Paradise lost or paradise regained? Changes in admission system affect academic performance and drop-out rates of medical students

Abstract

Background: The Austrian State medical universities had to change their admission system in 2005. Until this year admission to medical studies was unrestricted. Innsbruck Medical University chose the Eignungstest für das Medizinstudium in der Schweiz (EMS) aptitude test for admission testing.Aims and objectives: Did the implementation of a selection process affect the academic performance and drop-out rates of students according to gender?Methods: Two groups of students were compared: ‘open admission’ (2002–2004), and ‘selected’ (2006–2009). Academic performance was tested according to results in the final exams after year 1 (SIP 1; SIP, summative integrierte Prüfung) and after year 3 (SIP 3). Drop-out rates were recorded using the registration system of the university.Results: Both, male and female ‘selected’ students had a higher passing rate regarding SIP 1 and they passed SIP 1 in shorter time and using fewer attempts than the open admission group. The percentage in passing SIP 3 did not change due to change in admission. The drop-out rates were significantly reduced for male and female students. ‘Unselected’ female students had a significantly higher drop-out ratio than ‘unselected’ male counterparts. After EMS testing, the drop-out ratios of female and male students were not significantly different.Conclusion: Selected applicants were more able and better motivated to study medicine.