The Health Professions Admission Test, or Hpat, was introduced in 2009 to broaden access to medical school by testing non-academic skills such as problem-solving. It was a variation of similar tests pioneered in Australia and had the laudable goals of not only producing better doctors but also leveling the playing field between those who could afford private schools and additional tuition and those who could not.
Its creators, the Australian Council for Educational Research, claimed that it was neither possible nor worthwhile to study for the exam. However, they had not reckoned with Irish parents and the grind culture that has taken hold since the establishment of the first “grind schools” in the 1970s. Middle class families continue to find new ways to game the CAO system.
Hpat preparatory courses cost up to € 800 and would appear to deliver. Medical faculties report that most students who repeat the exam improve their score and a significant number who gain places do so on the basis of a repeated Hpat.
The question as to whether the introduction of the test actually produced better doctors is hard to answer but is clear that the pendulum has swung back in favour of better-off applicants, if it ever truly swung away from them. Over a third of medical students are now from affluent backgrounds, according to the Higher Education Authority. This compares with 18 per cent for the student body as a whole.
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Several medical schools now want to reduce the weight attached to the Hpat, which can add 300 points to a candidate’s Leaving Cert result, although the average is near half that. Any changes will need to be signed off by their respective universities’ academic councils and the Department of Education will no doubt have something to say.
The proposal is worthy of serious consideration. The system as currently designed is not delivering as expected. However, any downgrading of the Hpat should be accompanied by alternative measures to ensure that students from less affluent backgrounds are fairly represented.
