The Honors Program in pathology at Jefferson Medical College provides a vol
untary enrichment opportunity for students who have demonstrated a superior
ability to cope with the pathology curriculum and who rank in the upper fi
fth of their class. This study was performed to determine whether honor stu
dents possess cognitive and psychosocial attributes that distinguish them f
rom their classmates. Students from five academic pars (entering classes 19
91 to 1995) were divided into 3 groups: (1) those who completed the Honors
Program (n = 85), (2) those in the top 20% of the class who were offered th
e option but chose not to participate in the Honors Program in = 128), and
(3) students who did not qualify for the program (n = 953). Comparisons bet
ween these three groups were made on the basis of selected measures of acad
emic achievement retrieved from the Jefferson Longitudinal Study database a
nd psychosocial data obtained from a questionnaire completed during the fir
st-year orientation. Students who completed the Honors Program in pathology
had scored higher on the physical science section of the Medical College A
dmission Test (MCAT) and had obtained higher first-year grade point average
s than students in both of the other groups. Subsequently, they attained hi
gher second-year grade point averages and scored higher on Step 1 and Step
2 of the United States Medical Licensing Examination (USMLE), compared with
their peers in the other groups. There were no significant differences in
psychosocial measures between honor students and the rest of the cohort (gr
oup 3). However, students in the top 20% of the class who declined the invi
tation to participate in the Honors Program (group 2) showed higher scores
on the Taylor Manifest Anxiety Scale and the Eysenck Emotional instability
(Neuroticism) Scale than did their classmates. Despite these differences, s
tudents who completed the Honors Program (group 1) and eligible students wh
o declined participation (group 2) selected similar pathways of postgraduat
e residency training: both groups preferred internal medicine to family pra
ctice, and both were more likely than the rest of the cohort to begin resid
ency training at a top-ranked academic/research medical center. Voluntary p
articipation in an Honors Program is a self-selection system that identifie
s students who are most likely to succeed academically at the highest level
s. Residency selection committees may wish to pay close attention to studen
t involvement in similar programs, because this information may provide ins
ights into student personality and general aptitude. Copyright (C) 1999 by
W.B.. Saunders Company.