Tešija Roberta Andrea, Maslov Kružičević Silvija, Banožić Adriana, Esteban Carlos David, Sapunar Damir, Puljak Livia
Department of Anatomy, Histology and Embryology, University of Split School of Medicine, Split, Croatia.
Croat Med J. 2013 Apr;54(2):192-7. doi: 10.3325/cmj.2013.54.192.
To assess whether extended medical school duration, block/modular structure of subjects, not allowing students to transfer exams into the higher course year, and curriculum implementation in line with the Bologna Accord are associated with lower attrition and better academic outcomes of medical students.
We retrospectively investigated curricula at the University of Split School of Medicine and academic outcomes of 2301 medical students during a 33-year period (1979-2011). The following data were obtained: grade point average (GPA) at the end of the studies, duration of studies, graduation on time, and whether the student graduated or not.
After extension of medical curriculum from 5 to 6 years, students had significantly better grades (3.35 vs 3.68; P<0.001), shorter study duration (7.0 vs 6.0 years; P<0.001), and more students graduated on time (6.5% vs 57%; P<0.001). Changes in the 6-year curriculum, such as stricter study regulations and adoption of Bologna Accord, were associated with better indicators of students' academic success. The lowest attrition and the highest grades during the studied period were observed after the implementation of the Bologna Accord in 2005.
Introduction of a longer medical curriculum, block/modular subject structure, stricter regulations of exam transfer, and curriculum in line with the Bologna Accord may contribute to better academic outcomes and lower attrition of medical students.
评估医学院校学制延长、课程的模块/单元结构、不允许学生将考试成绩带入更高年级课程以及符合博洛尼亚协定的课程实施是否与医学生更低的流失率和更好的学业成绩相关。
我们回顾性调查了斯普利特医学院33年期间（1979 - 2011年）的课程设置以及2301名医学生的学业成绩。获取了以下数据：学习结束时的平均绩点（GPA）、学习时长、按时毕业情况以及学生是否毕业。
将医学课程从5年延长至6年后，学生成绩显著提高（3.35对3.68；P<0.001），学习时长缩短（7.0年对6.0年；P<0.001），按时毕业的学生增多（6.5%对57%；P<0.001）。6年制课程的变化，如更严格的学习规定和采用博洛尼亚协定，与学生学业成功的更好指标相关。2005年实施博洛尼亚协定后，在所研究期间观察到流失率最低且成绩最高。
引入更长的医学课程、模块/单元课程结构、更严格的考试转级规定以及符合博洛尼亚协定的课程可能有助于医学生取得更好的学业成绩并降低流失率。
