Evidence map›Paper›PMID 36991413›Full record

ArticleBMC medical education2023

The added value of free preparatory activities for widening access to medical education: a multi-cohort study.

S Fikrat-Wevers, W E De Leng, W W Van Den Broek, A M Woltman, K M Stegers-Jager

Abstract read
In one paragraph

Article in BMC medical education, 2023. 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.

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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

5 authors.

S Fikrat-WeversInstitute of Medical Education Research Rotterdam, Erasmus MC, University Medical Center Rotterdam, Room AE-241, PO Box 2040, 3000 CA, Rotterdam, the Netherlands.
W E De LengInstitute of Medical Education Research Rotterdam, Erasmus MC, University Medical Center Rotterdam, Room AE-241, PO Box 2040, 3000 CA, Rotterdam, the Netherlands.
W W Van Den BroekInstitute of Medical Education Research Rotterdam, Erasmus MC, University Medical Center Rotterdam, Room AE-241, PO Box 2040, 3000 CA, Rotterdam, the Netherlands.
A M WoltmanInstitute of Medical Education Research Rotterdam, Erasmus MC, University Medical Center Rotterdam, Room AE-241, PO Box 2040, 3000 CA, Rotterdam, the Netherlands.
K M Stegers-JagerInstitute of Medical Education Research Rotterdam, Erasmus MC, University Medical Center Rotterdam, Room AE-241, PO Box 2040, 3000 CA, Rotterdam, the Netherlands. k.stegers-jager@erasmusmc.nl.

Funding

CLI fellowship - Erasmus University Rotterdam n.a.
6 · The paper itself

Abstract

backgroundMedical schools are reported to be less accessible to students with non-traditional backgrounds. These students face barriers when applying for and transitioning to medical school, which may be reduced by offering free preparatory activities. By equalizing access to resources, these activities are expected to reduce disparities in selection outcomes and early academic performance. In the present study, four free institutionally-provided preparatory activities were evaluated by comparing the demographic composition of participating and non-participating applicants. Additionally, the association between participation and selection outcomes and early academic performance was investigated for subgroups (based on sex, migration background and parental education).

methodsParticipants were applicants to a Dutch medical school in 2016-2019 (N = 3592). Free preparatory activities included Summer School (N = 595), Coaching Day (N = 1794), Pre-Academic Program (N = 217), and Junior Med School (N = 81), supplemented with data on participation in commercial coaching (N = 65). Demographic compositions of participants and non-participants were compared using chi-squared tests. Regression analyses were performed to compare selection outcomes (curriculum vitae [CV], selection test score, probability of enrolment) and early academic performance (first-course grade) between participants and non-participants of demographic subgroups, controlling for pre-university grades and participation in other activities.

resultsGenerally, no differences in sociodemographic compositions of participants and non-participants were found, but males participated less often in Summer School and Coaching Day. Applicants with a non-Western background participated less often in commercial coaching, but the overall participation rate was low and participation had negligible effects on selection outcomes. Participation in Summer School and Coaching Day were stronger related with selection outcomes. In some cases, this association was even stronger for males and candidates with a migration background. After controlling for pre-university grades, none of the preparatory activities were positively associated with early academic performance.

conclusionsFree institutionally-provided preparatory activities may contribute to student diversity in medical education, because usage was similar across sociodemographic subgroups, and participation was positively associated with selection outcomes of underrepresented and non-traditional students. However, since participation was not associated with early academic performance, adjustments to activities and/or curricula are needed to ensure inclusion and retention after selection.

Indexed as

Education, MedicalSchool Admission CriteriaCohort StudiesEducational StatusEthnicityHumansMaleSchools, MedicalDiversityFree resourcesMedical school selectionPreparatory activitiesTransition (Three to ten keywords representing the main content of the article)Widening access

Identifiers

PMID36991413
PMCPMC10053372

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LicenceCC BY
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Registered trials

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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.