Risk factors for a delay in medical education: Results of an online survey among four German medical schools

摘要

Background: Delayed study progress in medical school is a challenging issue for the tax paying community, the faculty and the medical students themselves. Reasons for a delay might be different from known risk factors for academic difficulties.Methods: An online survey regarding delays in the study progress and including a personality test (BFI-10) was presented to medical students from four German medical schools after completion of their 3rd year of study.Results: Of 617 students, 51.2% reported a mean delay of 2.11.5 semesters. Frequent risk factors were secondary employment (69.5%, odds ratio (OR) 1.7, p=0.004), female gender (69.8%, OR 1.6, p=0.007), work or study abroad (35.9%, OR 1.5, p=0.02), a late graduation (5.9%, OR 2.4, p=0.02), as well as support through scholarship or mentoring (19.9%, OR 1.8, p=0.004). Working on doctoral thesis (11.3%, OR 1.9, p=0.03) and structural curricular issues (36.6%, OR 0.9, p=0.7) were frequently identified as obstacles. Support by friends/family was considered helpful by 24.1% (OR 1.4, p=0.09), as well as a high intrinsic motivation (19.1%, OR 0.5, p=0.01). In the BFI-10, students with study delay were more prone to openness and agreeableness.Conclusions: Risk factors for delay are not identical to those for academic difficulties. To decrease the risk for delays, firm curricular structures should be identified and alleviated. Intrinsic motivation is a strong impetus of study progress and additionally might be strengthened by curricular changes.