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The path to medical school: a profile of Dr Katherine Woolf's research

13 December 2019

As part of the BMJ's 'five minutes with', Dr Katherine Woolf (最准的六合彩论坛 Medical School), discusses the UK Medical Applicant Cohort Study, which could help level the playing field for applicants from underrepresented backgrounds.

Dr Katherine Woolf

鈥淭his study is about selection into medical school. This is the crunch point, what some people call the biggest hurdle in a doctor鈥檚 career. There鈥檚 a lot of concern about selection and whether we鈥檙e choosing the right people to be doctors. We have speciality shortages that we need to sort. We also need to widen participation, we need doctors that are more representative of the population.

鈥淣ormally, researchers look at this from the perspective of those doing the selecting. It鈥檚 a very competitive field, there are a lot more applicants than places, and so the question tends to be, how do we choose from those who have applied?

"What we鈥檙e doing, however, is looking at it from the point of view of the applicants. We鈥檙e looking at which medical schools people are applying to - are they choosing the ones that they鈥檙e most likely to get offers from? We also want to know what information they have access to.

"Previous research has shown that 80% of medical applicants come from only 20% of secondary schools. How are people who don鈥檛 go to those schools making their decisions? How informed are they and can we help them make better choices?

Who is being rejected?

鈥淲e鈥檝e interviewed first year medical students about how they chose which medical schools to apply to, what information they had access to, and what they found useful. From that, we created a questionnaire, asking the same kind of questions, which we鈥檝e sent to those who took the UCAT test this year. We鈥檙e going to use these answers as a baseline for a longitudinal study.

"We want to look at who gets in and who doesn鈥檛, and look at those cohorts and see which of them wanted to, for example, be a GP. Then if we find out that those people are the ones being rejected, that鈥檚 something we didn鈥檛 know before. We will be following up those who get in throughout the rest of their medical careers, to see where they end up.

鈥淲e鈥檝e also been working with the GMC and the Medical Schools Council to include unsuccessful applicants in the UK Medical Education database. Until last year, it only contained data on entrants, but we now have retrospective data from 2007 onwards on unsuccessful applicants as well, and now this data will be collected routinely.

"We have 11 years worth of data, over a million applications to medical school, and we鈥檙e going to look at how where you apply impacts your chances of getting an offer. We鈥檙e particularly interested in those from underrepresented backgrounds, and whether they are more likely to make the 鈥榳rong鈥 choices because they have less guidance. The idea is that we鈥檒l work with the Medical Schools Council to develop a tool for applicants, to help them make informed choices.鈥

This article was first published in the BMJ听on 10听December 2019.

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Media contact听

Henry Killworth

Tel: + (0) 207 679 5296

Email: h.killworth [at] ucl.ac.uk