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The Changing Cohort of Medical Students - Birmingham MedSoc Conference

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'The Changing Cohort of Medical Students' Dr Fiona Pathiraja Dr Marie‐Claire Wilson
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The changing cohort of medical students Dr Fiona Pathiraja Dr MarieClaire Wilson November 2011
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Page 1: The Changing Cohort of Medical Students - Birmingham MedSoc Conference

The  changing  cohort  of    medical  students  

Dr  Fiona  Pathiraja  Dr  Marie-­‐Claire  Wilson  

November  2011  

Page 2: The Changing Cohort of Medical Students - Birmingham MedSoc Conference

Objec=ves  •  Address  the  ques=on  “Where  will  your  Medsoc  be  in  2020?”  with  specific  relevance  to  the  changing  nature  of  medical  school  cohorts  

•  Changing  make-­‐up,  behaviours  and  aMtudes  of  future  medical  students  and  how  this  will  relate  to  future  MedSocs    

Page 3: The Changing Cohort of Medical Students - Birmingham MedSoc Conference

About  us    

•  Conquest  Medschools  •  Founded  by  Dr  Marie-­‐Claire  Wilson  and                  Dr  Fiona  Pathiraja  in  2009  

•  Educa=onal  consultancy  with  a  strong  widening  access  focus    

•  Workshops,  summer  schools,  conferences  to  raise  the  issue  of  widening  access  to  the  medical  profession  

Page 4: The Changing Cohort of Medical Students - Birmingham MedSoc Conference

The  medical  student  through  the  ages  

•  Medicine  wasn’t  always  a  respected  profession  

•  There  has  been  a  rise  in  pres=ge  aSached  to  being  a  medical  student    

•  Several  privileges  aSached  to  the  role  

•  Over  the  past  20  years,  admission  to  medical  school  has  become  increasingly  difficult  

Page 5: The Changing Cohort of Medical Students - Birmingham MedSoc Conference

Medical  student  archetypes  

•  Medical  student  communi=es  have  previously  been  quite  homogenous  

•  Only  a  specific  type  of  person,  from  a  specific  type  of  school,  with  specific  types  of  parents  would  have  thought  about  applying  to  medicine  

Page 6: The Changing Cohort of Medical Students - Birmingham MedSoc Conference

An  archetypal  doctor  

Page 7: The Changing Cohort of Medical Students - Birmingham MedSoc Conference

What  is  widening  access?  •  Widening  access  to  the  medical  profession  is  about  encouraging  talented  young  people  from  non-­‐tradi=onal  backgrounds  to  think  about  applying  to  medical  school  

•  Their  parents  may  not  have  been  to  university  and  may  work  in  low-­‐paid  jobs  

•  They  might  go  to  schools  where  no-­‐one  has  ever  applied  to  medicine  before  

 

Page 8: The Changing Cohort of Medical Students - Birmingham MedSoc Conference

The  horizon  of  widening  access  also  includes…  

•  Female  medical  students  

•  Disabled  students  •  Graduate  students  

•  LGBT  students  

Page 9: The Changing Cohort of Medical Students - Birmingham MedSoc Conference

Why  is  this  important?    

•  Our  pa=ent  popula=ons  are  diverse  in  age,  culture,  

•  A  diverse  range  of  doctors  with  different  backgrounds  is  beSer  suited  to  serve  this  pa=ent  popula=on  

Page 10: The Changing Cohort of Medical Students - Birmingham MedSoc Conference

Any  other  thoughts?  

It’s  not  fair  that  bright  people  from  non-­‐tradi=onal  backgrounds  should  be  denied  a  chance  to  study  

medicine  

We  need  all  the  healthcare  workers  we  can  get  –  there  shouldn’t  be  discrimina=on  based  on  background/gender/sexuality,  etc.    

Why  should  we  care  about  whether  disadvantaged  

people  get  into  medical  school  or  not?  

Page 11: The Changing Cohort of Medical Students - Birmingham MedSoc Conference

On  the  poli=cal  agenda…  

•  A  pre-­‐condi=on  of  the  establishment  of  new  medical  schools  was  to  have  ac=ve  widening  par=cipa=on  programmes  

•  In  Oct  2003  John  HuSon  announced  that  £3m  was  available  to  fund  pilot  projects  to  aSract  a  wider  range  of  people  into  the  healthcare  professions  

•  HEFCE  allocated  a  further  £6m  to  widen  par=cipa=on  .  Many  of  the  pilot  projects  were  however  delayed    

