摘要：Purpose:This study aimed to identify the predictors of failure in medical students. Methods:We conducted a 10-year follow-up survey of 231 medical students. The students' general characteristics, study-related factors,health-related behavior,and self-perceived health were examined using questionnaires that were given late in the first year of a premedical course. We evaluated the failure incidence of students using school records from the second year of a premedical course to the fourth year of medical school. The statistical analyses that were used were χ 2 -test, student t-test,and multiple logistic regression analysis. Results:Sixty-five students experienced failure. Thirty-seven (56.9%) had 1 failure,11 (16.9%) had 2 failures,8 (12.3%) had 3 failures,4 (6.2%) had 4 failures,and 5 (7.7%) had 5 failures. From the results of multiple logistic regression,the rates of failure were significantly higher for those whose grade point average (GPA) in the first year of a premedical course was below 2.5 (Relative Risk [RR]=6.52,95% Confidence Interval [CI]:1.42~29.8),who smoked more than 1 pack of cigarettes per day (RR=7.37,95% CI:1.23~44.07),who drank more (RR=1.16,95% CI:1.02~1.33),and exercised less (RR=0.997,95% CI:0.995~0.999). Conclusion:It was demonstrated that the incidence of failure in medical students was reflected in their academic records in the first year of a premedical course and by unhealthy lifestyles. This study suggests that students who have poor academic marks and unhealthy lifestyles in the first year of a premedical course should be properly guided to reduce the incidence of failure.
