attrition in Medical schools is a major concern, attrition rates are one of the
important indicators being used by the accrediting bodies to measure the medical
schools’ performance. Having understood the gravity of this issue, medical schools
are paying great attention to curb the attrition rate. This review aims to understand
the various reasons identified by worldwide medical schools for the attrition of
students. The reasons identified by different medical schools and the attrition
rate, detailed in this study will be of great value to the medical school administrators
to address the attrition in their respective medical schools.
on the determined eligibility criteria, six electronic databases were searched in
the year 2018 for relevant articles. Nine relevant articles were chosen for the
study, the articles where chosen based on the experience of different medical schools
from different countries, which include the UK, Nigeria, Jeddah, Croatia, Pakistan,
Ireland, Kingdom of Saudi Arabia, Israel and Malaysia. Articles that reported the
attrition rate and the reasons were chosen. An analysis was done to understand the
experience of the worldwide medical schools and the reason attributed to attrition.
careful analysis of nine articles reveals that the attrition rate varied from 3.8%
in Saudi Arabia to 26% in Croatia medical schools. UK medical school showed an attrition
rate of 14%, Ireland- 5.7%, Nigeria- 7.8%, Jeddah- 20.8%, Croatia- 26%, Pakistan-16%,
Kingdom of Saudi Arabia-3.8%, Israel- 12.6% and Malaysia- 5.9%. An average attrition
rate of 12.5% was found in all schools from different countries.
major reason for attrition is found to be academic difficulty followed by absenteeism,
isolation, personal problems, psychological problem, and financial problems.
Conclusion: Investment into medical education is expensive compared to the other
programs and dropping out from medical schools has multiple implications. The individual
student has a major setback in life, the society loses the professional manpower.
The medical school loses its revenue and waste its professionals time. In most cases
it is observed that students drop out because of academic difficulty hence, it is
imperative that medical schools pay more attention to screening students academically
and psychologically. It should also create strong students support system and academic
mentoring to minimize dropouts.
Keywords: Attrition Rate, Reasons
for attrition, Academic difficulty, Dropouts.
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