The added value of free preparatory activities for widening access to medical education: a multi-cohort study

Fikrat-Wevers, Suzanne; Leng, Wendy E de; Broek, Walter W. van den; Woltman, Andrea M.; Stegers‐Jager, Karen M.

doi:10.1186/s12909-023-04191-7

Cited by 3 publications

(3 citation statements)

References 52 publications

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“…The four independent variables considered as predictors generally constitute the main criteria based on which international universities recruit widening participation students. In order to more easily interpret odds ratios for numeric independent variables, we calculated the relative likelihood as follows: OR^(Maximum reported value-Minimum reported value) [ 24 ]. All calculations were computed with SPSS 27, R 4.1.2.…”

Section: Methodsmentioning

confidence: 99%

“…Thus, medical students do not seem to represent the population whose health problems, beliefs, and needs they are supposed to understand. Whereas in other countries, medical education stakeholders try to address the issue of the unequal representation of population groups in medicine [ 10 , 24 ], the discourse around unequal access to the study of medicine is missing in Germany. At the same time, German studies on medical students‘ and physicians’ socio-economic and cultural background are lacking.…”

Section: Introductionmentioning

confidence: 99%

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German Physicians and Medical Students Do Not Represent the Population They Serve

et al. 2023

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Medical professionals who represent the communities they serve are in a better position to understand patients‘ social circumstances and communicate in a more patient-centered way. International studies show limited diversity and underrepresentation of certain social groups in the population of physicians and medical students. We designed an observational study to investigate the cultural and socio-economic diversity of physicians and medical applicants in comparison to the general population in Germany. We invited 15,195 physicians in Hamburg and 11,287 medical applicants in Germany to participate in an online survey between June and August 2022. The lower three quintiles of objective socio-economic background (SEB) were vastly underrepresented in all subsamples of the study and in particular amongst applicants and students admitted in Hamburg: 57.9% of physicians and 73.8% of medical students in Hamburg originate from the top quintile of SEB. The Turkish and Polish communities were particularly underrepresented in the group of physicians from Hamburg and medical applicants and students in Germany (p = 0.02; p < 0.001). In line with existing evidence, the vast majority of physicians and medical students come from the most affluent households when entering medical school. Widening participation strategies are needed to facilitate fairer access to the study of medicine in Germany.

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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

German Physicians and Medical Students Do Not Represent the Population They Serve

et al. 2023

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“…Однак, стосовно вищої медичної школи проблема формування мотивації, що є невід'ємною складовою ефективності навчальної діяльності студентів, особливо студентів-іноземців, незважаючи на її важливість й актуальність, залишається недостатньо дослідженою [5]. Таким чином, виявляється протиріччя між об'єктивною необхідністю формування мотивації пізнавальної діяльності студентів медичного закладу вищої освіти (ЗВО) шляхом упровадження інтерактивних технологій, яка б враховувала як внутрішні особливості навчання, так і зовнішні вимоги до фахівців медичного профілю з вищою освітою -з одного боку, і відсутністю науково обґрунтованої технології формування мотивації пізнавальної діяльності студентів медичного ЗВО за допомогою новітніх систем -з іншого [6].…”

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Formation of Students’ Motivation in Mastering Pathomorphology Discipline

