Assessing the first eight years of an optional five-year medical curriculum

Experience with the initial eight years (1980-1987) of a voluntary five-year medical degree program at the Boston University School of Medicine is examined. The program, called the Alternative Curriculum, permits medical students to "decompress" the first year of their medical school curriculum. The program was designed to be a parallel curricular pathway and not a remedial program. Some students in academic difficulty, however, have been enrolled in this program. The students' records and their responses to a questionnaire form the basis for this report. The students who entered the Alternative Curriculum before the start of classes or who, upon entering, were in good academic standing generally did well academically and were uniformly pleased with the time that was available to pursue other interests. Several of these students were subsequently permitted to decompress other curricular years, with uniform success. Of the students for whom the Alternative Curriculum was used as a remedial program, nearly half had left or been dismissed from school at the time of this report.