{"id":179111,"date":"2025-05-15T15:21:11","date_gmt":"2025-05-15T13:21:11","guid":{"rendered":"https:\/\/www.erasmusmagazine.nl\/en\/?p=179111"},"modified":"2025-12-19T11:27:49","modified_gmt":"2025-12-19T10:27:49","slug":"why-it-is-so-difficult-to-expel-unsuitable-medical-students","status":"publish","type":"post","link":"https:\/\/www.erasmusmagazine.nl\/en\/2025\/05\/15\/why-it-is-so-difficult-to-expel-unsuitable-medical-students\/","title":{"rendered":"Why it is so difficult to expel unsuitable medical students"},"content":{"rendered":"<p><span class=\"NormalTextRun SCXW78725004 BCX0\">Too many m<\/span><span class=\"NormalTextRun SCXW78725004 BCX0\">edical students about whom there are serious doubts <\/span><span class=\"NormalTextRun SCXW78725004 BCX0\">regarding<\/span><span class=\"NormalTextRun SCXW78725004 BCX0\"> their suitability as doctors receive their diploma<\/span><span class=\"NormalTextRun SCXW78725004 BCX0\">, examination committees and programme directors<\/span> <span class=\"NormalTextRun SCXW78725004 BCX0\">say<\/span><span class=\"NormalTextRun SCXW78725004 BCX0\">. <\/span> They have been calling on the government since the start of this century for more options to expel these students. The murder of a lecturer at Erasmus MC in 2023 raises the question: why is it not possible to expel clearly unsuitable students from medical programmes?<\/p>\n<figure class=\"wp-block-image size-large is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"1600\" height=\"1067\" src=\"https:\/\/www.erasmusmagazine.nl\/en\/wp-content\/uploads\/sites\/8\/2025\/05\/15100855\/VERHAAL1_versie1_hoofdbeeld_erasmus-mc_emc_-coschappen_artsen_ongeschikt_studenten_geneeskunde_bal_deur_Hanneke-Rozemuller-1600x1067.jpg?image-crop-positioner-ts=1766139425\" alt=\"\" class=\"wp-image-179058\" srcset=\"https:\/\/www.erasmusmagazine.nl\/en\/wp-content\/uploads\/sites\/8\/2025\/05\/15100855\/VERHAAL1_versie1_hoofdbeeld_erasmus-mc_emc_-coschappen_artsen_ongeschikt_studenten_geneeskunde_bal_deur_Hanneke-Rozemuller-1600x1067.jpg?image-crop-positioner-ts=1766139425 1600w, https:\/\/www.erasmusmagazine.nl\/en\/wp-content\/uploads\/sites\/8\/2025\/05\/15100855\/VERHAAL1_versie1_hoofdbeeld_erasmus-mc_emc_-coschappen_artsen_ongeschikt_studenten_geneeskunde_bal_deur_Hanneke-Rozemuller-875x583.jpg?image-crop-positioner-ts=1766139425 875w, https:\/\/www.erasmusmagazine.nl\/en\/wp-content\/uploads\/sites\/8\/2025\/05\/15100855\/VERHAAL1_versie1_hoofdbeeld_erasmus-mc_emc_-coschappen_artsen_ongeschikt_studenten_geneeskunde_bal_deur_Hanneke-Rozemuller-300x200.jpg?image-crop-positioner-ts=1766139425 300w, https:\/\/www.erasmusmagazine.nl\/en\/wp-content\/uploads\/sites\/8\/2025\/05\/15100855\/VERHAAL1_versie1_hoofdbeeld_erasmus-mc_emc_-coschappen_artsen_ongeschikt_studenten_geneeskunde_bal_deur_Hanneke-Rozemuller-1280x854.jpg?image-crop-positioner-ts=1766139425 1280w, https:\/\/www.erasmusmagazine.nl\/en\/wp-content\/uploads\/sites\/8\/2025\/05\/15100855\/VERHAAL1_versie1_hoofdbeeld_erasmus-mc_emc_-coschappen_artsen_ongeschikt_studenten_geneeskunde_bal_deur_Hanneke-Rozemuller-1536x1024.jpg?image-crop-positioner-ts=1766139425 1536w, https:\/\/www.erasmusmagazine.nl\/en\/wp-content\/uploads\/sites\/8\/2025\/05\/15100855\/VERHAAL1_versie1_hoofdbeeld_erasmus-mc_emc_-coschappen_artsen_ongeschikt_studenten_geneeskunde_bal_deur_Hanneke-Rozemuller-2048x1366.jpg?image-crop-positioner-ts=1766139425 2048w, https:\/\/www.erasmusmagazine.nl\/en\/wp-content\/uploads\/sites\/8\/2025\/05\/15100855\/VERHAAL1_versie1_hoofdbeeld_erasmus-mc_emc_-coschappen_artsen_ongeschikt_studenten_geneeskunde_bal_deur_Hanneke-Rozemuller-150x100.jpg?image-crop-positioner-ts=1766139425 150w, https:\/\/www.erasmusmagazine.nl\/en\/wp-content\/uploads\/sites\/8\/2025\/05\/15100855\/VERHAAL1_versie1_hoofdbeeld_erasmus-mc_emc_-coschappen_artsen_ongeschikt_studenten_geneeskunde_bal_deur_Hanneke-Rozemuller-225x150.jpg?image-crop-positioner-ts=1766139425 225w\" sizes=\"auto, (max-width: 1600px) 100vw, 1600px\" \/><figcaption class=\"wp-element-caption\"><p data-component=\"image-credits\" class=\"flex flex-wrap gap-2 items-center text-base\">\n\t<span aria-hidden=\"true\"><svg width=\"24\" height=\"24\" viewBox=\"0 0 24 24\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n<path d=\"M19.5 5.25H16.9012L15.6234 3.33375C15.555 3.23114 15.4623 3.147 15.3535 3.08879C15.2448 3.03057 15.1233 3.00007 15 3H9C8.87665 3.00007 8.75522 3.03057 8.64648 3.08879C8.53773 3.147 8.44502 3.23114 8.37656 3.33375L7.09781 5.25H4.5C3.90326 5.25 3.33097 5.48705 2.90901 5.90901C2.48705 6.33097 2.25 6.90326 2.25 7.5V18C2.25 18.5967 2.48705 19.169 2.90901 19.591C3.33097 20.0129 3.90326 20.25 4.5 20.25H19.5C20.0967 20.25 20.669 20.0129 21.091 19.591C21.5129 19.169 21.75 18.5967 21.75 18V7.5C21.75 6.90326 21.5129 6.33097 21.091 5.90901C20.669 5.48705 20.0967 5.25 19.5 5.25ZM15.375 12.375C15.375 13.0425 15.1771 13.695 14.8062 14.25C14.4354 14.8051 13.9083 15.2376 13.2916 15.4931C12.6749 15.7485 11.9963 15.8154 11.3416 15.6852C10.6869 15.5549 10.0855 15.2335 9.61351 14.7615C9.14151 14.2895 8.82007 13.6881 8.68985 13.0334C8.55962 12.3787 8.62646 11.7001 8.88191 11.0834C9.13735 10.4667 9.56993 9.93964 10.125 9.56879C10.68 9.19794 11.3325 9 12 9C12.8951 9 13.7535 9.35558 14.3865 9.98851C15.0194 10.6214 15.375 11.4799 15.375 12.375Z\" fill=\"currentColor\"\/>\n<\/svg>\n<\/span>\n\t<span class=\"sr-only\">Image by:<\/span>\n\n\t\t\t<span>\n\t\t\t\t\t\t\t<a href=\"https:\/\/www.erasmusmagazine.nl\/en\/persons\/hanneke-rozemuller\/\" class=\"underline hocus:no-underline decoration-1 underline-offset-2\">Hanneke Rozemuller<\/a>\t\t\t\t\t<\/span>\n\t<\/p>\n<\/figcaption><\/figure>\t<div data-name=\"acf\/featured-text\" class=\"md:mt-6 p-4 md:p-6 lg:p-8 bg-sand-300 theme-sand:bg-white theme-violet:bg-white theme-mocha:bg-white wysiwyg *:last:mb-0!\" >\n\t\t<p>The article in 1 minute:<\/p>\n<ul>\n<li>Examination boards have been seeking greater powers for twenty years to dismiss medical students who are clearly unfit to be doctors.<\/li>\n<li>The current method for doing so, the iudicium abeundi, proves almost unusable in practice.<\/li>\n<li>A student can only be removed from the programme in incidents where patient safety is directly threatened, but supervisors rarely allow matters to escalate to that point.<\/li>\n<li>Administrative red tape and capacity issues mean that programmes sometimes hand out \u2018mercy passes\u2019.<\/li>\n<li>Students often manage to temporarily \u2018behave well\u2019 during assessments, making problematic behaviour insufficiently visible.<\/li>\n<li>The Ministry of Education sees no reason, despite the triple murder by Fouad L., to create more legal options.<\/li>\n<\/ul>\n\n\t<\/div>\n<p>It is September 2022, and general practitioner Marijn Elings feels as though he\u2019s being deceived. After 37 medical interns, it was the first time he immediately thought: how is it possible that you have passed all your medical internships so far? He still loses sleep over it occasionally. \u201cLetting her work in at my general practice did not feel safe. But sending her home was not very educational for her.\u201d Elings was at his wit\u2019s end. He wanted to help the student but felt like he was hitting a wall. \u201cHow is it that someone who knows nothing medically, is not communicative, lacks self-reflection, and scores zero on all core factors, ended up here? I really felt like I was being made a fool of.\u201d<\/p>\n<p>Before a medical intern arrives at a general practitioner, they have completed at least a year and a half of placements in various departments at different hospitals. Elings is used to interns having experience and quickly taking over his seat. Then, he shifts to the stool next to the office chair. \u201cI kept trying for three weeks. I am also a GP for people from a care farm, who often have disabilities. A man with a mental disability eventually said to her: \u2018You give little confidence that you know what you are talking about.&#8217;\u201d It is the only time Elings has prematurely terminated a medical internship.