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Modelling the impact of old and new mechanisms of entry and selection to medical school in Ireland: who gets in?

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Abstract

Background

Several changes to entry and selection to medical school in Ireland were introduced in 2009 including the addition of a specialised admission test the Health Professionals Admissions Test (HPAT-Ireland).

Aims

We wished to determine the impact of each aspect of the reforms by modelling outcomes if old and new mechanism had prevailed, the extent to which applicants and entrants repeated the leaving certificate, and leaving certificate and HPAT-Ireland scores of successful candidates.

Methods

The leaving certificate and HPAT scores of all medical school applicants and entrants in 2009 and 2010 were analysed.

Results

Data were available for 2,913 applicants in 2009 and 3,292 applicants in 2010. In 2009, over 33 % of students admitted to medicine would not have been admitted if the decision was based solely on their leaving certificate. The corresponding figure for 2010 was 44 %. In 2009, if entry had been based on the combined HPAT-Ireland and an un-moderated leaving certificate score, this would have affected the outcomes in 5 % of applicants or 25 % of those who secured a medical school place. The corresponding figures for 2010 are 6 and 24 %, respectively. Since 2009 applicants and entrants are far less likely to repeat the leaving certificate examination. HPAT-Ireland entry scores appear relatively stable while leaving certificate scores have varied in an upward direction.

Conclusions

All of the reforms to medical school admission have contributed significantly in determining outcomes. The addition of the HPAT-Ireland adjunct admission test equates with the impact of moderation of leaving certificate points.

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Acknowledgments

The authors wish to acknowledge all of the other members of the Research Group Professor Bill Powderly UCD representing Council of Deans of Faculties with Medical Schools of Ireland, Professor Fidelma Dunne NUIG, Professor Deirdre Mc Grath, UL, Professor Martina Hennessy TCD, Dr Jason Last UCD, and Dr Richard Arnett RCSI. A special thanks is extended to Mr Ivor Gleeson Central Applications Office (CAO) who is a member of the Group and the Admission Officers in each school whose insights continue to influence all aspects of the research. The authors wish to acknowledge the financial support received from the Higher Education Authority.

Conflict of interest

None.

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Authors and Affiliations

  1. University College Cork, Cork, Ireland

    S. O’Flynn

  2. Department of Biostatistics, University College Cork, Cork, Ireland

    T. Fitzgerald

  3. Lesotho College of Education, Maseru, South Africa

    A. Mills

Authors
  1. S. O’Flynn
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  2. T. Fitzgerald
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  3. A. Mills
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Corresponding author

Correspondence to S. O’Flynn.

Additional information

A. Mills is a previous member of national research group evaluating revised entry mechanisms to medicine.

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O’Flynn, S., Fitzgerald, T. & Mills, A. Modelling the impact of old and new mechanisms of entry and selection to medical school in Ireland: who gets in?. Ir J Med Sci 182, 421–427 (2013). https://doi.org/10.1007/s11845-013-0904-3

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  • DOI: https://doi.org/10.1007/s11845-013-0904-3

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