The Failure Experiences of Medical School Students: A Qualitative Study

의대생의 유급경험에 관한 질적 연구

Kim, Sang-Hyun;Jeon, Woo-Taek
김상현;전우택

  • Published : 2008.12.10

Abstract

Purpose: In medical school, where high-scoring students are respected, a student who fails is regarded as a feckless individual who cannot survive in a competitive atmosphere. This study aims to analyze the experiences of failure inmedical school students using a qualitative approach. Methods: In-depth, semi-structured interviews were conducted with nine medical students who had failed the program and became a repeater or failed to pass the Korean Medical Licensure Exam, and three former and present vice deans of Yonsei University between April 2007 and May 2007. Students were classified into two groups: those who attend medical school and those who had graduated but failed the Korean Medical Association(KMA) examination. Results: The structural factors of experiences with failure were competitive culture, restrictive professor-student relationships, and indifference toward students' quality of life. Students perceived the factors of their failure to be maladjusted learning patterns emotional problems, such as loss of confidence, feelings of inferiority, and depression physical and economic difficulties and poor time management. The results revealed that students felt their status decline and changed their self-concept and that their social network became restricted. Conclusion: Medical schools and faculty consider students who have failed as community members. In addition, to prevent student failure, medical schools must reestablish a rigid professor-student relationship, develop a learner-centered curriculum and teaching method, implement a better learning support system, and improve the students' quality of life.

Keywords

References

  1. Abergavenny, R.D.(2004). Non-traditional entry to medical school may increase dropout rate. STUDENTBMJ, 12, 226
  2. Arulampalam, W., Naylor, R., & Smith, J.(2004). Factors affecting the probability of first year medical student dropout in the UK: a logistic analysis for the intake cohorts of 1980-92. Med Educ, 38, 492-503 https://doi.org/10.1046/j.1365-2929.2004.01815.x
  3. Arulampalam, W., Naylor, R., & Smith, J.(2007). Dropping out of medical school in the UK: explaining the changes over ten years. Med Educ, 41, 385-394 https://doi.org/10.1111/j.1365-2929.2007.02710.x
  4. Barzansky, B., & Etzel, S.I.(2004). Educational programs in US medical school, 2003-2004. JAMA, 292, 1025-1031 https://doi.org/10.1001/jama.292.9.1025
  5. Cleland, J., Arnold, R., & Chesser, A.(2005). Failing finals is often a surprise for the student but the teacher: identifying difficulties and supporting students with academic difficulties. Med Teach, 27, 504-508 https://doi.org/10.1080/01421590500156269
  6. Dyrbye, L.N., Thomas, M.R., & Shanafelt, T.D. (2005). Medical student distress: causes, consequences, and proposed solutions. Mayo Clin Proc, 80, 1613-1622
  7. Dyrbye, L.N., Thomas, M.R., Huntington, J.L., Lawson, K.L., Novotny, P.J., Sloan, J.A., & Shanafelt, T.D.(2006). Personal life events and medical student burnout: a multicenter study. Acad Med, 81, 374-384 https://doi.org/10.1097/00001888-200604000-00010
  8. Frischenschlager, O., Haidinger, G., & Mitterauer, L. (2005). Factors associated with academic success at Vienna Medical School: prospective survey. Croat Med J, 46, 58-65
  9. Huff, K.L., & Fang, D.(1999). When are students most at risk of encountering academic difficulty? A study of the 1992 matriculants to U.S. medical schools. Acad Med, 74, 454-460 https://doi.org/10.1097/00001888-199904000-00047
  10. Kim, Y.I.(2006). Teaching TIPS. No. 53. Rechlessness and meaning of flunking system. From the World Wide Web: http://ced.eulji.ac.kr
  11. Lee, S.K., & Lee, E.I.(2002). Students assessment and flunking system. The 12th Final Report
  12. Niemi, P.M., & Vainiomaki, P.T.(2006). Medical students' distress: quality, continuity and gender differences during a six-year medical programme. Med Teach, 28, 136-141 https://doi.org/10.1080/01421590600607088
  13. Park, J.Y.(2006). A study on Factors Influencing Korean Medical Students' Quality of Life. Master's dissertation, The Graduate School, Yonsei University
  14. Peterlini, M., Tiberio, I.F.L.C., Saadeh, A., Pereira, J.C.R., & Martins, M.A.(2002). Anxiety and depression in the first year of medical residency training. Med Educ, 36, 66-72 https://doi.org/10.1046/j.1365-2923.2002.01104.x
  15. Mattick. K., Dennis I., Bligh J.(2004). Approaches to learning and studying in medical students: validation of a revised inventory and its relation to student characteristics and performance. Med Educ, 38, 535-543 https://doi.org/10.1111/j.1365-2929.2004.01836.x
  16. Radcliffe, C., & Lester, H.(2003). Perceived stress during undergraduate medical training: a qualitative study. Med Educ, 37, 32-38 https://doi.org/10.1046/j.1365-2923.2003.01405.x
  17. Sayer, M., Chaput De Saintonge, M., Evan, D., & Wood, D.(2002). Support for students with academic difficulties. Med Educ, 36, 643-650 https://doi.org/10.1046/j.1365-2923.2002.01259.x
  18. Stewart, S.M., Lam, T.H., Betson C.L., Wong, C.M., & Wong, A.M.(1999). A prospective analysis of stress and academic performance in the first two years of medical school. Med Educ, 33, 243-250 https://doi.org/10.1046/j.1365-2923.1999.00294.x
  19. The Korean Council of Medical College & Medical School.(2007). Report on mental health of medical students in Korea: a national survey. Seoul: The Korean Council of Medical College & Medical School
  20. Yoon, S.D., Seo, S.J., Park, W.H., & Song, J.Y. (1989). A national analysis of fluking rate in medical School, 1982-1986. Keimyung Univ Med J, 8, 212-222