Medical school selection is a sociohistorical embedded activity: A comparison of five countries
2025

Medical School Selection Practices in Five Countries

publication Evidence: moderate

Author Information

Author(s): Jennifer Cleland, Julia Blitz, Eliana Amaral, You You, Kirsty Alexander

Primary Institution: Lee Kong Chian School of Medicine, Nanyang Technological University, Singapore

Hypothesis

How do medical school selection practices differ across Brazil, China, Singapore, South Africa, and the UK, and what sociohistorical influences shape these practices?

Conclusion

Medical school selection practices are deeply influenced by historical, social, and political contexts, leading to significant variations across different countries.

Supporting Evidence

  • Selection practices vary significantly across the five countries studied.
  • Brazil, South Africa, and the UK recognize the unfairness of selecting students solely based on prior attainment.
  • China and Singapore view examination performance as a fair basis for selection.
  • Quotas are used in Brazil and China to address representation, while they are illegal in the UK.

Takeaway

This study looks at how different countries choose students for medical school and how their history and society affect these choices.

Methodology

The paper summarizes discussions among authors from five countries regarding medical school selection practices.

Potential Biases

Potential biases may arise from the authors' backgrounds and the limited scope of literature from Global South countries.

Limitations

The study is based on a review of existing literature and discussions, which may not capture all nuances of selection practices.

Participant Demographics

Authors from Brazil, China, Singapore, South Africa, and the UK, with diverse educational and cultural backgrounds.

Digital Object Identifier (DOI)

10.1111/medu.15492

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