<\/p>\n\n\t<div data-name=\"acf\/posts-list\" >\n\t\t\n\t\t<div class=\"space-y-6 md:space-y-8\">\n\n\t\t\t\t\t\t\t<h2 class=\"text-lg md:text-xl\">Read more<\/h2>\n\t\t\t\n\t\t\t<ul class=\"grid items-strecth grid-cols-1 gap-2 md:gap-4 lg:gap-8\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t<li class=\"@container\">\n\t\t\t\t\t\t\n<div data-component=\"teaser-post-small\" class=\"block-theme-sand  relative flex h-full bg-sand-300\n\tblock-theme-violet:bg-white block-theme-violet:text-purple block-theme-mocha:bg-sand-500 block-theme-mocha:text-brown\n\tblock-theme-sand:bg-sand-300 block-theme-sand:text-neutral-900\n\tblock-theme-violet:outline-purple-100 block-theme-violet:outline-1 block-theme-violet:outline-t-0\n\ttheme-mocha:bg-white! theme-violet:bg-white! theme-sand:bg-white!\n\tflex-row gap-4 @md:gap-8 p-4 @md:p-6\">\n\t\t\t<div class=\"image:w-full image:aspect-square image:object-cover shrink-0 size-17.5 @sm:size-21.25 @md:size-30 @lg:size-40\">\n\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"460\" height=\"307\" src=\"https:\/\/www.erasmusmagazine.nl\/en\/wp-content\/uploads\/sites\/8\/2025\/05\/15100909\/VERHAAL2_hoofdbeeld_erasmus-mc_emc_-coschappen_artsen_ongeschikt_studenten_geneeskunde_sleutelen_hersenen_Hanneke-Rozemuller.jpg?image-crop-positioner-ts=1766139425\" class=\"attachment-square_lg size-square_lg\" alt=\"\" srcset=\"https:\/\/www.erasmusmagazine.nl\/en\/wp-content\/uploads\/sites\/8\/2025\/05\/15100909\/VERHAAL2_hoofdbeeld_erasmus-mc_emc_-coschappen_artsen_ongeschikt_studenten_geneeskunde_sleutelen_hersenen_Hanneke-Rozemuller.jpg?image-crop-positioner-ts=1766139425 2560w, https:\/\/www.erasmusmagazine.nl\/en\/wp-content\/uploads\/sites\/8\/2025\/05\/15100909\/VERHAAL2_hoofdbeeld_erasmus-mc_emc_-coschappen_artsen_ongeschikt_studenten_geneeskunde_sleutelen_hersenen_Hanneke-Rozemuller-875x583.jpg?image-crop-positioner-ts=1766139425 875w, https:\/\/www.erasmusmagazine.nl\/en\/wp-content\/uploads\/sites\/8\/2025\/05\/15100909\/VERHAAL2_hoofdbeeld_erasmus-mc_emc_-coschappen_artsen_ongeschikt_studenten_geneeskunde_sleutelen_hersenen_Hanneke-Rozemuller-1600x1067.jpg?image-crop-positioner-ts=1766139425 1600w, https:\/\/www.erasmusmagazine.nl\/en\/wp-content\/uploads\/sites\/8\/2025\/05\/15100909\/VERHAAL2_hoofdbeeld_erasmus-mc_emc_-coschappen_artsen_ongeschikt_studenten_geneeskunde_sleutelen_hersenen_Hanneke-Rozemuller-300x200.jpg?image-crop-positioner-ts=1766139425 300w, https:\/\/www.erasmusmagazine.nl\/en\/wp-content\/uploads\/sites\/8\/2025\/05\/15100909\/VERHAAL2_hoofdbeeld_erasmus-mc_emc_-coschappen_artsen_ongeschikt_studenten_geneeskunde_sleutelen_hersenen_Hanneke-Rozemuller-1280x854.jpg?image-crop-positioner-ts=1766139425 1280w, https:\/\/www.erasmusmagazine.nl\/en\/wp-content\/uploads\/sites\/8\/2025\/05\/15100909\/VERHAAL2_hoofdbeeld_erasmus-mc_emc_-coschappen_artsen_ongeschikt_studenten_geneeskunde_sleutelen_hersenen_Hanneke-Rozemuller-1536x1024.jpg?image-crop-positioner-ts=1766139425 1536w, https:\/\/www.erasmusmagazine.nl\/en\/wp-content\/uploads\/sites\/8\/2025\/05\/15100909\/VERHAAL2_hoofdbeeld_erasmus-mc_emc_-coschappen_artsen_ongeschikt_studenten_geneeskunde_sleutelen_hersenen_Hanneke-Rozemuller-2048x1366.jpg?image-crop-positioner-ts=1766139425 2048w, https:\/\/www.erasmusmagazine.nl\/en\/wp-content\/uploads\/sites\/8\/2025\/05\/15100909\/VERHAAL2_hoofdbeeld_erasmus-mc_emc_-coschappen_artsen_ongeschikt_studenten_geneeskunde_sleutelen_hersenen_Hanneke-Rozemuller-150x100.jpg?image-crop-positioner-ts=1766139425 150w, https:\/\/www.erasmusmagazine.nl\/en\/wp-content\/uploads\/sites\/8\/2025\/05\/15100909\/VERHAAL2_hoofdbeeld_erasmus-mc_emc_-coschappen_artsen_ongeschikt_studenten_geneeskunde_sleutelen_hersenen_Hanneke-Rozemuller-225x150.jpg?image-crop-positioner-ts=1766139425 225w\" sizes=\"auto, (max-width: 460px) 100vw, 460px\" \/>\n\t\t<\/div>\n\t\n\t<div class=\"flex flex-col gap-2 md:gap-4 \">\n\t\t\t\t<h3 class=\"text-md @lg:text-lg\">\n\t\t\t<a href=\"https:\/\/www.erasmusmagazine.nl\/en\/2025\/05\/15\/with-a-white-coat-comes-enormous-responsibility-how-doctors-guide-medical-interns\/\" class=\"absolute-link text-current hocus:underline inline-block\">\n\t\t\t\tWith a white coat comes enormous responsibility: how doctors guide medical interns\n\t\t\t<\/a>\n\t\t<\/h3>\n\n\t\t<div class=\"flex flex-wrap gap-4 items-center\">\n\t\t\t<span class=\"sr-only\">Gepubliceerd op:<\/span>\n\t\t\t<time class=\"text-sm font-soehne text-neutral-900\" datetime=\"2025-05-15\">15 May 2025<\/time>\n\n\t\t\t\t\t\t\t\t\t\t\t\n\t<ul data-component=\"list-badges\" class=\"flex items-center gap-2 flex-wrap\" aria-label=\"Geplaatst in categorie\">\n\t\t\t\t\t<li>\n\t\t\t\t\t<div data-component=\"badge\" class=\"block-theme-violet:bg-purple font-soehne font-bold text-sm bg-brown-600 block-theme-violet:bg-purple text-white py-[2px] px-2\">\n\t\t\t\t\tEducation\n\t\t\t<\/div>\n\t\t\t<\/li>\n\t\t\t<\/ul>\n\t\t\t\t\t<\/div>\n\n\t\t\t<\/div>\n<\/div>\n\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t<\/ul>\n\n\t\t\t\t\t<\/div>\n\t<\/div>\n<h2 class=\"wp-block-heading\">Deceitful means<\/h2><p>Expelling medical students who exhibit unprofessional behaviour from the programme is incredibly difficult. Programme directors and chairs of examination boards have been drawing attention to this problem for years, as it ultimately concerns a social interest and the safety of patients. <a href=\"https:\/\/www.nejm.org\/doi\/full\/10.1056\/NEJMsa052596\">Research from the United States shows<\/a> that doctors who appear before the disciplinary court often exhibited unprofessional behaviour as students.<\/p>\n<p>In 2022, the chairs of the examination boards of the eight Dutch medical programmes made an appeal to politicians. They want more legal options to exclude students who display unprofessional behaviour from the programme. What weighs heavier, the chairs wonder: \u201cThe protection of society against a potentially faulty future physician or the student\u2019s right to continue their education?\u201d Additionally: \u201cShould a certificate be issued to a dysfunctional student who has obtained their internships through deceitful means or lying behaviour?\u201d<\/p>\n\n\t<div data-name=\"acf\/quote\" class=\"align\" >\n\t\t<div class=\"\">\n\t\t\t<figure data-component=\"quote-with-author\" class=\"@container\">\n\t<blockquote class=\"text-md italic @2xl:text-xl @4xl:text-2xl text-purple\">\n\t\t\u2018Should a certificate be issued to a dysfunctional student who has obtained their internships through deceitful means or lying behaviour?\u2019\n\t<\/blockquote>\n\n\t<\/figure>\n\t\t<\/div>\n\t<\/div>\n<p>The vast majority of medical students are highly suitable, all the doctors EM spoke with confirm. Only a handful of students consistently display unprofessional behaviour and do not improve. This is also the conclusion of the PhD research by GP and UvA researcher Marianne Mak-van der Vossen. She investigates how unprofessional behaviour can be identified and classified, and how to respond to it. \u201cStudents can learn that unprofessional behaviour is not tolerated because it negatively affects future patient care\u201d, she concludes. But a small portion does not learn this. \u201cAt every faculty, we see about two or three students whom you really wish would never receive a diploma\u201d, she says when speaking to <a href=\"https:\/\/www.medischcontact.nl\/actueel\/laatste-nieuws\/artikel\/sommige-studenten-zouden-geen-arts-moeten-kunnen-worden\">Medisch Contact<\/a>. \u201cBut we cannot remove them from the programme.\u201d<\/p>\n<p>Medical programmes have been trying to gain more possibilities to expel unsuitable medical students since the start of this century. Since then, programme directors and chairs of the Examination Board at Erasmus MC have been the driving force behind this in the Netherlands.<\/p>\n\t<div data-name=\"acf\/featured-text\" class=\"md:mt-6 p-4 md:p-6 lg:p-8 bg-sand-300 theme-sand:bg-white theme-violet:bg-white theme-mocha:bg-white wysiwyg *:last:mb-0!\" >\n\t\t<p>How and why EM created this story? You can read that at the bottom of this article.