Abstract

Patan Academy of Health Sciences (PAHS) aims to produce physicians who would be able and willing to serve in the rural areas. Recognizing the critical importance of student selection strategy, among others, in achieving the program goals, it has adopted an innovative scheme for selecting medical students. This paper describes PAHS medical student selection scheme that favors enrollment of deserving applicants from rural and disadvantaged groups so as to help improve distribution of physicians in rural Nepal. A student admission committee comprising a group of medical educators finalized a three-step student selection scheme linked with scholarships after reviewing relevant literatures and consultative meetings with experts within and outside Nepal. The committee did local validation of Personal Quality Assessment (PQA) that tested cognitive ability and personality traits, Admission OSPE (Objective Structured Performance Examination) that assessed non-cognitive attributes of applicants. It also provided preferential credits to applicants' socio-economic characteristics to favor the enrollment of deserving applicants from rural and disadvantaged groups through Social Inclusion Matrix (SIM). Three different categories of scholarship schemes namely Partial, Collaborative and Full were devised with Partial providing 50% and other two categories each providing 100% coverage of tuition fee. PAHS student selection scheme succeeded in enrolling more than half of its students from rural areas of Nepal, including about 10% of the students from that of the most backward region of the country. About one third of students were female and about the same were from public and community school. Sixty percent of students receive different categories of scholarships. Limited findings indicate the success of the selection scheme in enrolling high proportion of applicants from rural and disadvantageous groups and enable them to pursue study by providing scholarships.

Highlights

  • Patan Academy of Health Sciences (PAHS) aims to produce physicians who would be able and willing to serve in the rural areas

  • Apart from academic achievement, non-academic selection process is likely to augment deployment and criteria have been increasingly recognized as retention of graduates in rural areas.[12,13,14,15,16,17,18,19] important desirable attributes among the applicants seeking a career in medicine and emphasized in selection of medical students.[1,2,3,4,5,6,7,8]

  • Likewise, widening access (WA) measures, that promote equity by addressing the disadvantages faced by applicants from rural and lower socio-economic background to enter medical

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Summary

Objectives

This paper mainly aims to describe the innovative medical student selection scheme adopted by PAHS for its Bachelor of Medicine and Bachelor of Surgery (MBBS) program and its initial findings

Methods
Results
Discussion
Conclusion

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