Lack of continuity from admission to postgraduate career is a problem

EDITOR—The editorial by Rubin highlights a difficult and complex subject, not least because a medical student can go off the rails in many ways and for many reasons.1

Our experience at Imperial College with students who have failed their exams is that many of them have had major problems in their non-academic lives and need help coping with them. What is sad,but probably not surprising, is how few have tried to obtain help when the difficulties started or their work became …