Albanese Mark A, Farrell Philip, Dottl Susan
Population Health Sciences, University of Wisconsin Medical School, Madison 53705-2397, USA.
Adv Health Sci Educ Theory Pract. 2005;10(2):89-103. doi: 10.1007/s10459-004-1122-6.
In 2001, Dr Jordan Cohen, President of the AAMC, called for medical schools to consider using an Medical College Admission Test (MCAT) threshold to eliminate high-risk applicants from consideration and then to use non-academic qualifications for further consideration. This approach would seem to be consistent with the recent Supreme Court ruling on the University of Michigan admissions cases. Research to support a threshold approach has been reported in many different ways, making comparability problematic. This study examines an assortment of statistical indices that have been used to determine thresholds in undergraduate science grade point average (USGPA) and MCAT sub-scores and total sum and compares them in terms of their sensitivity and specificity for determining Medical Licensing Exam (USMLE Step 1) first time failure. Data for medical school entering classes of 1992-1998 (N=752) from a large Midwestern medical school are used to determine the set of statistics that provide the most useful information for this purpose. The results support plots of risk differences, odds-ratios, sensitivity and specificity for setting cut-scores.
2001年，美国医学院协会（AAMC）主席乔丹·科恩博士呼吁医学院考虑使用医学院入学考试（MCAT）分数线，将高风险申请者排除在考虑范围之外，然后再使用非学术资质进行进一步筛选。这种方法似乎与美国最高法院近期对密歇根大学招生案件的裁决一致。支持分数线方法的研究有多种不同的报道方式，这使得可比性存在问题。本研究考察了一系列用于确定本科理科平均绩点（USGPA）和MCAT各分项分数及总分分数线的统计指标，并就它们在确定首次未能通过医师执照考试（美国医师执照考试第一步，USMLE Step 1）方面的敏感性和特异性进行了比较。来自一所大型中西部医学院1992 - 1998年入学班级的数据（N = 752）被用于确定为此目的提供最有用信息的统计指标集。结果支持使用风险差异、优势比、敏感性和特异性的图表来设定分数线。