<\/p>\n\n\t<\/div>\n<p>The lobbying led to a legislative amendment, an ultimate means to expel students who are clearly unsuitable for the profession from the programme. This so-called iudicium abeundi came into effect in 2010.<\/p>\n<p>Based on this iudicium abeundi, students deemed unsuitable for the profession due to their behaviour can be expelled. According to the protocol of the Dutch Federation of University Medical Centres, this concerns behaviour for which they would\u2019ve received a disciplinary sanction if they were a licensed doctor at the time of the incident. For example, when students pose a danger to others during lectures, or especially during practical exercises such as internships. This includes behaviour such as intimidation, aggression, violence, or \u2018general dysfunction due to a severe personality disorder\u2019.<\/p>\n<p>However, medical programmes found these measures insufficient. In 2022, all examination boards presented a plan for improvement. In the plan, they state that the iudicium abeundi is \u2018practically an empty shell\u2019, as it rarely occurs that patient safety is at risk. The number of applications of the iudicium abeundi is low. Since its introduction on 1 September 2010, at least four cases have occurred in the Netherlands. All four unsuccessfully appealed against it. A fifth appeal by a student from Rotterdam is currently underway. The verdict is expected in early June.<\/p>\n\n\t<div data-name=\"acf\/posts-list\" >\n\t\t\n\t\t<div class=\"space-y-6 md:space-y-8\">\n\n\t\t\t\t\t\t\t<h2 class=\"text-lg md:text-xl\">Read more<\/h2>\n\t\t\t\n\t\t\t<ul class=\"grid items-strecth grid-cols-1 gap-2 md:gap-4 lg:gap-8\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t<li class=\"@container\">\n\t\t\t\t\t\t\n<div data-component=\"teaser-post-small\" class=\"block-theme-sand  relative flex h-full bg-sand-300\n\tblock-theme-violet:bg-white block-theme-violet:text-purple block-theme-mocha:bg-sand-500 block-theme-mocha:text-brown\n\tblock-theme-sand:bg-sand-300 block-theme-sand:text-neutral-900\n\tblock-theme-violet:outline-purple-100 block-theme-violet:outline-1 block-theme-violet:outline-t-0\n\ttheme-mocha:bg-white! theme-violet:bg-white! theme-sand:bg-white!\n\tflex-row gap-4 @md:gap-8 p-4 @md:p-6\">\n\t\t\t<div class=\"image:w-full image:aspect-square image:object-cover shrink-0 size-17.5 @sm:size-21.25 @md:size-30 @lg:size-40\">\n\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"460\" height=\"307\" src=\"https:\/\/www.erasmusmagazine.nl\/en\/wp-content\/uploads\/sites\/8\/2025\/05\/15100834\/INLEIDEND-VERHAAL_hoofdbeeld_erasmus-mc_emc_-coschappen_artsen_ongeschikt_studenten_geneeskunde_Hanneke-Rozemuller.jpg?image-crop-positioner-ts=1766139425\" class=\"attachment-square_lg size-square_lg\" alt=\"\" srcset=\"https:\/\/www.erasmusmagazine.nl\/en\/wp-content\/uploads\/sites\/8\/2025\/05\/15100834\/INLEIDEND-VERHAAL_hoofdbeeld_erasmus-mc_emc_-coschappen_artsen_ongeschikt_studenten_geneeskunde_Hanneke-Rozemuller.jpg?image-crop-positioner-ts=1766139425 2560w, https:\/\/www.erasmusmagazine.nl\/en\/wp-content\/uploads\/sites\/8\/2025\/05\/15100834\/INLEIDEND-VERHAAL_hoofdbeeld_erasmus-mc_emc_-coschappen_artsen_ongeschikt_studenten_geneeskunde_Hanneke-Rozemuller-875x583.jpg?image-crop-positioner-ts=1766139425 875w, https:\/\/www.erasmusmagazine.nl\/en\/wp-content\/uploads\/sites\/8\/2025\/05\/15100834\/INLEIDEND-VERHAAL_hoofdbeeld_erasmus-mc_emc_-coschappen_artsen_ongeschikt_studenten_geneeskunde_Hanneke-Rozemuller-1600x1067.jpg?image-crop-positioner-ts=1766139425 1600w, https:\/\/www.erasmusmagazine.nl\/en\/wp-content\/uploads\/sites\/8\/2025\/05\/15100834\/INLEIDEND-VERHAAL_hoofdbeeld_erasmus-mc_emc_-coschappen_artsen_ongeschikt_studenten_geneeskunde_Hanneke-Rozemuller-300x200.jpg?image-crop-positioner-ts=1766139425 300w, https:\/\/www.erasmusmagazine.nl\/en\/wp-content\/uploads\/sites\/8\/2025\/05\/15100834\/INLEIDEND-VERHAAL_hoofdbeeld_erasmus-mc_emc_-coschappen_artsen_ongeschikt_studenten_geneeskunde_Hanneke-Rozemuller-1280x854.jpg?image-crop-positioner-ts=1766139425 1280w, https:\/\/www.erasmusmagazine.nl\/en\/wp-content\/uploads\/sites\/8\/2025\/05\/15100834\/INLEIDEND-VERHAAL_hoofdbeeld_erasmus-mc_emc_-coschappen_artsen_ongeschikt_studenten_geneeskunde_Hanneke-Rozemuller-1536x1024.jpg?image-crop-positioner-ts=1766139425 1536w, https:\/\/www.erasmusmagazine.nl\/en\/wp-content\/uploads\/sites\/8\/2025\/05\/15100834\/INLEIDEND-VERHAAL_hoofdbeeld_erasmus-mc_emc_-coschappen_artsen_ongeschikt_studenten_geneeskunde_Hanneke-Rozemuller-2048x1366.jpg?image-crop-positioner-ts=1766139425 2048w, https:\/\/www.erasmusmagazine.nl\/en\/wp-content\/uploads\/sites\/8\/2025\/05\/15100834\/INLEIDEND-VERHAAL_hoofdbeeld_erasmus-mc_emc_-coschappen_artsen_ongeschikt_studenten_geneeskunde_Hanneke-Rozemuller-150x100.jpg?image-crop-positioner-ts=1766139425 150w, https:\/\/www.erasmusmagazine.nl\/en\/wp-content\/uploads\/sites\/8\/2025\/05\/15100834\/INLEIDEND-VERHAAL_hoofdbeeld_erasmus-mc_emc_-coschappen_artsen_ongeschikt_studenten_geneeskunde_Hanneke-Rozemuller-225x150.jpg?image-crop-positioner-ts=1766139425 225w\" sizes=\"auto, (max-width: 460px) 100vw, 460px\" \/>\n\t\t<\/div>\n\t\n\t<div class=\"flex flex-col gap-2 md:gap-4 \">\n\t\t\t\t<h3 class=\"text-md @lg:text-lg\">\n\t\t\t<a href=\"https:\/\/www.erasmusmagazine.nl\/en\/2025\/05\/15\/expelling-unsuitable-medical-students-is-very-difficult-and-the-faculty-considers-this-a-serious-problem\/\" class=\"absolute-link text-current hocus:underline inline-block\">\n\t\t\t\tExpelling unsuitable medical students is very difficult, and the faculty considers this a serious problem\n\t\t\t<\/a>\n\t\t<\/h3>\n\n\t\t<div class=\"flex flex-wrap gap-4 items-center\">\n\t\t\t<span class=\"sr-only\">Gepubliceerd op:<\/span>\n\t\t\t<time class=\"text-sm font-soehne text-neutral-900\" datetime=\"2025-05-15\">15 May 2025<\/time>\n\n\t\t\t\t\t\t\t\t\t\t\t\n\t<ul data-component=\"list-badges\" class=\"flex items-center gap-2 flex-wrap\" aria-label=\"Geplaatst in categorie\">\n\t\t\t\t\t<li>\n\t\t\t\t\t<div data-component=\"badge\" class=\"block-theme-violet:bg-purple font-soehne font-bold text-sm bg-brown-600 block-theme-violet:bg-purple text-white py-[2px] px-2\">\n\t\t\t\t\tCampus\n\t\t\t<\/div>\n\t\t\t<\/li>\n\t\t\t<\/ul>\n\t\t\t\t\t<\/div>\n\n\t\t\t<\/div>\n<\/div>\n\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t<\/ul>\n\n\t\t\t\t\t<\/div>\n\t<\/div>\n<p>In 2015, a student from Leiden was expelled based on this regulation. During his internship in paediatrics, the student approached a 15-year-old patient and her mother via chats and phone outside of working hours and <a href=\"https:\/\/www.medischcontact.nl\/actueel\/laatste-nieuws\/artikel\/lumc-student-uit-opleiding-gezet-na-contact-minderjarige\">made sexual remarks<\/a>. This was sufficient reason to expel him from the programme. His appeal to the College of Appeal for Higher Education was rejected. As far as is known, this was the first iudicium abeundi.<\/p>\n<p>The most recent verdict dates from 2022. In April of that year, Erasmus MC expelled a student; <a href=\"https:\/\/uitspraken.rechtspraak.nl\/details?id=ECLI:NL:RVS:2023:1048\">her appeal was later rejected by the Council of State<\/a>. Already during her first internship, internal medicine at the Elisabeth-Tweesteden Hospital in Tilburg, she was expelled after a month due to \u2018misconduct and thereby endangering patient care\u2019. There were subsequent discussions with a psychologist, a one-year suspension, treatment by a psychiatrist, a resit, two more failures, more resits. Concerns had been raised about her suitability as a doctor during various internships and by a mentor. The Examination Board explicitly asked if she would consider discontinuing her studies. A new psychological evaluation followed. Only then was the dossier sufficiently substantiated for the iudicium abeundi.<\/p>\n<h2 class=\"wp-block-heading\">Extremely difficult<\/h2><p>The examples illustrate how much is needed to expel a student, says cardiologist Ren\u00e9 Tio from Catharina Hospital in Eindhoven. As a former chair of the Groningen Examination Board, he has often seen dossiers full of concerns about students. Without misconduct, an iudicium abeundi is virtually impossible, he explains, even when there are already multiple concerns about professional behaviour in a dossier. Hard evidence is needed that patient safety, or that of colleagues or fellow students, is at risk.