Bekele Asselef T, Beza Solomon W, Gedamu Shewatatek, Berndt Markus
Health Workforce Improvement Program, Jhpiego, an Affiliation of Johns Hopkins University, Addis Ababa, Ethiopia.
Human Resources for Health Directorate, Ministry of Health, Addis Ababa, Ethiopia.
Adv Med Educ Pract. 2023 Jun 12;14:603-613. doi: 10.2147/AMEP.S406031. eCollection 2023.
In Ethiopia, the University Entrance Exam (UEE) score is the only criteria for selecting prospective medical students entering the university system, disregarding their career choice motivation.
A cross-sectional study design was conducted to identify medical students career choice motivation and predictors of college academic achievement at Gondar university, Ethiopia. The study was conducted on 222 medical students enrolled at Gondar University in 2016. A self-administered questionnaire was used to collect data on study participants demographic characteristics, career choice motivation, and informed career choice. Data on the UEE score and student's college academic achievement were collected from the university registrar. Descriptive statistics and regression analysis were used to analyze the data.
Desire to help others as a medical doctor and prevent and cure diseases were mentioned as the first important career choice reasons by 147 (68.2%) and 135 (64.0%) study participants, respectively. The results of regression analysis showed that the UEE score was significantly associated with pre-clinical cumulative GPA (=.327, <.05) and 5th year cumulative GPA (=.244, <.05) respectively. The stepwise multiple regression revealed that UEE score, having prior knowledge about medical profession, positive experience in the medical school, and intrinsic career choice motivation significantly predicted 5th year cumulative GPA (<.05). The high beta weight of 0.254 and 0.202 confirmed the strongest prediction to come from prior knowledge about the medical profession and positive experience in medical school, respectively.
The UEE score is a significant predictor for medical students' academic achievement, but it should not be the sole admission criterion. We suggest that comprehensive admissions criteria covering both cognitive and non-cognitive factors, as well as informed career choice, be developed to select the best applicants in the future.
在埃塞俄比亚,大学入学考试(UEE)成绩是选拔进入大学系统的未来医学生的唯一标准,而忽视了他们的职业选择动机。
采用横断面研究设计,以确定埃塞俄比亚贡德尔大学医学生的职业选择动机及大学学业成绩的预测因素。该研究对2016年在贡德尔大学就读的222名医学生进行。使用自填式问卷收集研究参与者的人口统计学特征、职业选择动机和明智的职业选择方面的数据。从大学注册处收集UEE成绩和学生大学学业成绩的数据。使用描述性统计和回归分析对数据进行分析。
分别有147名(68.2%)和135名(64.0%)研究参与者将作为医生帮助他人以及预防和治疗疾病的愿望列为最重要的职业选择原因。回归分析结果显示,UEE成绩分别与临床前累积平均绩点(=0.327,P<0.05)和五年级累积平均绩点(=0.244,P<0.05)显著相关。逐步多元回归显示,UEE成绩、对医学专业有先验知识、在医学院有积极经历以及内在职业选择动机显著预测五年级累积平均绩点(P<0.05)。高β权重0.254和0.202分别证实最强的预测来自对医学专业的先验知识和在医学院的积极经历。
UEE成绩是医学生学业成绩的重要预测指标,但不应是唯一的录取标准。我们建议制定涵盖认知和非认知因素以及明智职业选择的综合录取标准,以便未来选拔出最优秀的申请者。