The Change in Entrance Exam Requirements for Medical School: Impact on Prior Performance, Entrance Exam Success, and Study Achievement

The medical profession is a prestigious position that requires very extensive higher education, to which only a small proportion of applicants are accepted. Changes in selection criteria can profoundly impact applicants’ pre-educational choices, early medical studies, and the characteristics of futu...

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Main Authors: Minna Hallia, Petri Kulmala, Jouni Pursiainen, Pentti Nieminen
Format: Article
Language:English
Published: MDPI AG 2025-05-01
Series:Education Sciences
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Online Access:https://www.mdpi.com/2227-7102/15/6/683
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author Minna Hallia
Petri Kulmala
Jouni Pursiainen
Pentti Nieminen
author_facet Minna Hallia
Petri Kulmala
Jouni Pursiainen
Pentti Nieminen
author_sort Minna Hallia
collection DOAJ
description The medical profession is a prestigious position that requires very extensive higher education, to which only a small proportion of applicants are accepted. Changes in selection criteria can profoundly impact applicants’ pre-educational choices, early medical studies, and the characteristics of future medical professionals. This study assesses the impact of changing the admission requirements of medical schools in Finland. We examined two cohorts of students admitted to the University of Oulu’s medical school: 2009–2011 (<i>n</i> = 316) and 2013–2015 (<i>n</i> = 339). The first cohort prepared for the entrance exam with a field-specific book, while the second cohort focused on secondary school subjects such as biology, chemistry, and physics. We analysed the effects of the changes on accepted students’ profiles and the relationship between their prior performance, entrance exam success, and performance in medical studies. Changing the entrance exam content did not significantly alter accepted students’ profiles or ease access for recent matriculants. However, minor changes in correlations between prior performance, entrance exam performance, and medical study success were observed. The entrance exam’s predictive power for academic success was weak in both admission periods. This comparative study found that changing the entrance exam material did not notably influence the characteristics of accepted students. The changes to the selection criteria appear to have a minor impact on the actual success of students studying medicine. Regardless of the selection criteria, those who are accepted typically demonstrate strong learning capabilities. Despite modifications in the required entry-level knowledge, students with strong skills are admitted.
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spelling doaj-art-ea607e18f45040e4b4b6be3ba8a030542025-08-20T03:24:39ZengMDPI AGEducation Sciences2227-71022025-05-0115668310.3390/educsci15060683The Change in Entrance Exam Requirements for Medical School: Impact on Prior Performance, Entrance Exam Success, and Study AchievementMinna Hallia0Petri Kulmala1Jouni Pursiainen2Pentti Nieminen3Education Development and Service Unit, Faculty of Medicine, University of Oulu, 90014 Oulu, FinlandEducation Development and Service Unit, Faculty of Medicine, University of Oulu, 90014 Oulu, FinlandFaculty of Technology, University of Oulu, 90014 Oulu, FinlandFaculty of Medicine, Medical Informatics and Data Analysis Research Group, University of Oulu, 90014 Oulu, FinlandThe medical profession is a prestigious position that requires very extensive higher education, to which only a small proportion of applicants are accepted. Changes in selection criteria can profoundly impact applicants’ pre-educational choices, early medical studies, and the characteristics of future medical professionals. This study assesses the impact of changing the admission requirements of medical schools in Finland. We examined two cohorts of students admitted to the University of Oulu’s medical school: 2009–2011 (<i>n</i> = 316) and 2013–2015 (<i>n</i> = 339). The first cohort prepared for the entrance exam with a field-specific book, while the second cohort focused on secondary school subjects such as biology, chemistry, and physics. We analysed the effects of the changes on accepted students’ profiles and the relationship between their prior performance, entrance exam success, and performance in medical studies. Changing the entrance exam content did not significantly alter accepted students’ profiles or ease access for recent matriculants. However, minor changes in correlations between prior performance, entrance exam performance, and medical study success were observed. The entrance exam’s predictive power for academic success was weak in both admission periods. This comparative study found that changing the entrance exam material did not notably influence the characteristics of accepted students. The changes to the selection criteria appear to have a minor impact on the actual success of students studying medicine. Regardless of the selection criteria, those who are accepted typically demonstrate strong learning capabilities. Despite modifications in the required entry-level knowledge, students with strong skills are admitted.https://www.mdpi.com/2227-7102/15/6/683medical school selectionentrance examprior performanceselection criteriastudy success
spellingShingle Minna Hallia
Petri Kulmala
Jouni Pursiainen
Pentti Nieminen
The Change in Entrance Exam Requirements for Medical School: Impact on Prior Performance, Entrance Exam Success, and Study Achievement
Education Sciences
medical school selection
entrance exam
prior performance
selection criteria
study success
title The Change in Entrance Exam Requirements for Medical School: Impact on Prior Performance, Entrance Exam Success, and Study Achievement
title_full The Change in Entrance Exam Requirements for Medical School: Impact on Prior Performance, Entrance Exam Success, and Study Achievement
title_fullStr The Change in Entrance Exam Requirements for Medical School: Impact on Prior Performance, Entrance Exam Success, and Study Achievement
title_full_unstemmed The Change in Entrance Exam Requirements for Medical School: Impact on Prior Performance, Entrance Exam Success, and Study Achievement
title_short The Change in Entrance Exam Requirements for Medical School: Impact on Prior Performance, Entrance Exam Success, and Study Achievement
title_sort change in entrance exam requirements for medical school impact on prior performance entrance exam success and study achievement
topic medical school selection
entrance exam
prior performance
selection criteria
study success
url https://www.mdpi.com/2227-7102/15/6/683
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