<\/p>\n\n\t<div data-name=\"acf\/quote\" class=\"align\" >\n\t\t<div class=\"\">\n\t\t\t<figure data-component=\"quote-with-author\" class=\"@container\">\n\t<blockquote class=\"text-md italic @2xl:text-xl @4xl:text-2xl text-purple\">\n\t\t\u2018Then it\u2019s a matter of frustrating them, to encourage them to do something else\u2019\n\t<\/blockquote>\n\n\t<\/figure>\n\t\t<\/div>\n\t<\/div>\n<p>Expulsion is extremely difficult. \u201cAs a programme, you are obliged to offer resit after resit. You hope to make students increasingly aware that they\u2019re not suitable for the profession. But with students displaying problematic behaviour, that lack of insight is precisely the problem. Then it\u2019s a matter of frustrating them, to encourage them to do something else.\u201d Exam results that eventually expire or need to be retaken are the means of the programme to get a student to quit, Tio explains. That\u2019s basically all the programmes can do, until a student actually poses a danger to themselves or others. That\u2019s why the iudicium abeundi was introduced.<\/p>\n<p>In practice, a situation where patient safety is at stake rarely happens, it appears from discussions with doctors supervising interns. A doctor who doubts a intern\u2019s suitability won\u2019t leave them alone with a patient. \u201cThrough good supervision, the actual breach of patient safety during training is usually prevented\u201d, the chairs of the examination boards wrote in 2022. They proposed that the decision to not leave a intern alone with patients should weigh as heavily as an incident in which patient safety has actually been compromised. Following parliamentary questions about this plan, then Minister of Education Robbert Dijkgraaf stated that he did not agree. The right to education was, in his opinion, too important, and it\u2019s up to doctors to ensure patient safety when interns are at work.<\/p>\n<p>Establishing a dossier is necessary to initiate a procedure, but not all doubts are sufficient to expel someone. \u2018Insufficient functioning (\u2026) in collegial interaction or professional behaviour\u2019 is not enough, as stated in the protocol of the Dutch Federation of University Medical Centres.<\/p>\n\n\t<div data-name=\"acf\/quote\" class=\"align\" >\n\t\t<div class=\"\">\n\t\t\t<figure data-component=\"quote-with-author\" class=\"@container\">\n\t<blockquote class=\"text-md italic @2xl:text-xl @4xl:text-2xl text-purple\">\n\t\t\u2018Yet I often thought: I didn\u2019t want you to become a doctor\u2019\n\t<\/blockquote>\n\n\t<\/figure>\n\t\t<\/div>\n\t<\/div>\n<p>Moreover, it is incredibly difficult to signal unprofessional behaviour, says someone involved in the Rotterdam programme. Anonymously, because this person faced serious threats in relation to this topic. \u201cWe rightly place demands on doctors as a society. Yet I often thought: I didn\u2019t want you to become a doctor. But there was nothing we could do to prevent it. The iudicium abeundi is often only possible if multiple people have expressed their concerns, and even then it\u2019s challenging. Students know what assessors look for and can often behave as expected when it matters. They are, by definition, smart, which can also lead to behaviour that is essentially a form of \u2018faking good\u2019. But medical students must behave towards patients and other stakeholders as a good doctor should, even when there is no assessor around. There was a student who once said to me: \u2018If you want me to hold the door open for someone else, I will. But if no one is looking, I will just close it.&#8217;\u201d<\/p>\n<h2 class=\"wp-block-heading\">Fouad L.<\/h2><p>The most famous example in the Netherlands of a student you would prefer not to become a doctor is probably Fouad L., a student about whom there were concerns for years, about whom there was a dossier \u2013 both inside and outside Erasmus MC. It all wasn\u2019t sufficient to expel him from the programme.<\/p>\n<p>L. had already received all his credits and was about to receive his diploma. Following a report from the Public Prosecution Service, the Examination Board imposed an additional requirement: he would need to undergo a psychological evaluation. The medical student had previously been convicted of animal abuse and exhibited more erratic behaviour. Not receiving his diploma made him furious. In revenge, he murdered his neighbour, her 14-year-old daughter, and Erasmus MC lecturer and GP Jurgen Damen. Just before his arrest, he threw Molotov cocktails into the Education Centre and set fire.<\/p>\n\n\t<p>How could this man progress through the entire programme without being expelled? During the trial against L., one of the judges posed this question. After all, he had, albeit with some delay, passed all exams and ultimately completed his internships. The expert from Pieter Baan Centre summarised the issue during the trial: \u201cInterns come and go. Before you realise where the problem lies, they are gone again.\u201d Especially when someone works hard and quickly picks up the theory, as L. did, it can take a while before problematic behaviour becomes apparent, the expert noted.<\/p>\n<h2 class=\"wp-block-heading\">The overcrowded train<\/h2><p>It seems so obvious: give an unsuitable intern a fail mark when they display problematic behaviour. However, fail marks are often not given, tell doctors and those involved in the programme. A fail has serious consequences for the student (delays), the assessing doctor (a lot of extra work), and the programme (growing waiting lists). Each year, Rotterdam students have five intake opportunities for their internships. Every ten weeks, 78 students can start, so 390 per year. If someone fails? That person or someone else has to wait longer, or an extra spot must be created.<\/p>\n<p>The internships are described as \u2018a moving train\u2019, says Jasper Klasen, PhD candidate and former member of the Joint Assembly, the faculty council at Erasmus MC. Every period is a train that must stay on schedule for efficiency. If a student fails, they must wait on the platform until the next train arrives. The problem is, every train is completely full. \u201cThe system is not built for resits or fails. So when that happens, the programme has to start calling around to hospitals: \u2018Do you have any extra spots?&#8217;\u201d Therefore, there have been instances of mercy passes being given, multiple supervisors confirm.<\/p>\n<div data-component=core\/image><figure data-wp-context=\"{&quot;imageId&quot;:&quot;69eb48438b450&quot;}\" data-wp-interactive=\"core\/image\" data-wp-key=\"69eb48438b450\" class=\"wp-block-image alignleft size-thumbnail is-resized wp-lightbox-container\"><img loading=\"lazy\" decoding=\"async\" width=\"300\" height=\"273\" data-wp-class--hide=\"state.isContentHidden\" data-wp-class--show=\"state.isContentVisible\" data-wp-init=\"callbacks.setButtonStyles\" data-wp-on--click=\"actions.showLightbox\" data-wp-on--load=\"callbacks.setButtonStyles\" data-wp-on-window--resize=\"callbacks.setButtonStyles\" 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https:\/\/www.erasmusmagazine.nl\/en\/wp-content\/uploads\/sites\/8\/2025\/05\/15100903\/VERHAAL1_strooisel_sprinkle_stethoscoop_erasmus-mc_emc_-coschappen_artsen_ongeschikt_studenten_geneeskunde_Hanneke-Rozemuller-1600x1455.jpg?image-crop-positioner-ts=1766139425 1600w, https:\/\/www.erasmusmagazine.nl\/en\/wp-content\/uploads\/sites\/8\/2025\/05\/15100903\/VERHAAL1_strooisel_sprinkle_stethoscoop_erasmus-mc_emc_-coschappen_artsen_ongeschikt_studenten_geneeskunde_Hanneke-Rozemuller-1280x1164.jpg?image-crop-positioner-ts=1766139425 1280w, https:\/\/www.erasmusmagazine.nl\/en\/wp-content\/uploads\/sites\/8\/2025\/05\/15100903\/VERHAAL1_strooisel_sprinkle_stethoscoop_erasmus-mc_emc_-coschappen_artsen_ongeschikt_studenten_geneeskunde_Hanneke-Rozemuller-1536x1396.jpg?image-crop-positioner-ts=1766139425 