“…Additionally, our study significantly related reappearance in exams with dropout thoughts, which is similar as reported by (Maher et al, 2013) and in contrast with the findings of (Mørcke et al, 2012). Also, we found that linguistic problems (issues related with the English language difficulties) didn't play a significant role in the incidence of dropout thoughts, however, a previous study of (Maher et al, 2013;Nam et al, 2020) reported that ;10% of the dropped-out students had English language fluency issues and supported its association with withdrawal thoughts. Regarding the role of GPA score in the incidence of dropout thoughts, as expected, we found that lower medical school-GPA score was significantly linked with higher likelihood of discontinuation of degree (OR = 0.45; p = .001) and this was supported by the study of (Mørcke et al, 2012), where they found similar results.…”