Effects of rising tuition fees on medical school class composition and financial outlook.

Autor: Kwong, Jeff C., Dhalla, Irfan A., Streiner, David L., Baddour, Ralph E., Waddell, Andrea E., Johnson, Ian L.
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Zdroj: Canadian Medical Association Journal (CMAJ); 4/16/2002, Vol. 166 Issue 8, p1023, 6p, 3 Charts, 1 Graph
Abstrakt: Background Since 1997, tuition has more than doubled at Ontario medical schools but has remained relatively stable in other Canadian provinces. We sought to determine whether the increasing tuition fees in Ontario affected the demographic characteristics and financial outlook of medical students in that province as compared with those of medical students in the rest of Canada. Methods As part of a larger Internet survey of all students at Canadian medical schools outside Quebec, conducted in January and February 2001, we compared the respondents from Ontario schools with those from the other schools (control group). Respondents were asked about their age, sex, self-reported family income (as a direct indicator of socioeconomic status), the first 3 digits of their postal code at graduation from high school (as an indirect indicator of socioeconomic status), and importance of financial considerations in choosing a specialty and location of practice. We used logistic regression models to see if temporal changes (1997 v. 2000) among Ontario medical students differed from those among medical students elsewhere in Canada apart from Quebec. Results Responses were obtained from 2994 (68.5%) of 4368 medical students. Across the medical schools, there was an increase in self-reported family income between 1997 and 2000 ( p = 0.03). In Ontario, the proportion of respondents with a family income of less than $40 000 declined from 22.6% to 15.0%. However, compared with the control respondents, the overall rise in family income among Ontario students was not statistically significant. First-year Ontario students reported higher levels of expected debt at graduation than did graduating students (median $80 000 v. $57 000) ( p < 0.001), and the proportion of students expecting to graduate with debt of at least $100 000 more than doubled. Neither of these differences was observed in the control group. First-year Ontario students were also more likely than fourth-year Ontario... [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index