Original Article

How Postbaccalaureate Career Changer and Traditional Medical Students Differ Academically

Authors: I. Cori Baill, MD, Bertha Ben Khallouq, MA, Oloruntomi Joledo, PhD, Anna Jacobs, BA, Robert Larkin, BA, Nyla Dil, DVM, PhD

Abstract

Objective: This retrospective descriptive study compared the academic performance of postbaccalaureate career changer students with that of traditional students during the classroom-based, science-dominated early years of medical school. Earlier studies documented the eventual success of nontraditional medical students, although we found little information specific to the medical school performance of career changers. Our objective was to determine whether postbaccalaureate career changer medical students perform differently from traditionally prepared medical students in the science-dominated early years of medical school classroom education.

Methods: This study analyzed the admission data and academic performance of medical students at the University of Central Florida College of Medicine across 8 years (N = 630). Differences in performance were assessed using examination grades from the first 2 years of medical school, and US Medical Licensing Examination (USMLE) Step 1 and Step 2 scores.

Results: Statistically significant differences were found between traditional and career changer students for all science modules in year 1, and 4 of the 5 modules in year 2. Traditional students performed better on USMLE Step 1. Significant differences between the groups disappeared by USMLE Step 2.

Conclusions: Career changer medical students show a small, persistent academic lag in the first 2 years of medical school and on USMLE Step 1 scores. By USMLE Step 2 the difference disappears. Similar undergraduate grade point averages and Medical College Admission Test scores suggest that science exposure, not ability may explain these differences. An unexpected finding is the number of career changer students is not increasing proportional to the proliferation of postbaccalaureate programs in the United States. This study may benefit student advisors and residency directors, and, it is hoped, provide reassurance to career changer students.

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References

1. Whitten CF. Postbaccalaureate program at Wayne State University School of Medicine: a 30-year report. Acad Med 1999;74:393-396.
2. Jackson EW, McGlinn S, Rainey M, et al. MEDPREP-30 years of making a difference. Acad Med 2003;78:448-453.
3. Muller D, Kase N. Challenging traditional premedical requirements as predictors of success in medical school: the Mount Sinai School of Medicine Humanities and Medicine Program. Acad Med 2010;85:1378-1383.
4. Smith SR. A two-year experience with premedical postbaccalaureate students admitted to medical school. Acad Med 1991;66:52-53.
5. Giordani B, Edwards AS, Segal SS, et al. Effectiveness of a formal post-baccalaureate pre-medicine program for underrepresented minority students. Acad Med 2001;76:844-848.
6. Grumbach K, Chen E. Effectiveness of University of California postbaccalaureate premedical programs in increasing medical school matriculation for minority and disadvantaged students. JAMA 2006;296:1079-1085.
7. Reeves RE, Vishwanatha JK, Yorio T, et al. The post-baccalaureate premedical certification program at the University of North Texas Health Science Center strengthens admission qualifications for entrance into medical school. Acad Med 2008;83:45-51.
8. Simon CC. A second opinion: the post-baccalaureate. https://www.nytimes.com/2012/04/15/education/edlife/a-second-opinion-the-post-baccalaureate.html. Published April 13, 2012. Accessed September 17, 2019.
9. Association of American Medical Colleges. Postbaccalaureate premedical programs. https://apps.aamc.org/postbac/#/index. Accessed March 13, 2018.
10. Association of American Medical Colleges. Matriculating student questionnaire (MSQ). https://www.aamc.org/data/msq. Accessed March 13, 2018.
11. Andriole DA, Jeffe DB. Characteristics of medical school matriculants who participated in postbaccalaureate premedical programs. Acad Med 2011;86:201-210.
12. McDougle L, Way DP, Lee WK, et al. A national long-term outcomes evaluation of U.S. premedical postbaccalaureate programs designed to promote health care access and workforce diversity. J Health Care Poor Underserved 2015;26:631-647.
13. Lane L, Lane AM, Kyprianou A. Self-efficacy, self-esteem and their impact on academic performance. Soc Behav Pers 2004;32:247-256.
14. Dyrbye LN, Thomas MR, Shanafelt TD. Systematic review of depression, anxiety, and other indicators of psychological distress among U.S. and Canadian medical students. Acad Med 2006;81:354-373.
15. Rifkin MR, Smith KD, Stimmel BD, et al. The Mount Sinai humanities and medicine program: an alternative pathway to medical school. Acad Med 2000;75(10 suppl):S124-S126.
16. Jauhar S. From all walks of life-nontraditional medical students and the future of medicine. N Engl J Med 2008;359:224-227.
17. Green M, Jones P, Thomas JX, Jr. Selection criteria for residency: results of a national program directors survey. Acad Med 2009;84:362-367.
18. Prober CG, Kolars JC, First LR, et al. A plea to reassess the role of United States Medical Licensing Examination Step 1 scores in residency selection. Acad Med 2016;91:12-15.