Financial Implications of Increasing Medical School Class Size: Does Tuition Cover Cost?

Schieffler, Danny A; Azevedo, Benjamin M; Culbertson, Richard; Kahn, Marc J.

doi:10.7812/tpp/11-144

Cited by 14 publications

(13 citation statements)

References 14 publications

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“…All of these factors reflect on the cost of medical education, which is becoming increasingly demanding, complicated and expensive. According to an estimate for US medical schools, $62,877 USD is the annual variable cost of educating a medical student (4). These costs are significantly lower in less developed countries but still present a substantial burden for the communities (5).…”

Section: Introductionmentioning

confidence: 99%

The business process management software for successful quality management and organization: case study from the University of Split School of medicine

Sapunar

Grković

Lukšić

et al. 2016

AMA

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A precise analysis of medical school business processes allows identification of unfinished, unclear and inadequate points in these processes, and subsequently the respective improvements and increase of the QM level and ultimately a rationalization of the institution's work. Our approach offers a potential reference model for development of common QM framework allowing a continuous quality control, i.e. the adjustments and adaptation to contemporary educational needs of medical students.

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Section: Introductionmentioning

confidence: 99%

The business process management software for successful quality management and organization: case study from the University of Split School of medicine

Sapunar

Grković

Lukšić

et al. 2016

AMA

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“…Medical schools are increasingly challenged in providing clinical teaching in the face of increasing student numbers. 1,2 In this context, medical schools must appraise the educational value of attendance at their clinical teaching programs. Medical schools also are accountable by regulatory bodies for the professional performance of their graduates.…”

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confidence: 99%

Student Attendance and Academic Performance in Undergraduate Obstetrics/Gynecology Clinical Rotations

Deane

Murphy

2013

JAMA

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IMPORTANCE Student attendance is thought to be an important factor in the academic performance of medical students, in addition to having important regulatory, policy, and financial implications for medical educators. However, this relationship has not been well evaluated within clinical learning environments.OBJECTIVE To evaluate the relationship between student attendance and academic performance in a medical student obstetrics/gynecology clinical rotation. DESIGN, SETTING, AND PARTICIPANTSA prospective cohort study of student attendance at clinical and tutorial-based activities during a full academic year (September 2011 to June 2012) within a publicly funded university teaching hospital in Dublin, Ireland. Students were expected to attend 64 activities (26 clinical activities and 38 tutorial-based activities) but attendance was not mandatory. All 147 fourth-year medical students who completed an 8-week obstetrics/gynecology rotation were included.EXPOSURES Student attendance at clinical and tutorial-based activities, recorded using a paper-based logbook. MAIN OUTCOMES AND MEASURESThe overall examination score (out of a possible 200 points) was obtained using an 11-station objective structured clinical examination (40 points), an end-of-year written examination comprising 50 multiple-choice questions (40 points) and 6 short-answer questions (40 points), and an end-of-year long-case clinical/oral examination (80 points). Students were required to have an overall score of 100 points (50%) and a minimum of 40 points in the long-case clinical/oral examination (50%) to pass. RESULTSThe mean attendance rate was 89% (range, 39%-100% [SD, 11%], n = 57/64 activities). Male students (84% attendance, P = .001) and students who failed an end-of-year examination previously (84% attendance, P = .04) had significantly lower rates. There was a positive correlation between attendance and overall examination score (r = 0.59 [95% CI, 0.44-0.70]; P < .001). Both clinical attendance (r = 0.50 [95% CI, 0.32-0.64]; P < .001) and tutorial-based attendance (r = 0.57 [95% CI, 0.40-0.70]; P < .001) were positively correlated with overall examination score. The associations persisted after controlling for confounding factors of student sex, age, country of origin, previous failure in an end-of-year examination, and the timing of the rotation during the academic year. Distinction grades (overall score of Ն60%) were present only among students with attendance rates of 80% or higher. The odds of a distinction grade increased with each 10% increase in attendance (adjusted odds ratio, 5.52; 95% CI, 2.17-14.00). The majority of failure grades (6/10 students; 60%) occurred in students with attendance rates lower than 80%. The adjusted odds ratio for failure with attendance rates of 80% or higher was 0.11 (95% CI, 0.02-0.72).CONCLUSIONS AND RELEVANCE Among fourth-year medical students completing an 8-week obstetrics/gynecology clinical rotation, attendance at clinical and tutorial-based activities was positively correlated with overall examinati...

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“…The ongoing effort to increase medical school enrollment is driven by the projected shortage of physicians over the next decade. 8 Increasing medical school class size has been suggested to be a factor in increasing medical student tuition. 8 Schieffler et al 8 estimate that the annual cost of educating a medical student is $62,877.…”

Section: Figurementioning

confidence: 99%

“…7 In fact, increasing medical school class size has been suggested to be a factor in the rate of increasing tuition. 8 Although rising tuition has made the pursuit of a medical school education a significant financial burden, obtaining a medical degree continues to be suggested by some authors to still be a "good investment." 4,6 A major concern, however, is that as medical student debt increases, the shortage of primary care physicians will grow and medical student interest in pursuing a primary care residency will continue to decrease due to the relatively lower reimbursement of primary care physicians compared with subspecialists.…”

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confidence: 99%

Variability in United States Allopathic Medical School Tuition

Gil

Park

Daniels

2015

The American Journal of Medicine

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Despite no significant difference in medical school size among the 4 regions of the US that were assessed, there is significant regional variation in tuition, with higher tuition in private vs public schools. This study suggests that medical schools place a variable financial burden on the medical students based on region. The ongoing increases in medical school tuition are unsustainable, as future trainees will face substantial financial stress as they attempt to pay off their debt while initiating medical practice after residency and fellowship training.

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Financial Implications of Increasing Medical School Class Size: Does Tuition Cover Cost?

Cited by 14 publications

References 14 publications

The business process management software for successful quality management and organization: case study from the University of Split School of medicine

The business process management software for successful quality management and organization: case study from the University of Split School of medicine

Student Attendance and Academic Performance in Undergraduate Obstetrics/Gynecology Clinical Rotations

Variability in United States Allopathic Medical School Tuition

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