Simpson K H, Budd K
Admissions Department, University of Leeds, UK.
Med Educ. 1996 May;30(3):172-8. doi: 10.1111/j.1365-2923.1996.tb00739.x.
Medical student wastage leads to adverse emotional and social consequences for individual students and financial difficulties and morale problems for medical schools. This study retrospectively assessed the records of all students at Leeds School of Medicine who left the course prematurely between 1983 and 1992. The demographic data of the leavers were compared with those of all students entering the school during the 10 years studied. A-level examination choices and results of the leavers were compared with those of a control group of all students who entered the school in 1990. The attrition rate over the 10 years was 14% (283 students), with more males than females leaving. Fewer mature students than expected left the course. More leavers had A-level physics and lacked A-level biology compared with the control group. The leavers were academically less able than the controls. Fifty-three per cent of leavers were asked to withdraw from the course for academic reasons; the rest left voluntarily. Thirty per cent had personal problems, 9% had a combination of academic and personal problems and 8% had health problems (psychological difficulties were the commonest). Seventy-one per cent of leavers entered another degree course; science degrees were the most popular. Reasons for medical student wastage and possible solutions are discussed.
医学生流失会给学生个人带来负面的情感和社会影响，也会给医学院校造成经济困难和士气问题。本研究回顾性评估了1983年至1992年间提前离开利兹医学院课程的所有学生的记录。将离校学生的人口统计学数据与研究期间10年入学的所有学生的数据进行比较。将离校学生的A级考试选择和成绩与1990年入学的所有学生组成的对照组进行比较。10年间的流失率为14%（283名学生），离校男生多于女生。成熟学生离校人数比预期少。与对照组相比，更多离校学生有A级物理成绩但缺乏A级生物成绩。离校学生的学业能力低于对照组。53%的离校学生因学业原因被要求退学；其余为自愿离校。30%有个人问题，9%有学业和个人问题并存的情况，8%有健康问题（心理困难最为常见）。71%的离校学生进入了另一个学位课程；理科专业学位最受欢迎。文中讨论了医学生流失的原因及可能的解决办法。
