The Government should insist that movement in and out of early medical education becomes easier. A medical student who realises at 18 that medicine is the wrong career will find it almost impossible to move out. Giving up medicine may leave this high-achieving person without a degree at all, in a society where 30 per cent of 18-year-olds go to university. Very few medical students have the chance to get a bachelor's degree, and the student is ineligible for grants to support a fresh start. So the student will stick it out, in order to prove self-discipline and commitment. In this situation, we should rather be surprised that retention rates are good.
DR JACKIE CASSELL
Lewes, East SussexReuse content