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의과대학생의 유급 발생 예측요인 분석: 일개 의과대학 자료를 중심으로

Predictors of Failure in Medical Students

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주제분류기타의약학

초록

Purpose: This study aimed to identify the predictors of failure in medical students. Methods: We conducted a 10-year follow-up survey of 231 medical students. The students' general characteristics, study-related factors, health-related behavior, and self-perceived health were examined using questionnaires that were given late in the first year of a premedical course. We evaluated the failure incidence of students using school records from the second year of a premedical course to the fourth year of medical school. The statistical analyses that were used were χ 2 -test, student t-test, and multiple logistic regression analysis. Results: Sixty-five students experienced failure. Thirty-seven (56.9%) had 1 failure, 11 (16.9%) had 2 failures, 8 (12.3%) had 3 failures, 4 (6.2%) had 4 failures, and 5 (7.7%) had 5 failures. From the results of multiple logistic regression, the rates of failure were significantly higher for those whose grade point average (GPA) in the first year of a premedical course was below 2.5 (Relative Risk [RR]=6.52, 95% Confidence Interval [CI]: 1.42~29.8), who smoked more than 1 pack of cigarettes per day (RR=7.37, 95% CI: 1.23~44.07), who drank more (RR=1.16, 95% CI: 1.02~1.33), and exercised less (RR=0.997, 95% CI: 0.995~0.999). Conclusion: It was demonstrated that the incidence of failure in medical students was reflected in their academic records in the first year of a premedical course and by unhealthy lifestyles. This study suggests that students who have poor academic marks and unhealthy lifestyles in the first year of a premedical course should be properly guided to reduce the incidence of failure.

Abstract

Purpose: This study aimed to identify the predictors of failure in medical students. Methods: We conducted a 10-year follow-up survey of 231 medical students. The students' general characteristics, study-related factors, health-related behavior, and self-perceived health were examined using questionnaires that were given late in the first year of a premedical course. We evaluated the failure incidence of students using school records from the second year of a premedical course to the fourth year of medical school. The statistical analyses that were used were χ 2 -test, student t-test, and multiple logistic regression analysis. Results: Sixty-five students experienced failure. Thirty-seven (56.9%) had 1 failure, 11 (16.9%) had 2 failures, 8 (12.3%) had 3 failures, 4 (6.2%) had 4 failures, and 5 (7.7%) had 5 failures. From the results of multiple logistic regression, the rates of failure were significantly higher for those whose grade point average (GPA) in the first year of a premedical course was below 2.5 (Relative Risk [RR]=6.52, 95% Confidence Interval [CI]: 1.42~29.8), who smoked more than 1 pack of cigarettes per day (RR=7.37, 95% CI: 1.23~44.07), who drank more (RR=1.16, 95% CI: 1.02~1.33), and exercised less (RR=0.997, 95% CI: 0.995~0.999). Conclusion: It was demonstrated that the incidence of failure in medical students was reflected in their academic records in the first year of a premedical course and by unhealthy lifestyles. This study suggests that students who have poor academic marks and unhealthy lifestyles in the first year of a premedical course should be properly guided to reduce the incidence of failure.

참고문헌 (14)

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  5. The Korean Council of Deans of Medical College, "The current educational status of college of medicine. (2004-2005)" (2004), Aram
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  11. Finn JD, "Academic success among students at risk for school failure", J Appl Psychol, 82, pp.221~234 (1997)
  12. Biggs JS, "Parental problems influencing the academic achievement of medical students: a prospective study", Med Educ, 25, pp.374~382 (1991)
  13. Collins BN, "Adolescent environmental tobacco smoke exposure predicts academic achievement test failure", J Adolesc Health, 41, pp.363~370 (2007)
  14. 정원철, "대학생의 문제성음주의 실태와 관련 심리사회적인 요인", 한국사회복지학, 58(1), pp.347~372 (2006), 한국사회복지학회

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