[Selection of medical students by medical faculties. Problems and advantages for universities].

Due to the amendment of the framework act for higher education in summer 2004, the German universities have to select 60% of the students within all disciplines with limited access (including medicine) by themselves. This requirement fits with the political intention to enhance the achievement of a specific profile and competition among the universities. The first implementation of the legal requirement has shown that the universities were insufficiently prepared to apply selection criteria amending high school grades. Theoretically, a variety of criteria could be considered whose suitability has to be evaluated carefully. Existing evidence related to these criteria is summarized in this article. The implementation of new tools for student selection will raise a variety of problems related to the quality of organisation, but also other aspects of quality assurance. It can be assumed that, in the long run, centrally developed tests will be applied within medicine that might be completed with other selection tools locally.