Key result
The recent reform of healthcare education admission in France has created a complex hybrid system that leaves the core issue of fair and effective student selection largely unresolved.
Why the study?
France recently reformed healthcare education admission, but implementation heterogeneity and Covid-19 difficulties caused dismay, leaving fair and effective student selection largely unresolved.
The recent healthcare education reform in France has created a complex hybrid system that fails to fully resolve the challenge of fair and effective student selection.
The hybrid system may not ensure fair medical student selection; leaves open optimal reform evaluation.
France has undertaken the most ambitious reform of healthcare education in more than 10 years. It has resulted in a hybrid system with multiple pathways, granting admission into the healthcare professions after competitive exams. The reform continues the trend to increase the quotas limiting the number of second year healthcare students, and also creates new local access options to healthcare education. However, the heterogeneity in implementation has led, in conjunction with the difficulties caused by the Covid-19 pandemic, to great dismay among students and parents. This article seeks to outline the historical underpinnings of the reform program(s) and argues that the core question - selecting students from the very high number of candidates in a fair and effective manner - remains largely unresolved.
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Brunn et al. (2022) conducted a review in Healthcare education admission. Healthcare education reform was evaluated. The recent reform of healthcare education admission in France has created a complex hybrid system that leaves the core issue of fair and effective student selection largely unresolved.
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