions to Beer-Sheva over a decade.

The study sought to identify variables from the demographic, socio-economic, academic and personal background of medical students in order to reveal possible predictors of drop-out from medical school. The research included 443 students who were admitted to Ben Gurion University (BGU) Medical School during its first 10 years, 1974-1983. It was found that the permanent drop-out rate in BGU Medical School (12.6%) is relatively high and mainly due to academic failures. Of all admitted students 11.3% do not graduate on time due to academic reasons. The findings are discussed and suggestions for changes in admissions policy are provided.

Adult↗

The structured interview as a tool for predicting premature withdrawal from medical school.

A 1:1 matched case-control study was carried out to assess whether comments written about a candidate during a semi-structured interview can identify students likely to withdraw from a medical course better than global numerical scores. Fifty-nine students who withdrew from the undergraduate medical course at the University of Newcastle prior to completion were matched for sex, year and mode of entry into the course, prior academic qualifications and age at entry, with 59 students who had not discontinued or been excluded from the course. No significant differences were found between the numerical scores allocated for personal attributes to students who later withdrew from the course and those who continued. However, students who withdrew had statistically significantly more negative comments made about them at interview with respect to their supportive and encouraging behaviour (p = 0.04) and their motivation to become doctors (p = 0.05). Although no other comparisons reached statistical significance, students who withdrew consistently received more negative comments and fewer positive comments than their continuing peers. A stepwise logistic regression procedure identified the number of negative comments made by interviewers about a candidate on their supportive and encouraging behaviour as the only statistically significant predictor of later withdrawal (odds ratio 1.65 95% confidence interval 1.01-2.70).

Adolescent↗

Conspiracy of silence: psychiatric counseling with students at high risk for academic failure.

The authors examined the academic records and counseling histories of 132 freshman students at a state university who sought psychiatric counseling. They found that most students with poor previous academic performance were not helped academically by brief (crisis intervention) psychiatric counseling. They also found that many couselors resisted confronting such students with their academic inadequacies.

Achievement↗