1536w, https:\/\/www.erasmusmagazine.nl\/en\/wp-content\/uploads\/sites\/8\/2025\/05\/15100903\/VERHAAL1_strooisel_sprinkle_stethoscoop_erasmus-mc_emc_-coschappen_artsen_ongeschikt_studenten_geneeskunde_Hanneke-Rozemuller-2048x1862.jpg?image-crop-positioner-ts=1766139425 2048w, https:\/\/www.erasmusmagazine.nl\/en\/wp-content\/uploads\/sites\/8\/2025\/05\/15100903\/VERHAAL1_strooisel_sprinkle_stethoscoop_erasmus-mc_emc_-coschappen_artsen_ongeschikt_studenten_geneeskunde_Hanneke-Rozemuller-150x136.jpg?image-crop-positioner-ts=1766139425 150w, https:\/\/www.erasmusmagazine.nl\/en\/wp-content\/uploads\/sites\/8\/2025\/05\/15100903\/VERHAAL1_strooisel_sprinkle_stethoscoop_erasmus-mc_emc_-coschappen_artsen_ongeschikt_studenten_geneeskunde_Hanneke-Rozemuller-225x205.jpg?image-crop-positioner-ts=1766139425 225w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><button\n\t\t\tclass=\"lightbox-trigger\"\n\t\t\ttype=\"button\"\n\t\t\taria-haspopup=\"dialog\"\n\t\t\taria-label=\"Enlarge\"\n\t\t\tdata-wp-init=\"callbacks.initTriggerButton\"\n\t\t\tdata-wp-on--click=\"actions.showLightbox\"\n\t\t\tdata-wp-style--right=\"state.imageButtonRight\"\n\t\t\tdata-wp-style--top=\"state.imageButtonTop\"\n\t\t>\n\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"12\" height=\"12\" fill=\"none\" viewBox=\"0 0 12 12\">\n\t\t\t\t<path fill=\"#fff\" d=\"M2 0a2 2 0 0 0-2 2v2h1.5V2a.5.5 0 0 1 .5-.5h2V0H2Zm2 10.5H2a.5.5 0 0 1-.5-.5V8H0v2a2 2 0 0 0 2 2h2v-1.5ZM8 12v-1.5h2a.5.5 0 0 0 .5-.5V8H12v2a2 2 0 0 1-2 2H8Zm2-12a2 2 0 0 1 2 2v2h-1.5V2a.5.5 0 0 0-.5-.5H8V0h2Z\" \/>\n\t\t\t<\/svg>\n\t\t<\/button><figcaption class=\"wp-element-caption\"><p data-component=\"image-credits\" class=\"flex flex-wrap gap-2 items-center text-base\">\n\t<span aria-hidden=\"true\"><svg width=\"24\" height=\"24\" viewBox=\"0 0 24 24\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n<path d=\"M19.5 5.25H16.9012L15.6234 3.33375C15.555 3.23114 15.4623 3.147 15.3535 3.08879C15.2448 3.03057 15.1233 3.00007 15 3H9C8.87665 3.00007 8.75522 3.03057 8.64648 3.08879C8.53773 3.147 8.44502 3.23114 8.37656 3.33375L7.09781 5.25H4.5C3.90326 5.25 3.33097 5.48705 2.90901 5.90901C2.48705 6.33097 2.25 6.90326 2.25 7.5V18C2.25 18.5967 2.48705 19.169 2.90901 19.591C3.33097 20.0129 3.90326 20.25 4.5 20.25H19.5C20.0967 20.25 20.669 20.0129 21.091 19.591C21.5129 19.169 21.75 18.5967 21.75 18V7.5C21.75 6.90326 21.5129 6.33097 21.091 5.90901C20.669 5.48705 20.0967 5.25 19.5 5.25ZM15.375 12.375C15.375 13.0425 15.1771 13.695 14.8062 14.25C14.4354 14.8051 13.9083 15.2376 13.2916 15.4931C12.6749 15.7485 11.9963 15.8154 11.3416 15.6852C10.6869 15.5549 10.0855 15.2335 9.61351 14.7615C9.14151 14.2895 8.82007 13.6881 8.68985 13.0334C8.55962 12.3787 8.62646 11.7001 8.88191 11.0834C9.13735 10.4667 9.56993 9.93964 10.125 9.56879C10.68 9.19794 11.3325 9 12 9C12.8951 9 13.7535 9.35558 14.3865 9.98851C15.0194 10.6214 15.375 11.4799 15.375 12.375Z\" fill=\"currentColor\"\/>\n<\/svg>\n<\/span>\n\t<span class=\"sr-only\">Image by:<\/span>\n\n\t\t\t<span>\n\t\t\t\t\t\t\t<a href=\"https:\/\/www.erasmusmagazine.nl\/en\/persons\/hanneke-rozemuller\/\" class=\"underline hocus:no-underline decoration-1 underline-offset-2\">Hanneke Rozemuller<\/a>\t\t\t\t\t<\/span>\n\t<\/p>\n<\/figcaption><\/figure><\/div><p>Klasen has been involved in the new assessment system for the internships, alongside former chair of the Medical Student Amir Abdelmoumen. One of the goals was to prevent unsuitable students from progressing through the internships. \u201cThe question was: we all want fewer jerks at the bedside, but how do you achieve that?\u201d<\/p>\n<p>The new Rotterdam assessment system started nearly two years ago. Students no longer receive a final grade per internship; instead, supervising doctors must now fill out multiple assessment forms and approve assignments, more focused on skills and professional behaviour. All of this is reviewed by a committee that decides on the student\u2019s progress. Klasen believes the new assessment system will help, but not sufficiently: \u201cPolitics should take this issue seriously. It concerns a societal interest.\u201d<\/p>\n<h2 class=\"wp-block-heading\">New assessment system, no more grades<\/h2><p>The new assessments are less focused on the specific internship and more on the skills that a registered doctor must possess. Where students previously received one assessment at the end of the period, they now receive multiple and smaller assessments. This effectively forces students to master a variety of different skills. As a result, it can no longer happen that an intern graduates without ever having performed a catheterisation, for example.<\/p>\n<p>The new system also prevents mercy passes, which used to occur to avoid study delays or administrative hassle. There are no grades anymore, and successfully completing an internship no longer depends on one final grade. All written feedback is collected per student and reviewed by an appointed committee. This committee determines a student\u2019s progress based on the feedback collected.<\/p>\n\n\t<div data-name=\"acf\/quote\" class=\"align\" >\n\t\t<div class=\"\">\n\t\t\t<figure data-component=\"quote-with-author\" class=\"@container\">\n\t<blockquote class=\"text-md italic @2xl:text-xl @4xl:text-2xl text-purple\">\n\t\t\u2018The grades for the internship have undergone significant inflation in the last ten to fifteen years\u2019\n\t<\/blockquote>\n\n\t<\/figure>\n\t\t<\/div>\n\t<\/div>\n<p>According to cardiologist Tio, the grading system was due for an update anyway: \u201cThe grades for the internship have undergone significant inflation in the last ten to fifteen years. An eight had become quite normal, whereas previously it was a seven. If you now received a six, it simply wasn\u2019t very good\u201d, Tio observed. Other doctor assessors confirm this.<\/p>\n<p>The initial results of the new assessment system are promising, says Jelle Meerstra from Erasmus MC. As a policy advisor, he was involved in the new system and is now researching the results. The idea is that doctors can be constructively critical without immediately giving a fail. \u201cAt least three times during the internships, the decision committee reviews the portfolios. In pairs, always a clinical specialist and a medical psychologist. Students can then receive three types of decisions\u201d, Meerstra explains. A \u2018one\u2019 stands for: keep it up. With a \u2018two\u2019, you are allowed to continue but under conditions. You are informed about what to focus on and who can help you. With a \u2018three\u2019, the internships are paused. The examination board is notified, you receive extra support and may not proceed until you meet the conditions set.<\/p>\n<p>The first time the decision committee met, most assessments were ones, but some twos and threes were given as well, Meerstra reports. \u201cNot many, but significantly more than there were fail marks in the previous system. So there may be more people dropping out in this system, but there can also be more tailored attention to what is needed. This way, we can \u2013 hopefully \u2013 provide early support and not let someone feel like they are \u2018drowning\u2019, and if someone is unsuitable, engage in a conversation about what an alternative might be. Yes, giving good substantial feedback takes time, but one thing is paramount: delivering reliable, good doctors.\u201d<\/p>\n<h2 class=\"wp-block-heading\">Protection of the student<\/h2><p>Delivering reliable, good doctors that society can trust is the priority of the programmes. In 2022, the Minister of Education did not wish to amend the iudicium abeundi precisely due to the protection of the student and their right to education. \u201cIt concerns the accessibility of higher education and the student\u2019s interest in being able to complete a programme or not\u201d, then Minister Robbert Dijkgraaf wrote in 2022. Programmes must raise their own barriers to filter out unsuitable students. For example, by adjusting the Educational and Examination Regulations, said the minister. Other options include limiting the number of assessment opportunities and the validity period of assessments.