Evidence map›Paper›PMID 23630147›Full record

ArticleCroatian medical journal2013

Impact of extended course duration and stricter study organization on attrition and academic performance of medical students.

Roberta Andrea Tešija, Silvija Maslov Kružičević, Adriana Banožić, Carlos David Esteban, Damir Sapunar, Livia Puljak

Abstract read
In one paragraph

Article in Croatian medical journal, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. The scope of interventional radiology training for South African radiology registrars.Journal of the colleges of medicine of South Africa · 2026
    Article
  2. Factors related to academic failure in preclinical medical education: A systematic review.Journal of advances in medical education & professionalism · 2019
    Article
  3. Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Roberta Andrea TešijaDepartment of Anatomy, Histology and Embryology, University of Split School of Medicine, Split, Croatia.
Silvija Maslov Kružičević
Adriana Banožić
Carlos David Esteban
Damir Sapunar
Livia Puljak

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo 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.

methodsWe 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.

resultsAfter 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.

conclusionIntroduction 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.

Indexed as

Clinical CompetenceEducational MeasurementStudents, MedicalCurriculumEducational StatusEducation, MedicalFemaleHumansMaleRetrospective StudiesSchools, MedicalStudent DropoutsTeaching

Identifiers

PMID23630147
PMCPMC3641877

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.