Kindrativ,

Guryk,

Chuiko

et al. 2023

Scientific and practical journal

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Abstract. Motivation is an essential factor of human activity, which, in turn, determines the development and efficiency of activities, including the educational process. A contradiction was revealed between the objective need to form the motivation of cognitive activity of students of a medical higher education institution (HEI) through the introduction of interactive technologies considering both the internal features of learning and external requirements for medical university-educated specialists – on the one hand, and the lack of scientifically grounded technology for forming the motivation of a medical HEI students’ cognitive activity using the latest systems – on the other hand. The main factor influencing students’ motivation to study is mastering of knowledge, skills and abilities that will lay the groundwork of their future professional activities. Students engaged in research are motivated to self-development and achievement. These are the ones that make students work hard, solve complex problems, engage in self-education, and overcome difficulties to achieve the highest results. The article presents the ways and methods of formation the students’ motivation when mastering the Pathomorphology discipline. In order to improve ways and methods of students’ motivating, we analysed scientific sources on the specifics of professional and educational activity motivation, the principles of educational process organisation at the Pathological Anatomy Department. Under trying circumstances of today, every applicant for higher education has the opportunity to obtain a full range of information on the Pathomorphology discipline on the Pathological Anatomy Department website and in the university repository for productive self-training and mastering practical skills and abilities provided by the discipline’s programme. To increase motivation in the study of pathomorphology and the level of assimilation of the material. The department uses general and special innovative methods that depend on the specifics of studying the discipline: explanatory-illustrative (informational-receptive), contextual, problematic, research, heuristic. Different strategies should be used to encourage students to become more intrinsically motivated, developing their sense of competence and control over their learning, and to motivate students with interesting content. Under present-day conditions, teaching Pathomorphology requires constant improvement in compliance with medicine development level and the ability to combine classical approaches to teaching with new learning concepts. The decline in traditional teaching methods efficiency, which is observed when considering the peculiarities of students’ learning activities, requires correction and implementation of modern innovative teaching methods. Improving the methods of learning motivation will help to increase the level of study material mastery. Applying new information technology and technical aids in distance and blended learning makes it possible to demonstrate and study morphological changes in pathological processes and diseases, which in turn will maximise the level of learning material mastering. The variety of illustrative material (macro preparations, micro preparations, breadboard models, 3-D models, training charts and diagrams, videos) taken in a whole lays the foundation of basic knowledge. Engaging students in research work is an important factor in learning activities motivating.

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Exploring the Potentials and Pitfalls of Work Experience and Widening Participation through Narrative Interviews

Green,

Jackson,

Ward

2024

Preprint

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Background Applicant work experience (WE) is a non-academic criteria considered by many medical schools in their admissions processes. Concerns have been raised within the literature that access to some WE opportunities may be more elusive for students from less advantaged socioeconomic backgrounds (LA-SDBs). Few qualitative studies exist which explore applicant experiences of WE, and its contribution to the widening access agenda. Our qualitative research explores the WE of applicants from a variety of socio-demographic backgrounds, and draws on Bourdieu’s concepts of ‘capital’ and ‘habitus’ as tools which enable critical analysis of the role work experience may play in the reproduction of inequality.Methods Narrative telephone interviews were undertaken with 23 applicants to a large United Kingdom medical school in the 2017-18 admissions cycle, purposively sampled backed on school background, age, gender and widening participation experience. Framework analysis was applied to interview data, and themes and subthemes identified.Results WE remains a key step in the preparation process for applicants when applying to medical school. Participants suggested WE has the potential to confirm career choice and deepen understanding about the realities of a career in medicine. At times, applications from LA-SDB’s were provided with application support from healthcare professionals through WE which may have otherwise been inaccessible. Access to WE opportunities depended on access to information networks or school support, typically a barrier for those from LA-SDB’s, and myths and misinformation about WE were more commonly evident in this group.Conclusion Meaningful and equitable engagement in WE requires a consideration of more than just access to WE opportunities. Our results suggest that applicants require timely and transparent information on how best to engage with WE opportunities. Additionally, communication with under-represented schools, directed at dispelling myths and fostering meaningful reflection, may go some way to mitigate the risk of social and cultural disadvantage in applicants from LA-SDBs. .

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The added value of free preparatory activities for widening access to medical education: a multi-cohort study

Cited by 3 publications

References 52 publications

German Physicians and Medical Students Do Not Represent the Population They Serve

German Physicians and Medical Students Do Not Represent the Population They Serve

Formation of Students’ Motivation in Mastering Pathomorphology Discipline

Exploring the Potentials and Pitfalls of Work Experience and Widening Participation through Narrative Interviews

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