<\/p>\n<p>This position remains unchanged, a spokesperson for the Ministry of Education, Culture and Science informs. \u201cIt is about the Executive Board sufficiently substantiating that the student in question has shown unsuitability for the profession for which the programme trains.\u201d<\/p>\n<p>When asked whether the triple murder by former medical student Fouad L. has prompted a change in that stance, the spokesperson from the ministry writes: \u201cEnding the enrolment of students who pose a threat to others by their statements or actions was and is still possible under the law.\u201d The spokesperson further states: \u201cDuring the programme, medical students work under the responsibility of BIG-registered doctors who are subject to disciplinary law. This way, patient safety is ensured as much as possible.\u201d<\/p>\n<p>The call for a broader iudicium abeundi options remains, confirms the Rotterdam Examination Board in a written response. The Erasmus MC states it will not respond to additional questions from EM. \u201cThe concern of not influencing the appeal of Fouad L. weighs heavily on the management of Erasmus MC\u201d, a spokesperson for the hospital writes. \u201cTherefore, careful consideration is given to what is said. Additionally, other ongoing matters further contribute to the decision not to make further statements.\u201d<\/p>\n\t<div data-name=\"acf\/featured-text\" class=\"md:mt-6 p-4 md:p-6 lg:p-8 bg-sand-300 theme-sand:bg-white theme-violet:bg-white theme-mocha:bg-white wysiwyg *:last:mb-0!\" >\n\t\t<p><span data-contrast=\"auto\">For this article, author Tessa Hofland spoke with doctors and supervisors from Erasmus MC and other university medical centres, 18 in total. Some interviews were lengthy, while others were more brief.\u00a0<\/span><span data-ccp-props=\"{&quot;335559739&quot;:0}\">\u00a0<\/span><span data-ccp-props=\"{&quot;335559739&quot;:0}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">Additionally, the author relied on written sources; including legal rulings from the Council of State and the Higher Education Appeals Tribunal regarding the <\/span><i><span data-contrast=\"auto\">iudicium abeundi<\/span><\/i><span data-contrast=\"auto\">, teaching and examination regulations from the Medical programme, the 2022 plea from the chairs of the examination boards, the iudicium abeundi protocol from the Dutch Federation of University Medical Centres, parliamentary questions and responses, and a memorandum explaining the introduction of the iudicium abeundi, as well as parliamentary questions following the plea from examination boards for an expansion of the iudicium abeundi, a PhD study on professional behaviour among medical students, and several articles. Documents can be checked at the editorial office upon request.<\/span><span data-ccp-props=\"{&quot;335559739&quot;:0}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">It is important to note that the idea for this investigative project emerged before the attack by Fouad L. at Erasmus MC. The issues had arisen before he was a medical student and continue to persist even after his sentencing to life imprisonment. However, this horrific event has intensified the urgency of this research.<\/span><span data-ccp-props=\"{&quot;335559739&quot;:0}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">The impetus for this investigation was <\/span><a href=\"https:\/\/www.erasmusmagazine.nl\/en\/2023\/03\/20\/expelling-a-medical-student-was-justified\/\"><span data-contrast=\"none\">an article about an expelled student<\/span><\/a><span data-contrast=\"auto\"> that was rapidly read multiple times on the EM website, and which became a topic of ongoing discussion among medical students \u2013 as students informed us at the time. Following the attack, EM delayed the production of this story due to the sensitivity of the subject at Erasmus MC.<\/span><span data-ccp-props=\"{&quot;335559739&quot;:0}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">This investigative journalism project about the possibilities and impossibilities of expelling a medical student from the programme, concentrates particularly on the period when students are undertaking medical internships. The reason for this focus is that all publicly known examples of the application of the iudicium abeundi related to students who encountered problems during their medical internships. Therefore, the author focused on doctors who supervise these students.<\/span><span data-ccp-props=\"{&quot;335559739&quot;:0}\">\u00a0<\/span><\/p>\n<p>&nbsp;<\/p>\n\n\t<\/div>\n\t<div data-name=\"acf\/featured-text\" class=\"md:mt-6 p-4 md:p-6 lg:p-8 bg-sand-300 theme-sand:bg-white theme-violet:bg-white theme-mocha:bg-white wysiwyg *:last:mb-0!\" >\n\t\t<p><span data-contrast=\"auto\">Do you have any questions, remarks or tips after reading this article? Please contact <\/span><a href=\"mailto:hofland@em.eur.nl\"><span data-contrast=\"none\">editor Tessa Hofland<\/span><\/a><span data-contrast=\"auto\">.<\/span><span data-ccp-props=\"{&quot;335559739&quot;:0}\">\u00a0<\/span><\/p>\n\n\t<\/div>\n\n\t<div data-name=\"acf\/persons\" class=\"mt-6 md:mt-8 lg:mt-10\" >\n\t\t\t\t\t<h2 class=\"sr-only\">De redactie<\/h2>\n\t\t\n\t\t<div class=\"space-y-6\">\n\n\t\t\t\n\t\t\t<ul class=\"grid grid-cols-1 md:grid-cols-2 gap-4 md:gap-8 md:items-center\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<li>\n\t\t\t\t\t\t<div data-component=\"teaser-person\" class=\"relative flex gap-4 items-center md:gap-8\">\n\n\t\t\t<span class=\"image:rounded-full image:size-20 image:aspect-square image:object-cover md:image:size-36 shrink-0\">\n\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"1600\" height=\"1598\" src=\"https:\/\/www.erasmusmagazine.nl\/en\/wp-content\/uploads\/sites\/8\/Tessa-Hofland_profielfoto-bol_Leroy-Verbeet-2026-1600x1598.jpg?image-crop-positioner-ts=1768313432\" class=\"attachment-large size-large\" alt=\"\" srcset=\"https:\/\/www.erasmusmagazine.nl\/en\/wp-content\/uploads\/sites\/8\/Tessa-Hofland_profielfoto-bol_Leroy-Verbeet-2026-1600x1598.jpg?image-crop-positioner-ts=1768313432 1600w, https:\/\/www.erasmusmagazine.nl\/en\/wp-content\/uploads\/sites\/8\/Tessa-Hofland_profielfoto-bol_Leroy-Verbeet-2026-875x875.jpg?image-crop-positioner-ts=1768313432 875w, https:\/\/www.erasmusmagazine.nl\/en\/wp-content\/uploads\/sites\/8\/Tessa-Hofland_profielfoto-bol_Leroy-Verbeet-2026-300x300.jpg?image-crop-positioner-ts=1768313432 300w, https:\/\/www.erasmusmagazine.nl\/en\/wp-content\/uploads\/sites\/8\/Tessa-Hofland_profielfoto-bol_Leroy-Verbeet-2026-1280x1278.jpg?image-crop-positioner-ts=1768313432 1280w, https:\/\/www.erasmusmagazine.nl\/en\/wp-content\/uploads\/sites\/8\/Tessa-Hofland_profielfoto-bol_Leroy-Verbeet-2026-1536x1534.jpg?image-crop-positioner-ts=1768313432 1536w, https:\/\/www.erasmusmagazine.nl\/en\/wp-content\/uploads\/sites\/8\/Tessa-Hofland_profielfoto-bol_Leroy-Verbeet-2026-2048x2045.jpg?image-crop-positioner-ts=1768313432 2048w\" sizes=\"auto, (max-width: 1600px) 100vw, 1600px\" \/>\n\t\t<\/span>\n\t\n\t<div>\n\t\t<a href=\"https:\/\/www.erasmusmagazine.nl\/en\/persons\/tessa-hofland\/\" class=\"absolute-link font-tiempos-headline underline hocus:no-underline decoration-1 underline-offset-2 text-lg text-current\">Tessa Hofland<\/a>\n\n\t\t\t\t\t<p class=\"text-md\">Editor<\/p>\n\t\t\t<\/div>\n<\/div>\n\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t<\/ul>\n\t\t<\/div>\n\t<\/div>\n\n\t<div data-name=\"acf\/posts\" class=\"alignfull py-6 md:py-8 lg:py-10 bg-white\" >\n\t\t<div class=\"container-fixed\">\n\n\t\t\t\n\t\t\t<div class=\"space-y-6 md:space-y-8\">\n\n\t\t\t\t\t\t\t\t\t<h2 class=\"text-xl md:text-2xl\">Latest news<\/h2>\n\t\t\t\t\n\t\t\t\t\t\n\t<ul data-component=\"post-grid\" class=\"grid items-stretch grid-cols-1 gap-2 md:gap-4 lg:gap-8 text-zoom-lg:grid-cols-1\n\t\t\n\t\tlg:grid-cols-3\n\t\t\">\n\n\t\t\n\t\t\t\t\t\t\n\t\t\t\n\t\t\t<li class=\"@container\">\n\t\t\t\t\n<div data-component=\"teaser-post\" class=\"block-theme-sand