Page 12: The Changing Cohort of Medical Students - Birmingham MedSoc Conference

BMA  survey  findings  The  BMA  report  in  their  Survey  of  Medical  Student  Finance  2008/09  that:    •  Only  15%  of  respondents  were  from  skilled  trades,  semi-­‐skilled  and  unskilled  occupa=onal  backgrounds  

•  Only  5%  came  from  semi-­‐skilled  and  unskilled  occupa=onal  backgrounds  

•  LiSle  change  from  1999  

Page 13: The Changing Cohort of Medical Students - Birmingham MedSoc Conference

BMA  survey  findings  Barriers:  •  Finance,  funding  support  and  debt  

•  Interview  and  communica=on  techniques  

•  Lack  of  informa=on  •  Entry  tests/UKCAT  •  Paths  into  the  professions  including  flexible  entry  

•  Work  experience  

Page 14: The Changing Cohort of Medical Students - Birmingham MedSoc Conference

The  medical  student  cohort  in  2020  

Will  be  more  reflec=ve  of  our  

society  

Won’t  be  much  different  to  

now  

Students  will  be  consumers/  customers  

Only  the  rich  will  be  able  to  afford  uni  

Page 15: The Changing Cohort of Medical Students - Birmingham MedSoc Conference

What  does  this  mean  for  MedSocs?  

•  What  will  your  medical  school  be  like  in  2020?  

•  Who  will  be  on  your  MedSoc?  

•  Should  MedSocs  be  involved  in  widening  access?  –  If  so,  how?  

Page 16: The Changing Cohort of Medical Students - Birmingham MedSoc Conference

MedSocs  levelling  the  playing  field  

•  MedSocs  could  help  students  from  non-­‐tradi=onal  backgrounds  through:  – Knowing  the  local  schools    – Work  experience  schemes  – Mentoring  across  the  applica=on  process  from  UKCAT/BMAT  to  interviews  

– Providing  informa=on  and  advice  and  being  accessible  

Page 17: The Changing Cohort of Medical Students - Birmingham MedSoc Conference

Rough  cost  calcula=on  of  aSending  medical  school    

•  University fees at £9,000 over 5 years = £45,000

•  Living costs at £6,120 over 6 years = £36,720

•  Books/learning aids at £200 over 6 years = £1,200

•  Additional costs e.g. Professional Studies Loan/overdraft = £10,000

TOTAL POTENTIAL COST at medical school = £92,920

Page 18: The Changing Cohort of Medical Students - Birmingham MedSoc Conference

Rough  calcula=on  of  postgraduate  costs  to  become  a  hospital  doctor  

•  GMC license to practice £1,780 •  Postgraduate exams £1,456 •  Courses for exams £1,500 •  Books and subscriptions £1,000 •  Courses and conferences over 9

years £10,000 •  Travel to place of work over 9

years £9,000

Basic total: £24,736

Page 19: The Changing Cohort of Medical Students - Birmingham MedSoc Conference

Es=mated  personal  cost  of  a  UK  medical  educa=on  

 £117,656  

Page 20: The Changing Cohort of Medical Students - Birmingham MedSoc Conference

Cost  to  the  taxpayer  of  training  a  UK  medical  student  

£250,000  

Page 21: The Changing Cohort of Medical Students - Birmingham MedSoc Conference

MedSocs  are  now  represen=ng  medical  student  consumers    

•  If  HE  becomes  increasingly  expensive,  it  is  possible  that  students  will  be  more  like  consumers  and  demand  more  of  their  universi=es  

•  Consumers  want  more  for  their  money  and  are  not  afraid  to  complain,  cri=que  and  lobby  to  get  the  most  for  their  investment  

•  Shaping  the  face  of  medicine  should  now  be  a  much  easier  thing  to  do    

Page 22: The Changing Cohort of Medical Students - Birmingham MedSoc Conference

What  is  the  medsoc’s  posi=on  in  2020?  

•  Students  are  now  investors  and  have  a  stronger  stake  in  their  future  

•  BeSer  posi=oned  to  change  the  face  of  medicine  

•  The  student  body  and  the  med  socs  who  represent  them  are  in  a  powerful  posi=on  to  nego=ate  change  

•  Think  about  widening  access  and  the  sort  of  med  student  community  you  want  to  be  a  part  of  

Page 23: The Changing Cohort of Medical Students - Birmingham MedSoc Conference

Make  it  happen  

Page 24: The Changing Cohort of Medical Students - Birmingham MedSoc Conference

Contact  details  

•  Email:  [email protected]  

•  TwiSer:    – Conquest  Medschools  @conquestmedsch  – Fiona  Pathiraja  @dr_fiona  – Marie-­‐Claire  Wilson  @MCW_London  

•  Facebook:  – Conquest  Medschools  fan  page  


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