The Landscape of Differential Attainment in Medicine A Student's View

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Catherine Dominic


Differential attainment is the unexplained variation in results in assessment, training, and recruitment outcomes seen in candidates based on factors other than academic ability when compared to their peers. This is seen in both the medical school curriculum and in many professions beyond. It is an unfortunate fact that in spite of recognition and awareness at a systemic level, there is little if any resolution.  DA must be recognised as a systemic bias rather than an individual issue. 

More research into the causes is required, as well as the implementation and evaluation of potential solutions. Interventions need to be made in the learning environment, culture, educational governance, leadership, support for educators, in the development of responsive curricula and fair assessments. In order to build a fairer training system, it is important that we review and act on existing inequality through organisational change.

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How to Cite
Dominic, C. (2020). The Landscape of Differential Attainment in Medicine: A Student’s View. Sushruta Journal of Health Policy & Opinion, 13(3).
Author Biography

Catherine Dominic, Queen Mary's University, London, UK

MBBS Student, The Barts & The London Medical School


1. Rimmer A. The state of UK medical education and practice: report from the GMC. BMJ. 2016;i5983.
2. Bamrah J, Chand K. The best birthday present for the NHS? An end to its institutional racism [Internet]. the Guardian. 2020 [cited 19 July 2020]. Available from:
3. [Internet]. 2020 [cited 19 July 2020]. Available from:
4. Woolf, K. Fair training pathways: understanding differential attainment in medicine [Internet]. Improving medical education and practice across the UK. 2020 [cited 19 July 2020]. Available from:
5. Woolf K, Rich A, Viney R, Needleman S, Griffin A. Perceived causes of differential attainment in UK postgraduate medical training: a national qualitative study. BMJ Open. 2016;6(11):e013429
6. Ng, T., Eby, l., Sorensen, K., Feldman, D. Predictors of objective and subjective career success: a meta-analysis. Personnel Psychology. 2005;58(2):367-408.
7. Woolf K. Ethnic stereotypes and the underachievement of UK medical students from ethnic minorities: qualitative study. BMJ. 2008;337(sep01 2):a1470-a1470
8. Woolf K. Differential attainment in medical education and training. BMJ. 2020;:m339
9. Woolf K, Potts H, McManus I. Ethnicity and academic performance in UK trained doctors and medical students: systematic review and meta-analysis. BMJ. 2011;342(mar08 1):d901-d901
10. RCGP threatened with court action again over BME bias [Internet]. Pulse Today. 2020 [cited 19 July 2020]. Available from:,differential%20attainment%20in%20the%20exam
11. Woolf K, Viney R, Rich A, Jayaweera H, Griffin A. Organisational perspectives on addressing differential attainment in postgraduate medical education: a qualitative study in the UK. BMJ Open. 2018;8(3):e021314

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