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How do Australian doctors with different pre-medical school backgrounds perform as interns?
M R Grey1, S A Pearson, I E Rolfe
1University of Connecticut School of Medicine, Farmington, CT 06030-1912, USA. grey@nso.echc.edu
Education for Health (Abingdon, England)
|January 27, 2004
Summary
Selecting medical interns based on prior education level (secondary vs. tertiary) or subject choice did not impact their first-year performance. Age and gender also showed no significant effect on intern ratings, suggesting diverse backgrounds are equally viable for medical training.
Area of Science:
- Medical Education Research
- Postgraduate Training Assessment
Background:
- Medical school admissions often consider applicants' prior educational backgrounds.
- The impact of secondary (high school) versus tertiary (university degree) entry on medical intern performance is not well-established.
Purpose of the Study:
- To evaluate if selecting medical school candidates with secondary or tertiary educational backgrounds influences their performance during the first year of postgraduate medical training (internship).
- To compare intern performance ratings based on pre-medical education level and subjects studied.
- To examine the influence of intern age and gender on performance ratings.
Main Methods:
- A cohort of 235 medical graduates from the University of Newcastle (Australia) commencing internship in New South Wales (1993-1996) were eligible.
- Performance was assessed using a validated clinical supervisor rating scale.
- Independent variables included educational entry level (secondary/tertiary), secondary school subjects, and tertiary degree type.
Main Results:
- Data from 173 interns were analyzed.
- No significant differences in mean intern performance ratings were found based on prior educational background (secondary vs. tertiary).
- Subjects studied at secondary level or degree undertaken at tertiary level did not significantly affect ratings. Age and gender also had no significant impact.
Conclusions:
- Prior educational background, specific subjects studied, or degree type do not appear to confer an advantage in intern performance.
- Medical school selection criteria regarding educational background may not be a significant predictor of early postgraduate performance.
- Age and gender do not significantly influence intern performance ratings.
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