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. 2010 Apr 27;340:c2040. doi: 10.1136/bmj.c2040

Table 2.

 Measures of performance during medical course for students attending medical school who were later found guilty of serious professional misconduct (cases) or not (controls) after qualifying. Figures are numbers (percentages)

Performance measure Control Case Overall
Exams failed in early course:
 No 134 (56.8) 20 (33.9) 154 (52.2)
 Yes 70 (29.7) 32 (54.2) 102 (34.6)
 Not known 32 (13.6) 7 (11.9) 39 (13.2)
Repeated parts of early course:
 No 192 (81.4) 40 (67.8) 232 (78.6)
 Yes 12 (5.1) 12 (20.3) 24 (8.1)
 Not known 32 (13.6) 7 (11.9) 39 (13.2)
Relative performance on early course:
 High 22 (9.3) 2 (13.4) 24 (8.1)
 Average 143 (60.6) 27 (45.8) 170 (57.6)
 Below average 43 (18.2) 23 (39.0) 66 (22.4)
 Not known* 28 (11.9) 7 (11.8) 35 (11.8)
Exams failed in later course:
 No 176 (74.6) 40 (67.8) 216 (73.2)
 Yes 55 (23.3) 19 (32.2) 74 (25.1)
 Not known 5 (2.1) 0 (0) 5 (1.7)
Repeated parts of later course:
 No 208 (88.1) 48 (81.4) 256 (86.8)
 Yes 21 (8.9) 11 (18.6) 32 (10.8)
 Not known 7 (3.0) 0 (0) 7 (2.4)
Relative performance on later course:
 High 24 (10.2) 7 (11.9) 31 (10.5)
 Average 178 (75.4) 37 (62.7) 215 (72.9)
 Below average 32 (13.6) 15 (25.4) 47 (15.9)
 Not known† 2 (0.9) 0 (0) 2 (0.7)
Intercalated degree:
 No 211 (89.4) 52 (88.1) 263 (89.2)
 Yes 25 (10.6) 7 (11.9) 32 (10.8)
Slow progress (delayed graduation):
 No 214 (90.7) 43 (72.9) 257 (87.1)
 Yes 21 (8.9) 16 (27.1) 37 (12.5)
Adverse comments found:
 No 208 (88.1) 48 (81.4) 256 (86.8)
 Yes 28 (11.9) 11 (18.6) 39 (13.2)

*Three students with no detailed data on early performance had intercalated degrees so were classed as “high performers.” One further student was noted in letter to have “average performance” even though no details were shown, so was classified as average.

†Three of five students with no information on clinical marks were noted from comments to have adequate performance. Two more with a single exam failure noted but no further details of marks were also said to have performed satisfactorily.