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The effect of curriculum sample selection for medical school
Marieke de Visser1, Cornelia Fluit2, Jaap Fransen3
1Radboudumc Health Academy, Research of Learning and Education, Radboud University Medical Center, Huispost 42, Postbus 9101, 6500 HB, Nijmegen, The Netherlands. marieke.devisser@radboudumc.nl.
Radboud University
Area of Science:
- Medical Education
- Admissions Strategy
- Student Performance Evaluation
Background:
- Medical school admissions in the Netherlands utilize selection, high pre-university Grade Point Average (pu-GPA), or lottery systems.
- Radboud University Medical Center implemented a curriculum sample-based selection process in 2010.
- This procedure simulates early medical school coursework and assessments.
Purpose of the Study:
- To evaluate if curriculum sample selection predicts medical school performance.
- To compare the effectiveness of curriculum sample selection against secondary school performance metrics for admissions.
- To assess the performance of selection-admitted students versus those admitted via lottery.
Main Methods:
- Analysis of performance data (course credits, grade points) for 954 students across three cohorts (2010-2012).
- Comparative analysis between students admitted through curriculum sample selection and those admitted via lottery or high pu-GPA.
- Regression analyses controlling for pre-university Grade Point Average (pu-GPA) to isolate selection method impact.
Main Results:
- Selection-admitted students demonstrated superior performance in medical school compared to lottery-admitted students, both with and without pu-GPA adjustment (p ≤ 0.05).
- Selected students achieved higher grade points than non-selected lottery students, even after adjusting for pu-GPA (p ≤ 0.025).
- After adjusting for pu-GPA, performance between selection-admitted students and high-pu-GPA students was comparable.
Conclusions:
- The curriculum sample selection procedure is recommended as it complements secondary school performance.
- This selection method is efficient for large applicant pools and is not labor-intensive.
- The findings suggest that curriculum sample selection effectively identifies students likely to succeed in medical school.
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