WE-R NHS (Workforce and Education Research NHS)

The challenges of understanding differential attainment in postgraduate medical education

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THE EXTENT OF DIFFERENTIAL ATTAINMENT IN MEDICINE

The gap in achievement between different demographic groups undertaking the same assessment is known as differential attainment. Differential attainment exists within and outside medicine and across undergraduate and postgraduate studies.

Black and Minority Ethnic (BME) doctors perform less well than their white peers in undergraduate and postgraduate assessments. The statistics apply across all medical specialties and to all non-white ethnic groups, with the odds of failure of BME medics being up to 2.5 times higher than that of white medics.2 The General Medical Council3 has found that once in general practice and other specialty training, UK-qualified white candidates have an average 75% pass rate in postgraduate exams compared with 62.7% for UK-qualified BME candidates and 42.7% for non-European international medical graduates. Of UK medical graduates, 72% of BME Foundation doctors applying for a specialty training programme are successful on their first attempt, compared to 81% of white doctors.

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Additional information

Journal Article: 29 August 2019

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Contributed by: WE-R NHS (Workforce and Education Research NHS)
Authored by: Rupal Shah, NHS England, Associate Dean / Education Lead Professional Development
Sanjiv Ahluwalia, Wentworth Medical Practice, Finchley, London., GP
Licence: More information on licences
Last updated: 30 April 2024
First contributed: 07 July 2023
Audience access level: General user

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