hidden lg:flex h-full relative flex bg-sand-300\n\tblock-theme-violet:bg-white block-theme-violet:text-purple block-theme-mocha:bg-sand-500 block-theme-mocha:text-brown\n\tblock-theme-sand:bg-sand-300 block-theme-sand:text-neutral-900\n\tblock-theme-violet:outline-purple-100 block-theme-violet:outline-1 block-theme-violet:outline-t-0\n\tflex-col @xl:flex-row\">\n\t\t\t<div class=\"relative image:w-full image:aspect-video image:object-cover shrink-0 w-full @xl:w-1\/2\">\n\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"1280\" height=\"720\" src=\"https:\/\/www.erasmusmagazine.nl\/en\/wp-content\/uploads\/sites\/8\/server-1235959_1920-1280x720.jpg?image-crop-positioner-ts=1777012514\" class=\"attachment-video_xl size-video_xl\" alt=\"\" srcset=\"https:\/\/www.erasmusmagazine.nl\/en\/wp-content\/uploads\/sites\/8\/server-1235959_1920-1280x720.jpg?image-crop-positioner-ts=1777012514 1280w, https:\/\/www.erasmusmagazine.nl\/en\/wp-content\/uploads\/sites\/8\/server-1235959_1920-500x282.jpg?image-crop-positioner-ts=1777012514 500w, https:\/\/www.erasmusmagazine.nl\/en\/wp-content\/uploads\/sites\/8\/server-1235959_1920-832x468.jpg?image-crop-positioner-ts=1777012514 832w\" sizes=\"auto, (max-width: 1280px) 100vw, 1280px\" \/>\n\n\t\t\t\t\t<\/div>\n\t\n\t<div class=\"flex flex-col gap-2 md:gap-4 p-4 @md:p-8 @xl:p-8 \">\n\n\t\t\t\t<h3 class=\"text-md @sm:text-xl @md:text-2xl @xl:text-2xl\">\n\t\t\t<a href=\"https:\/\/www.erasmusmagazine.nl\/en\/2026\/04\/24\/aivd-blijft-waarschuwen-voor-diefstal-van-kennis\/\" class=\"absolute-link text-current underline-offset-2 decoration-2 hocus:underline @md:decoration-3 @xl:decoration-4 inline-block\">\n\t\t\t\tAIVD continues to warn about knowledge theft\n\t\t\t<\/a>\n\t\t<\/h3>\n\n\t\t<div class=\"flex flex-wrap gap-4 items-center\">\n\t\t\t<span class=\"sr-only\">Gepubliceerd op:<\/span>\n\t\t\t<time class=\"text-sm font-soehne text-neutral-900\" datetime=\"2026-04-24\">24 April 2026<\/time>\n\n\t\t\t\t\t\t\t\t\t\t\t\n\t<ul data-component=\"list-badges\" class=\"flex items-center gap-2 flex-wrap\" aria-label=\"Geplaatst in categorie\">\n\t\t\t\t\t<li>\n\t\t\t\t\t<div data-component=\"badge\" class=\"block-theme-violet:bg-purple font-soehne font-bold text-sm bg-brown-600 block-theme-violet:bg-purple text-white py-[2px] px-2\">\n\t\t\t\t\tIT\n\t\t\t<\/div>\n\t\t\t<\/li>\n\t\t\t<\/ul>\n\t\t\t\t\t<\/div>\n\n\t\t\t<\/div>\n<\/div>\n\t\t\t\t\t\t\t\t\t\n<div data-component=\"teaser-post-small\" class=\"block-theme-sand lg:hidden relative flex h-full bg-sand-300\n\tblock-theme-violet:bg-white block-theme-violet:text-purple block-theme-mocha:bg-sand-500 block-theme-mocha:text-brown\n\tblock-theme-sand:bg-sand-300 block-theme-sand:text-neutral-900\n\tblock-theme-violet:outline-purple-100 block-theme-violet:outline-1 block-theme-violet:outline-t-0\n\ttheme-mocha:bg-white! theme-violet:bg-white! theme-sand:bg-white!\n\tflex-row gap-4 @md:gap-8 p-4 @md:p-6\">\n\t\t\t<div class=\"image:w-full image:aspect-square image:object-cover shrink-0 size-17.5 @sm:size-21.25 @md:size-30 @lg:size-40\">\n\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"460\" height=\"460\" src=\"https:\/\/www.erasmusmagazine.nl\/en\/wp-content\/uploads\/sites\/8\/server-1235959_1920-460x460.jpg?image-crop-positioner-ts=1777012514\" class=\"attachment-square_lg size-square_lg\" alt=\"\" srcset=\"https:\/\/www.erasmusmagazine.nl\/en\/wp-content\/uploads\/sites\/8\/server-1235959_1920-460x460.jpg?image-crop-positioner-ts=1777012514 460w, https:\/\/www.erasmusmagazine.nl\/en\/wp-content\/uploads\/sites\/8\/server-1235959_1920-115x115.jpg?image-crop-positioner-ts=1777012514 115w, https:\/\/www.erasmusmagazine.nl\/en\/wp-content\/uploads\/sites\/8\/server-1235959_1920-230x230.jpg?image-crop-positioner-ts=1777012514 230w\" sizes=\"auto, (max-width: 460px) 100vw, 460px\" \/>\n\t\t<\/div>\n\t\n\t<div class=\"flex flex-col gap-2 md:gap-4 \">\n\t\t\t\t<h3 class=\"text-md @lg:text-lg\">\n\t\t\t<a href=\"https:\/\/www.erasmusmagazine.nl\/en\/2026\/04\/24\/aivd-blijft-waarschuwen-voor-diefstal-van-kennis\/\" class=\"absolute-link text-current hocus:underline inline-block\">\n\t\t\t\tAIVD continues to warn about knowledge theft\n\t\t\t<\/a>\n\t\t<\/h3>\n\n\t\t<div class=\"flex flex-wrap gap-4 items-center\">\n\t\t\t<span class=\"sr-only\">Gepubliceerd op:<\/span>\n\t\t\t<time class=\"text-sm font-soehne text-neutral-900\" datetime=\"2026-04-24\">24 April 2026<\/time>\n\n\t\t\t\t\t\t\t\t\t\t\t\n\t<ul data-component=\"list-badges\" class=\"flex items-center gap-2 flex-wrap\" aria-label=\"Geplaatst in categorie\">\n\t\t\t\t\t<li>\n\t\t\t\t\t<div data-component=\"badge\" class=\"block-theme-violet:bg-purple font-soehne font-bold text-sm bg-brown-600 block-theme-violet:bg-purple text-white py-[2px] px-2\">\n\t\t\t\t\tIT\n\t\t\t<\/div>\n\t\t\t<\/li>\n\t\t\t<\/ul>\n\t\t\t\t\t<\/div>\n\n\t\t\t<\/div>\n<\/div>\n\t\t\t\t\t\t\t<\/li>\n\t\t\n\t\t\t\t\t\t\n\t\t\t\n\t\t\t<li class=\"@container\">\n\t\t\t\t\n<div data-component=\"teaser-post\" class=\"block-theme-sand hidden lg:flex h-full relative flex bg-sand-300\n\tblock-theme-violet:bg-white block-theme-violet:text-purple block-theme-mocha:bg-sand-500 block-theme-mocha:text-brown\n\tblock-theme-sand:bg-sand-300 block-theme-sand:text-neutral-900\n\tblock-theme-violet:outline-purple-100 block-theme-violet:outline-1 block-theme-violet:outline-t-0\n\tflex-col @xl:flex-row\">\n\t\t\t<div class=\"relative image:w-full image:aspect-video image:object-cover shrink-0 w-full @xl:w-1\/2\">\n\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"1280\" height=\"720\" src=\"https:\/\/www.erasmusmagazine.nl\/en\/wp-content\/uploads\/sites\/8\/IMG_6002-1280x720.jpg?image-crop-positioner-ts=1776958636\" class=\"attachment-video_xl size-video_xl\" alt=\"\" srcset=\"https:\/\/www.erasmusmagazine.nl\/en\/wp-content\/uploads\/sites\/8\/IMG_6002-1280x720.jpg?image-crop-positioner-ts=1776958636 1280w, https:\/\/www.erasmusmagazine.nl\/en\/wp-content\/uploads\/sites\/8\/IMG_6002-500x282.jpg?image-crop-positioner-ts=1776958636 500w, https:\/\/www.erasmusmagazine.nl\/en\/wp-content\/uploads\/sites\/8\/IMG_6002-832x468.jpg?image-crop-positioner-ts=1776958636 832w\" sizes=\"auto, (max-width: 1280px) 100vw, 1280px\" \/>\n\n\t\t\t\t\t<\/div>\n\t\n\t<div class=\"flex flex-col gap-2 md:gap-4 p-4 @md:p-8 @xl:p-8 \">\n\n\t\t\t\t<h3 class=\"text-md @sm:text-xl @md:text-2xl @xl:text-2xl\">\n\t\t\t<a href=\"https:\/\/www.erasmusmagazine.nl\/en\/2026\/04\/23\/gesprongen-waterleiding-zorgt-voor-nodige-problemen-op-de-campus\/\" class=\"absolute-link text-current underline-offset-2 decoration-2 hocus:underline @md:decoration-3 @xl:decoration-4 inline-block\">\n\t\t\t\tBurst water pipe causes considerable problems on campus\n\t\t\t<\/a>\n\t\t<\/h3>\n\n\t\t<div class=\"flex flex-wrap gap-4 items-center\">\n\t\t\t<span class=\"sr-only\">Gepubliceerd op:<\/span>\n\t\t\t<time class=\"text-sm font-soehne text-neutral-900\" datetime=\"2026-04-23\">23 April 2026<\/time>\n\n\t\t\t\t\t\t\t\t\t\t\t\n\t<ul data-component=\"list-badges\" class=\"flex items-center gap-2 flex-wrap\" aria-label=\"Geplaatst in categorie\">\n\t\t\t\t\t<li>\n\t\t\t\t\t<div data-component=\"badge\" class=\"block-theme-violet:bg-purple font-soehne font-bold text-sm bg-brown-600 block-theme-violet:bg-purple text-white py-[2px] px-2\">\n\t\t\t\t\tCampus\n\t\t\t<\/div>\n\t\t\t<\/li>\n\t\t\t<\/ul>\n\t\t\t\t\t<\/div>\n\n\t\t\t<\/div>\n<\/div>\n\t\t\t\t\t\t\t\t\t\n<div data-component=\"teaser-post-small\" class=\"block-theme-sand lg:hidden relative flex h-full bg-sand-300\n\tblock-theme-violet:bg-white block-theme-violet:text-purple block-theme-mocha:bg-sand-500 block-theme-mocha:text-brown\n\tblock-theme-sand:bg-sand-300 block-theme-sand:text-neutral-900\n\tblock-theme-violet:outline-purple-100 block-theme-violet:outline-1 block-theme-violet:outline-t-0\n\ttheme-mocha:bg-white! theme-violet:bg-white! theme-sand:bg-white!