Because of the emergence of 'regional imperial universities with preparatory courses' and 'national medical colleges without preparatory courses,' equating graduation from former higher school and going to an imperial university no longer worked.
このように「予科をもつ地方帝大」と「予科をもたない官立医大」の出現で旧制高校卒業＝帝国大学進学という図式はくずれた。