Merckelbach Sophie
Contact: S. Merckelbach (
Ned Tijdschr Geneeskd. 2018 Aug 1;162:D2500.
In 2014, the random selection (or lottery) admission process was replaced by a decentralised selection procedure for all medical schools in the Netherlands. The argument behind this change is that it should lead to a better match between candidate and study. Also, at introduction some reasoned that this new procedure would be fairer. However, several recent studies show no evidence that a decentralised selection procedure outperforms the replaced lottery system when motivation and study results are considered. Furthermore, medical schools use their own, wide varying selection criteria, whilst having the same goal: selecting the best future doctors. Next to this, future students can only apply for one medical school each year. Medical schools show significant difference in the number of applications, which therefore leads to different odds of a student being admitted (e.g. 27 vs. 62% admission rate at most and least popular medical schools). To make the selection procedure for admission to medical school fairer, central selection for all medical schools or the option to apply at multiple medical schools each year should be considered - particularly since these are well-known aspects of the selection procedures in other countries.
2014年，荷兰所有医学院的随机选拔（或抽签）录取程序被分散选拔程序所取代。这一变化背后的理由是，它应能使候选人与专业学习更好地匹配。此外，在引入该程序时，一些人认为这一新程序会更公平。然而，最近的几项研究表明，在考虑动机和学习成绩时，没有证据表明分散选拔程序比被取代的抽签系统更胜一筹。此外，医学院使用各自差异很大的选拔标准，同时有着相同的目标：选拔出未来最优秀的医生。除此之外，未来的学生每年只能申请一所医学院。医学院的申请人数差异很大，因此导致学生被录取的几率不同（例如，最热门和最冷门的医学院的录取率分别为27%和62%）。为了使医学院的录取选拔程序更加公平，应该考虑对所有医学院进行集中选拔，或者允许学生每年申请多所医学院——特别是因为这些是其他国家选拔程序中众所周知的方面。