\n\tflex-row gap-4 @md:gap-8 p-4 @md:p-6\">\n\t\t\t<div class=\"image:w-full image:aspect-square image:object-cover shrink-0 size-17.5 @sm:size-21.25 @md:size-30 @lg:size-40\">\n\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"460\" height=\"460\" src=\"https:\/\/www.erasmusmagazine.nl\/en\/wp-content\/uploads\/sites\/8\/IMG_6002-460x460.jpg?image-crop-positioner-ts=1776958636\" class=\"attachment-square_lg size-square_lg\" alt=\"\" srcset=\"https:\/\/www.erasmusmagazine.nl\/en\/wp-content\/uploads\/sites\/8\/IMG_6002-460x460.jpg?image-crop-positioner-ts=1776958636 460w, https:\/\/www.erasmusmagazine.nl\/en\/wp-content\/uploads\/sites\/8\/IMG_6002-115x115.jpg?image-crop-positioner-ts=1776958636 115w, https:\/\/www.erasmusmagazine.nl\/en\/wp-content\/uploads\/sites\/8\/IMG_6002-230x230.jpg?image-crop-positioner-ts=1776958636 230w\" sizes=\"auto, (max-width: 460px) 100vw, 460px\" \/>\n\t\t<\/div>\n\t\n\t<div class=\"flex flex-col gap-2 md:gap-4 \">\n\t\t\t\t<h3 class=\"text-md @lg:text-lg\">\n\t\t\t<a href=\"https:\/\/www.erasmusmagazine.nl\/en\/2026\/04\/23\/gesprongen-waterleiding-zorgt-voor-nodige-problemen-op-de-campus\/\" class=\"absolute-link text-current hocus:underline inline-block\">\n\t\t\t\tBurst water pipe causes considerable problems on campus\n\t\t\t<\/a>\n\t\t<\/h3>\n\n\t\t<div class=\"flex flex-wrap gap-4 items-center\">\n\t\t\t<span class=\"sr-only\">Gepubliceerd op:<\/span>\n\t\t\t<time class=\"text-sm font-soehne text-neutral-900\" datetime=\"2026-04-23\">23 April 2026<\/time>\n\n\t\t\t\t\t\t\t\t\t\t\t\n\t<ul data-component=\"list-badges\" class=\"flex items-center gap-2 flex-wrap\" aria-label=\"Geplaatst in categorie\">\n\t\t\t\t\t<li>\n\t\t\t\t\t<div data-component=\"badge\" class=\"block-theme-violet:bg-purple font-soehne font-bold text-sm bg-brown-600 block-theme-violet:bg-purple text-white py-[2px] px-2\">\n\t\t\t\t\tCampus\n\t\t\t<\/div>\n\t\t\t<\/li>\n\t\t\t<\/ul>\n\t\t\t\t\t<\/div>\n\n\t\t\t<\/div>\n<\/div>\n\t\t\t\t\t\t\t<\/li>\n\t\t\n\t\t\t\t\t\t\n\t\t\t\n\t\t\t<li class=\"@container\">\n\t\t\t\t\n<div data-component=\"teaser-post\" class=\"block-theme-mocha hidden lg:flex h-full relative flex bg-sand-300\n\tblock-theme-violet:bg-white block-theme-violet:text-purple block-theme-mocha:bg-sand-500 block-theme-mocha:text-brown\n\tblock-theme-sand:bg-sand-300 block-theme-sand:text-neutral-900\n\tblock-theme-violet:outline-purple-100 block-theme-violet:outline-1 block-theme-violet:outline-t-0\n\tflex-col @xl:flex-row\">\n\t\t\t<div class=\"relative image:w-full image:aspect-video image:object-cover shrink-0 w-full @xl:w-1\/2\">\n\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"1280\" height=\"720\" src=\"https:\/\/www.erasmusmagazine.nl\/en\/wp-content\/uploads\/sites\/8\/20260422_report_bookrestoration_Poetspaleis_Thumbnail_LarisaWedel-1280x720.jpg?image-crop-positioner-ts=1776933770\" class=\"attachment-video_xl size-video_xl\" alt=\"\" srcset=\"https:\/\/www.erasmusmagazine.nl\/en\/wp-content\/uploads\/sites\/8\/20260422_report_bookrestoration_Poetspaleis_Thumbnail_LarisaWedel-1280x720.jpg?image-crop-positioner-ts=1776933770 1280w, https:\/\/www.erasmusmagazine.nl\/en\/wp-content\/uploads\/sites\/8\/20260422_report_bookrestoration_Poetspaleis_Thumbnail_LarisaWedel-500x282.jpg?image-crop-positioner-ts=1776933770 500w, https:\/\/www.erasmusmagazine.nl\/en\/wp-content\/uploads\/sites\/8\/20260422_report_bookrestoration_Poetspaleis_Thumbnail_LarisaWedel-832x468.jpg?image-crop-positioner-ts=1776933770 832w\" sizes=\"auto, (max-width: 1280px) 100vw, 1280px\" \/>\n\n\t\t\t\t\t\t\t<span class=\"@xl:hidden absolute -bottom-9 @md:-bottom-12 right-0 bg-brown text-white aspect-square size-9 block-theme-violet:bg-purple grid place-content-center @md:size-12 svg:size-4 @md:svg:size-6 @xl:svg:size-6\" aria-hidden=\"true\">\n\t\t\t\t\t<svg width=\"18\" height=\"20\" viewBox=\"0 0 18 20\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n<path d=\"M17.25 9.99998C17.2506 10.2546 17.1853 10.5051 17.0605 10.727C16.9356 10.949 16.7555 11.1348 16.5375 11.2665L3.03 19.5297C2.80227 19.6691 2.54144 19.7452 2.27445 19.7502C2.00746 19.7551 1.74399 19.6887 1.51125 19.5578C1.28073 19.4289 1.0887 19.2409 0.954904 19.0132C0.821111 18.7855 0.750385 18.5263 0.75 18.2622V1.73779C0.750385 1.47368 0.821111 1.21445 0.954904 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op:<\/span>\n\t\t\t<time class=\"text-sm font-soehne text-neutral-900\" datetime=\"2026-04-23\">23 April 2026<\/time>\n\n\t\t\t\t\t\t\t\t\t\t\t\n\t<ul data-component=\"list-badges\" class=\"flex items-center gap-2 flex-wrap\" aria-label=\"Geplaatst in categorie\">\n\t\t\t\t\t<li>\n\t\t\t\t\t<div data-component=\"badge\" class=\"block-theme-violet:bg-purple font-soehne font-bold text-sm bg-brown-600 block-theme-violet:bg-purple text-white py-[2px] px-2\">\n\t\t\t\t\tEM TV\n\t\t\t<\/div>\n\t\t\t<\/li>\n\t\t\t<\/ul>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t\t\t\t<span class=\"sr-only\">Article type: Video<\/span>\n\t\t\t<span class=\"hidden @xl:grid absolute top-0 right-0 bg-brown text-white aspect-square block-theme-violet:bg-purple place-content-center size-12 svg:size-6\" aria-hidden=\"true\">\n\t\t\t\t<svg width=\"18\" height=\"20\" viewBox=\"0 0 18 20\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n<path d=\"M17.25 9.99998C17.2506 10.2546 17.1853 10.5051 17.0605 10.727C16.9356 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https:\/\/www.erasmusmagazine.nl\/en\/wp-content\/uploads\/sites\/8\/20260422_report_bookrestoration_Poetspaleis_Thumbnail_LarisaWedel-115x115.jpg?image-crop-positioner-ts=1776933770 115w, https:\/\/www.erasmusmagazine.nl\/en\/wp-content\/uploads\/sites\/8\/20260422_report_bookrestoration_Poetspaleis_Thumbnail_LarisaWedel-230x230.jpg?image-crop-positioner-ts=1776933770 230w\" sizes=\"auto, (max-width: 460px) 100vw, 460px\" \/>\n\t\t<\/div>\n\t\n\t<div class=\"flex flex-col gap-2 md:gap-4 pr-11 @md:pr-12 @lg:pr-12\">\n\t\t\t\t<h3 class=\"text-md @lg:text-lg\">\n\t\t\t<a href=\"https:\/\/www.erasmusmagazine.nl\/en\/2026\/04\/23\/oude-boeken-krijgen-een-nieuw-leven-een-kijkje-in-het-poetspaleis\/\" class=\"absolute-link text-current hocus:underline inline-block\">\n\t\t\t\tOld books get a new lease of life: a look inside the poetspaleis\n\t\t\t<\/a>\n\t\t<\/h3>\n\n\t\t<div class=\"flex flex-wrap gap-4 items-center\">\n\t\t\t<span class=\"sr-only\">Gepubliceerd op:<\/span>\n\t\t\t<time 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They have been calling on the government since the start of this century for more options to expel these students. The murder of a lecturer at Erasmus MC in 2023 raises [&hellip;]<\/p>\n","protected":false},"author":264,"featured_media":179113,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_trash_the_other_posts":false,"editor_notices":[],"footnotes":""},"categories":[155],"em_content_type":[24778],"class_list":["post-179111","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-education","em_content_type-nieuws"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.3 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Why it is so difficult to expel unsuitable medical students<\/title>\n<meta name=\"description\" content=\"Too many medical students about whom there are serious doubts regarding their suitability as doctors receive their diploma, examination committees and programme directors say. They have been calling on the government since the start of this century for more options to expel these students. The murder of a lecturer at Erasmus MC in 2023 raises the question: why is it not possible to expel clearly unsuitable students from medical programmes?\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.erasmusmagazine.nl\/en\/2025\/05\/15\/why-it-is-so-difficult-to-expel-unsuitable-medical-students\/\" \/>\n<meta property=\"og:locale\" content=\"en_GB\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Why it is so difficult to expel unsuitable medical students\" \/>\n<meta property=\"og:description\" content=\"Too many medical students about whom there are serious doubts regarding their suitability as doctors receive their diploma, examination committees and programme directors say. They have been calling on the government since the start of this century for more options to expel these students. 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