Abstract
Analysis of the fact that male medical students have a higher success rate at the written test (multiple-choice questions) at the end of the first study year (SIP-1), although female students perform significantly better in school (school marks in mathematics, physics, chemistry, and English) and school performance is a positive predictor of study success. It is hypothesized that aspects of strategic learning influence study success and that sex-specific differences exist. In a prospective study including 726 medical students data on strategic learning (written questionnaire, 45 items) were collected. Factor analysis produced 11 factors, which then were related to results of SIP-1 (passed/failed), and to sex. Eight out of the 11 factors were dependent on sex or study success, four of them dependent on sex as well as study success ("confidence in success", "learning a lot and ab initio", "high learning capacity", and "distressed/diligent/aimless"). Overall, male students showed a more distinct methodical learning approach. Moreover, "learning by understanding" seems not to be relevant for study success. Gender-specific learning behaviour, which generally leads to better performance of girls in school, fails in the situation of SIP-1. Future developments of curriculum and examination system should take into account gender specific requirements.
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