Crisis in High School Exams Revealed by Medical Faculty Failures

The high failure rates in medical colleges in Upper Egypt, such as 23% at Aswan Medical School and 44% at Assiut Medical School, highlight significant challenges in assessing students’ competence and preparing them for medical specialization. These results reflect a low level of student performance after passing secondary school. The issue is partly due to the nature of exam questions, which rely mainly on multiple-choice questions at a rate of 85%, failing to adequately measure analytical and applied skills. Additionally, the heavy weighting of language subjects—up to 44.5%—compared to 55.5% for specialized subjects, contributes to the problem. The continuous assessment system in colleges offers a more accurate reflection of students’ true abilities, prompting experts to suggest modifying the question types to consist of 85% essay-based questions and 15% multiple-choice questions. This approach would better gauge students’ skills and scientific competence. Furthermore, exam results, issues related to cheating, and varying levels of control across some governorates are factors that lead to higher failure rates, raising questions about whether the current secondary education system adequately prepares students for medical specialization.

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