[Evaluation of the new admission procedures for medical education at the Karolinska Institute: selection based on tests and interviews is best].

: To develop an admission procedure permitting selection of highly motivated medical students with personality characteristics appropriate for a future as practising physicians, from 1992 and onwards the Karolinska Institute based admission on a written test and two interviews (PIL group, n = 135), on upper secondary school grade point average (on a 5-point scale; GPA group, n = 161), on Scholastic Aptitude Test results (SAT group, n = 80), or other criteria (mainly foreign grades), the groups being compared at evaluation of the procedures in 1996. The PIL group scored highest in all respects, including clinical suitability, motivation, relations with classmates, and realistic expectations as to their future work as physicians, and none of them left medical school. Academic results were similar in the GPA group, though the two groups differed in secondary school GPAs (PIL group 4.0, GPA group 4.8(5.0). The evaluation suggested that admission via written test and interviews is a good alternative to conventional admission based on GPA or SAT.