Changing approach to undergraduate studies documented during annual appraisal of medical students.

Background: Transition from school to university life involves maturation changes in areas of academic and personal life.

Method: Evaluation of factors involved was studied though analysis of appraisal interview outcomes during the first two years, which documented achievements and goal setting in 511 medical students (98% of two student-year cohorts). Qualitative analysis identified key issues in study skills, aspects of personal lives and differences in approach to university life.

Results: Study goals were identified in 71% of first-year students. New study skills goals were set by over one-third of students in year 2, including goals for change in both learning techniques and assessment preparation. Organizational skills deficiencies were identified in 24.5% of first years, and as a new issue in an additional 16% of second years. Personal difficulties had little impact on resolution of study skills goals, whilst imbalances in study-leisure activities and organizational skills were significant. Motivation and consideration of career choice remained unresolved in 4.5% of second-year students. Some 63% of second years reported changes in approach to studies following discussion during the previous year's appraisal.

Conclusion: Appraisals are resource intensive but valued highly by students. Appraisal outcomes provided valuable information elucidating factors affecting transition into university life.