Several factors influence the quality of higher education, inputs such as quality of
students and teachers, the curriculum and the pedagogy. The purpose of our research was to
examine whether there were any differences in learner autonomy as measured by self-directed
learning readiness (SDLR) between secondary school students who entered medicine with a local
Bahraini school certificate and those students who entered with an international school certificate.
Using a modified questionnaire we identified how elements such as self-management, desire for
learning, self-control and total SDLR scores varied in relation to the student’s previous exit award:
‘A’ levels (or equivalent) or Bahrain Secondary School (BSS) certificate. BSS certificate students
had a significantly lower mean standardised desire for learning score (63.5) compared to those
entering with ‘A’ levels or equivalent (73.6; p=0.003). BSS certificate students also had a
significantly lower mean total self-directed learning readiness score (192.3) compared to those
students with the ‘A’ levels and equivalent (214.5; p=0.015). When we controlled for all the other
factors, secondary school award certificate was the only independent predictor of self-control
(standardised beta 0.4; p=0.02) and SDLR (standardised beta 0.36; p=0.043). Social shifts and
changing economic workforce requirements both regionally and globally are driving an increased
interest in higher education in the Middle East. Students who exit with a local secondary school
certificate are finding it difficult to prepare themselves for independent learning in medical school.
This poses a challenge for higher education institutions bringing a more learner autonomous type
of curriculum to the Middle East