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Student Careers

Life in the fast lane: graduate entry to medicine

BMJ 2004; 329 doi: https://doi.org/10.1136/sbmj.0410368 (Published 01 October 2004) Cite this as: BMJ 2004;329:0410368
  1. Bruno Rushforth, preregistration house officer1
  1. 1Leeds General Infirmary

In the United Kingdom, the number of four year fast track graduate entry programmes to medicine has expanded, and 700 students are now recruited this way every year. But are these courses better, worse, or just different? Bruno Rushforth finds out more

The number of medical student places in the United Kingdom has dramatically increased in recent years, with intake up by 60% since 1997.1 This drive to recruit more doctors has led to an increase in the number of places at existing schools, four brand new medical schools, and different types of courses in an attempt to attract potential applicants from a wider range of backgrounds and with broader life experiences.

In the past, many medical schools accepted a small proportion of mature students on their traditional courses. Such students already held another degree or had been working before deciding to study medicine and studied the standard five or six year undergraduate course, alongside school leavers.

Fast track four year graduate entry courses, specifically aimed at those with a previous degree, did not exist in the United Kingdom 10 years ago, but today 14 graduate entry programmes exist, and further expansion is likely.

Box 1: Advantages and disadvantages of graduate entry programmes

Advantages

  • Shorter course length (4 versus 5 or 6 years)

  • NHS bursary from year 2 onwards

  • Greater emphasis on self directed learning, which can suit older students

  • Several courses accept graduates of any discipline

  • Enthusiastic and innovative faculty staff

Disadvantages

  • Intensity of the course can be highly demanding

  • Specific entrance exam for many courses

  • Most courses do not yet have a proven track record

  • Little time to undertake paid work during the course

  • Higher competition for places than traditional 5 or 6 year courses

Box 2: What does it mean to me?

  • Potential applicants - More choice in the options available to become a doctor

  • Medical students - influx of older students from graduate courses …

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