Table 5

Refined programme theory

Refined programme theory
The success of the Gateway programme was dependent on students being adequately supported across academic, professional, financial and personal domains. Implementation of relevant academic, personal and financial support systems enabled students to successfully transition across educational environments and away from home.
Predicted contextPredicted mechanismsPredicted outcomes
Students undertake a curriculum which is relevant to medicine (C1)Develop confidence in their abilities (M1)Successfully transition through educational environments (O1)
View an application to medicine is attainable and achievable (O2)
Develop preparedness to transition to medical school (O3)
Students are provided with opportunity to undertake relevant healthcare work experience (C2)Develop confidence in their abilities (M1)
Develop professional identity (M2)
Develop financial security (M3)
View an application to medicine is attainable and achievable (O2)
Develop preparedness to transition to medical school (O3)
Students are supported over the course of the programme (C3)Establishing supportive relationships with staff (M4)
Establishing supportive relationships with peers (M5)
Establishing sense of belonging (M6)
Successfully transition through educational environments (O1)
Develop preparedness to transition to medical school (O3)
Successful transition away from home (O4)
Students are identified as university students (C4)Develop professional identity (M2)View an application to medicine is attainable and achievable (O2)
Students feel that they are challenged by the curriculum (C5)Develop professional identity (M2)View an application to medicine is attainable and achievable (O2)
Students receive financial support over the course of the programme (C6)Develop financial security (M3)View an application to medicine is attainable and achievable (O2)
Develop preparedness to transition to medical school (O3)
Students develop familiarity with the university environment (C7)Establishing sense of belonging (M6)Successfully transition through educational environments (O1)
View an application to medicine is attainable and achievable (O2)
Develop preparedness to transition to medical school (O3)
Students develop familiarity with the city environment (C8)Establishing sense of belonging (M6)Successfully transition through educational environments (O1)
View an application to medicine is attainable and achievable (O2)
Develop preparedness to transition to medical school (O3)