Abstract Title
Possible Factors Associated with Dropout Thoughts Among Students at a Government Medical School

Authors

Prof.Hamza Abdulghani
Raghad Alotaibi
Khuloud Alenzy
Najlaa Al-Subeeh

Theme

Best Practices in Student Engagement and Support

INSTITUTION

College of Medicine, King Saud University, Saudi Arabia

Background

Although College of Medicine at King Saud University (KSU) is one of the oldest medical schools in the Middle East, and has very restricted and high-quality students’ selection criteria. Some medical students still think of dropping out. However, We found no local published studies looking deeply into this phenomenon. Therefore, this study was conducted to measure the prevalence and the possible factors associated significantly with the potential thoughts of dropping out among medical students, during the academic year 2016-2017.

 

Summary of Work

A cross-sectional study was conducted among KSU medical students from all academic levels, during the academic year 2016-2017. A self-administered questionnaire was constructed, validated and then distributed electronically via e-mail to all medical students (approximately 1500 students). The students were followed up manually to improve the response rate. Only 587 students returned completed questionnaires, for an overall response rate of 39.13%. the statistical analysis was performed using Statistical Package for the Social Sciences (SPSS) version 22 software. (SPSS Inc., Chicago, IL, USA). We assumed there was a statistically significant difference when P-value less than 0.05 (P < 0.05). Approval from the ethical research committees in KSU College of Medicine in Riyadh, Saudi Arabia was obtained. 

Summary of Results

The overall response rate was 39.13%. 306 of the students were males and 281 were females. The majority of them were single (98.5%). 92.7% of the students live with their families, and 13.9% have at least one doctor parent. More than half (51.4%) of KSU medical students have thought of withdrawal at least once. Only 25.2% of American medical students in a multi-institutional study reported having thought of withdrawal. The odds of thinking of dropping out among students whose decisions to enter medical school were influenced by the surroundings were 91% more than their peers who decided by their own (OR=1.912,P=0.000). High school passing percentage, aptitude and achievement tests scores as pre-admission criteria failed to signify any relation to dropout thoughts among KSU medical students (P= 0.570, 0.630, 0.828). However, this is not the case in most of the studies where having implemented strict pre-admission criteria decreased the dropout rate dramatically. On the other hand, studying according to a plan and prioritizing tasks in managing time were common characteristics of students who have not had thoughts of withdrawal. Given the p-values 0.001 and 0.000, respectively.

Conclusion

Dropout thoughts prevalence among KSU medical students is very high. Academic struggling is accused as the number one reason behind these attacks of dropout thoughts. Medical Education department at KSU should implement some sort of academic guidance programs. Addressing symptomatic students to help them tackle precipitants of withdrawal thoughts, before actually dropping out.

Take-home Messages
  • Actual dropout among KSU medical students should be obtained.
  • Conducting such study in the other Saudi medical schools (governmental and private) is highly recommended.Interviewing students who are already withdrawn is also needed.
  • Academic guidance programs should be implemented to detect symptomatic students before actually dropping out.
Acknowledgement

We would like to thank Dr. Shafi Ahmad and Dr. Tauseef Ahmed our tutors, for their continuous guidance in completing this project.

References
Background

Summary of Work

We calculated the frequencies and percentages for all nominal variables, mean and stander deviation for numerical (measurable) variables. We used Chi-square test or Fisher's exact test to compare the all-nominal variables between the students who thought of dropping out from medical school and those who did not think to dropping out from the medical school. Also, we used student t-test for two independent groups to compare between the two groups of students concerning to measurable variables (GPA and the percentage of the high school passing). 

Summary of Results

Conclusion
Take-home Messages
Acknowledgement
References
  1. https://en.oxforddictionaries.com/definition/dropout
  2. Stetto JE, Gackstetter GD, Cruess DF, Hooper TI. Variables associated with attrition from uniformed services university of the health sciences medical school. Military medicine. 2004 Feb;169(2):102-7.
  3. Lassibille G, Navarro Gómez L. Why do higher education students drop out? Evidence from Spain. Education Economics. 2008 Mar 1;16(1):89-105.
  4. Mørcke AM, O’Neill L, Kjeldsen IT, Eika BE. Selected determinants may account for dropout risks among medical students. Dan Med J. 2012 Sep 1;59:A4493.
  5. Maher BM, Hynes H, Sweeney C, Khashan AS, O’Rourke M, Doran K, Harris A, Flynn S. Medical school attrition-beyond the statistics a ten year retrospective study. BMC medical education. 2013 Jan 31;13(1):1.
  6. O’Neill LD, Wallstedt B, Eika B, Hartvigsen J. Factors associated with dropout in medical education: a literature review. Medical education. 2011 May 1;45(5):440-54.
  7. Reibnegger G, Caluba HC, Ithaler D, Manhal S, Neges HM, Smolle J. Dropout rates in medical students at one school before and after the installation of admission tests in Austria. Academic Medicine. 2011 Aug 1;86(8):1040-8.
  8. Han ER, Chung EK, Oh SA, Chay KO, Woo YJ. Medical students' failure experiences and their related factors. Korean journal of medical education. 2012 Sep 30;24(3):233-40.
  9. Lazin R, Neumann L. Student characteristics as predictors of drop‐out from medical school: admissions to Beer‐Sheva over a decade. Medical Education. 1991 Sep 1;25(5):396-404.
  10. Arulampalam W, Naylor R, Smith J. Factors affecting the probability of first year medical student dropout in the UK: a logistic analysis for the intake cohorts of 1980–92. Medical Education. 2004 May 1;38(5):492-503.
  11. Dyrbye LN, Thomas MR, Power DV, Durning S, Moutier C, Massie Jr FS, Harper W, Eacker A, Szydlo DW, Sloan JA, Shanafelt TD. Burnout and serious thoughts of dropping out of medical school: a multi-institutional study. Academic Medicine. 2010 Jan 1;85(1):94-102.
  12. Abdulghani HM. Admission criteria for Saudi Health Colleges: The current status and a literature review. Med Channel. 2009;15(3):18-21.
  13. O’Neill L, Hartvigsen J, Wallstedt B, Korsholm L, Eika B. Medical school dropout‐testing at admission versus selection by highest grades as predictors. Medical Education. 2011 Nov 1;45(11):1111-20
  14. Faizullina K, Kausova G, Kalmataeva Z, Nurbakyt A, Buzdaeva S. Career intentions and dropout causes among medical students in Kazakhstan. Medicina (Kaunas). 2013 Jan 1;49(6):284-90.
  15. Kadmon G, Resch F, Duelli R, Kadmon M. Predictive Value of the School-leaving Grade and Prognosis of Different Admission Groups for Academic Performance and Continuity in the Medical Course–a Longitudinal Study. GMS Zeitschrift für Medizinische Ausbildung. 2014;31(2).
  16. Albert A, Firket H, Castermans A. Student population changes and progress in Belgian medical schools. Medical education. 1989 Jan 1;23(1):39-47.
  17. Arulampalam W, Naylor RA, Smith JP. Dropping out of medical school in the UK: explaining the changes over ten years. Med Educ 2007;41 (4):385–94. 
Send ePoster Link