Publication

Medical student selection: Effects of different admissions processes

Schripsema, N. R., 2017, [Groningen]: Rijksuniversiteit Groningen. 123 p.

Research output: ThesisThesis fully internal (DIV)Academic

Copy link to clipboard

Documents

  • Title and contents

    Final publisher's version, 112 KB, PDF-document

  • Chapter 1

    Final publisher's version, 147 KB, PDF-document

  • Chapter 2

    Final publisher's version, 345 KB, PDF-document

  • Chapter 3

    Final publisher's version, 525 KB, PDF-document

  • Chapter 4

    Final publisher's version, 529 KB, PDF-document

  • Chapter 5

    Final publisher's version, 611 KB, PDF-document

  • Chapter 6

    Final publisher's version, 766 KB, PDF-document

  • Chapter 7

    Final publisher's version, 626 KB, PDF-document

  • Chapter 8

    Final publisher's version, 743 KB, PDF-document

  • Complete thesis

    Final publisher's version, 757 KB, PDF-document

  • Propositions

    Final publisher's version, 23 KB, PDF-document

This thesis describes several studies on selection outcomes in the multi-process medical school admissions system in the Netherlands. After a long tradition of lottery-based admissions, we have transferred to a system of selection-based admissions. The main research question in this thesis is whether selection-based admissions should indeed be preferred over lottery-based admissions. The period in which the Netherlands transitioned from the lottery-based to the selection-based admissions system provided us with the unique opportunity to compare study outcomes of students who were admitted based on either a top pre-university GPA, selection-acceptance, weighted lottery after selection-rejection, or weighted lottery without participation in selection.
We conclude that there is not enough evidence to support the preference for selection-based medical school admissions over lottery-based admissions. Performance differences between groups of students who were admitted based on the four admissions processes were small, though in some cases statistically significant. Considering the biases that are inherent to most selection processes and the fact that the validity and reliability of most selection instruments that are currently used are not warranted, implementing selection instead of lottery does not improve the admissions system as much as one might have hoped.
Curriculum sample selection, possibly combined with lottery, seems most promising for future admissions decisions. In addition to academic and possibly non-academic aptitude, admissions decisions should reflect future societal needs. It is recommended that the focus of medicals school selection be expanded from applicant characteristics to societal change, in order to admit and train professionals that will be needed in the society of the future.
Original languageEnglish
QualificationDoctor of Philosophy
Awarding Institution
Supervisors/Advisors
Award date25-Oct-2017
Place of Publication[Groningen]
Publisher
Print ISBNs978-94-034-0118-8
Electronic ISBNs978-94-034-0117-1
Publication statusPublished - 2017

View graph of relations

Download statistics

No data available

ID: 49081913