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Korean J Med Educ > Volume 21(2); 2009 > Article
Korean Journal of Medical Education 2009;21(2): 143-151. doi: https://doi.org/10.3946/kjme.2009.21.2.143
의과대학생의 유급 발생 예측요인 분석: 일개 의과대학 자료를 중심으로
박종1, 강명근1, 류소연1, 유재원2, 문경래3
1조선대학교 의과대학 예방의학교실
2조선대학교 의과대학 정형외과학교실
3조선대학교 의과대학 소아과학교실
Predictors of Failure in Medical Students
Jong Park1, Myung Geun Kang1, So Yeon Ryu1, Jae Won You2, Kyung Rye Moon3
1Department of Preventive Medicine, College of Medicine, Chosun University, Gwangju, Korea.
2Department of Orthopaedic Surgery, College of Medicine, Chosun University, Gwangju, Korea.
3Department of Pediatrics, College of Medicine, Chosun University, Gwangju, Korea.
Corresponding Author: Jong Park, Tel: 062-230-6482, Fax: 062-225-8293, Email: jpark@chosun.ac.kr
Received: November 7, 2008;  Accepted: February 18, 2009.
PURPOSE: This study aimed to identify the predictors of failure in medical students. METHODS: We conducted a 10-year follow-up survey of 231 medical students. The students' general characteristics, study-related factors, health-related behavior, and self-perceived health were examined using questionnaires that were given late in the first year of a premedical course. We evaluated the failure incidence of students using school records from the second year of a premedical course to the fourth year of medical school. The statistical analyses that were used were chi2-test, student t-test, and multiple logistic regression analysis. RESULTS: Sixty-five students experienced failure. Thirty-seven (56.9%) had 1 failure, 11 (16.9%) had 2 failures, 8 (12.3%) had 3 failures, 4 (6.2%) had 4 failures, and 5 (7.7%) had 5 failures. From the results of multiple logistic regression, the rates of failure were significantly higher for those whose grade point average (GPA) in the first year of a premedical course was below 2.5 (Relative Risk [RR]=6.52, 95% Confidence Interval [CI]: 1.42~29.8), who smoked more than 1 pack of cigarettes per day (RR=7.37, 95% CI: 1.23~44.07), who drank more (RR=1.16, 95% CI: 1.02~1.33), and exercised less (RR=0.997, 95% CI: 0.995~0.999). CONCLUSION: It was demonstrated that the incidence of failure in medical students was reflected in their academic records in the first year of a premedical course and by unhealthy lifestyles. This study suggests that students who have poor academic marks and unhealthy lifestyles in the first year of a premedical course should be properly guided to reduce the incidence of failure.
Keywords: Predictors;Failure incidence;Medical students
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