How do the post-graduation outcomes of students from gateway courses compare to those from standard entry medicine courses at the same medical schools?
How do the post-graduation outcomes of students from gateway courses compare to those from standard entry medicine courses at the same medical schools?
Background: widening participation (WP) for underrepresented students through six-year gateway courses helps to widen the demographic representation of doctors in the UK. ‘Most students from gateway courses graduate, even though many enter with lower grades than standard entry medicine students.’ This study aims to compare the graduate outcomes of gateway and SEM cohorts from the same universities.
Methods: data from 2007–13 from the UK Medical Education Database (UKMED) were available for graduates of gateway and SEM courses at three UK medical schools. Outcome measures were passing an entry exam on the first attempt, Annual Review of Competency Progression (ARCP) outcome and being offered a level one training position from the first application. The univariate analysis compared the two groups. Logistic regressions, predicting outcomes by course type, controlled for attainment on completion of medical school.
Results: four thousand four hundred forty-five doctors were included in the analysis. There was no difference found in the ARCP outcome between gateway and SEM graduates. Gateway graduates were less likely to pass their first attempt at any membership exam than graduates of SEM courses (39% vs 63%). Gateway graduates were less likely to be offered a level 1 training position on their first application (75% vs 82%). Graduates of gateway courses were more likely to apply to General Practitioner (GP) training programmes than SEM graduates (56% vs 39%).
Conclusions: gateway courses increase the diversity of backgrounds represented within the profession and importantly the number of applications to GP training. However, differences in cohort performance are shown to continue to exist in the postgraduate arena and further research is required to ascertain the reasons for this
Attainment, Education, Gateway, Medical, Outcomes, Postgraduate, Progression, UKMED, Widening participation
Elmansouri, Ahmad
75c1814d-6da0-494e-bdd3-f0a3b2b837b3
Curtis, Sally
5a29627a-42fd-4098-a6da-3f6df4443fa8
Nursaw, Ceri
e061a056-1f48-410d-b2a0-e367ca611a32
Smith, Daniel
40a3e73b-209b-4032-98ed-a655f2b34df0
2 May 2023
Elmansouri, Ahmad
75c1814d-6da0-494e-bdd3-f0a3b2b837b3
Curtis, Sally
5a29627a-42fd-4098-a6da-3f6df4443fa8
Nursaw, Ceri
e061a056-1f48-410d-b2a0-e367ca611a32
Smith, Daniel
40a3e73b-209b-4032-98ed-a655f2b34df0
Elmansouri, Ahmad, Curtis, Sally, Nursaw, Ceri and Smith, Daniel
(2023)
How do the post-graduation outcomes of students from gateway courses compare to those from standard entry medicine courses at the same medical schools?
BMC Medical Education, 23 (1), [298].
(doi:10.1186/s12909-023-04179-3).
Abstract
Background: widening participation (WP) for underrepresented students through six-year gateway courses helps to widen the demographic representation of doctors in the UK. ‘Most students from gateway courses graduate, even though many enter with lower grades than standard entry medicine students.’ This study aims to compare the graduate outcomes of gateway and SEM cohorts from the same universities.
Methods: data from 2007–13 from the UK Medical Education Database (UKMED) were available for graduates of gateway and SEM courses at three UK medical schools. Outcome measures were passing an entry exam on the first attempt, Annual Review of Competency Progression (ARCP) outcome and being offered a level one training position from the first application. The univariate analysis compared the two groups. Logistic regressions, predicting outcomes by course type, controlled for attainment on completion of medical school.
Results: four thousand four hundred forty-five doctors were included in the analysis. There was no difference found in the ARCP outcome between gateway and SEM graduates. Gateway graduates were less likely to pass their first attempt at any membership exam than graduates of SEM courses (39% vs 63%). Gateway graduates were less likely to be offered a level 1 training position on their first application (75% vs 82%). Graduates of gateway courses were more likely to apply to General Practitioner (GP) training programmes than SEM graduates (56% vs 39%).
Conclusions: gateway courses increase the diversity of backgrounds represented within the profession and importantly the number of applications to GP training. However, differences in cohort performance are shown to continue to exist in the postgraduate arena and further research is required to ascertain the reasons for this
Text
s12909-023-04179-3
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Accepted/In Press date: 20 March 2023
Published date: 2 May 2023
Additional Information:
Funding Information:
Contributors: Valentine, J4, Thompson S4, Winpenny J5, Bowater L64. GKT School of Medical Education, Henriette Raphael Building, Guys Hospital Campus, London SE1 1UL. 5. School of Medicine University of St Andrews North Haugh St Andrews KY16 9TF, England, UK. 6. Faculty of Medicine and Health Sciences University of St Anglia Norwich Research Park, Norwich, Norfolk, NR4 7TJ, England, UK.
Publisher Copyright:
© 2023, The Author(s).
Keywords:
Attainment, Education, Gateway, Medical, Outcomes, Postgraduate, Progression, UKMED, Widening participation
Identifiers
Local EPrints ID: 486424
URI: http://eprints.soton.ac.uk/id/eprint/486424
ISSN: 1472-6920
PURE UUID: 06c72d5b-744f-48ea-bb79-36740353d89e
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Date deposited: 22 Jan 2024 17:33
Last modified: 18 Mar 2024 02:50
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Author:
Ahmad Elmansouri
Author:
Ceri Nursaw
Author:
Daniel Smith
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