title: Should applicants to Nottingham University Medical School study a non-science A-level? A cohort study.
abstract: BACKGROUND
  It has been suggested that studying non-science subjects at A-level should be compulsory for medical students. Our admissions criteria specify only Biology, Chemistry and one or more additional subjects. This study aimed to determine whether studying a non-science subject for A-level is an independent predictor of achievement on the undergraduate medical course.
  
  
  METHODS
  The subjects of this retrospective cohort study were 164 students from one entry-year group (October 2000), who progressed normally on the 5-year undergraduate medical course at Nottingham. Pre-admission academic and socio-demographic data and undergraduate course marks were obtained. T-test and hierarchical multiple linear regression analyses were undertaken to identify independent predictors of five course outcomes at different stages throughout the course.
  
  
  RESULTS
  There was no evidence that the choice of science or non-science as the third or fourth A-level subject had any influence on course performance. Demographic variables (age group, sex, and fee status) had some predictive value but ethnicity did not. Pre-clinical course performance was the strongest predictor in the clinical phases (pre-clinical Themes A&B (knowledge) predicted Clinical Knowledge, p < 0.001, and pre-clinical Themes C&D (skills) predicted Clinical Skills, p = or< 0.01).
  
  
  CONCLUSIONS
  This study of one year group at Nottingham Medical School provided no evidence that the admissions policy on A-level requirements should specify the choice of third or fourth subject.
authors.affiliation: Medical Education Unit, B94 Medical School, Queen's Medical Centre, Nottingham, NG7 2UH, UK. janet.yates@nottingham.ac.uk
authors.forename: Janet
authors.initials: J
authors.lastname: Yates
authors.forename: Jennifer
authors.initials: J
authors.lastname: Smith
authors.forename: David
authors.initials: D
authors.lastname: James
authors.forename: Eamonn
authors.initials: E
authors.lastname: Ferguson
mesh_terms: D015331:Cohort Studies; D004504:Education, Medical, Undergraduate; D004521:Educational Measurement; D006801:Humans; D012189:Retrospective Studies; D012570:School Admission Criteria; D012586:Science / Q000193:education*; D013337:Students, Medical