McDougle Leon, Way David P, Yash Christine
The Ohio State University College of Medicine, Department of Family Medicine, 456 W. 10th Ave., Room 1114, Columbus OH 43210, USA.
J Natl Med Assoc. 2008 Sep;100(9):1021-4. doi: 10.1016/s0027-9684(15)31438-3.
The purpose of this article is to share the procedures used to strengthen the Medical Pathways (MEDPATH) premedical postbaccalaureate program (PBP) to increase the chances of its students successfully graduating from medical school in four years.
Subjects included students who matriculated into medical school between 1991-1999 (N = 72) following successful completion of the 12-month MEDPATH premedical PBP. Students who had passed the USMLE Step 1 on the first attempt were defined as successful and were compared to those who did not pass on their first attempt. Programmatic changes were implemented based on these findings, and outcomes were evaluated.
There was a significant improvement in total MCAT scores between pre-2003 (PBP entry year) participants (Mn = 20.73, SD = 3.10, N = 117) and post-2003 (PBP entry year) participants (Mn = 25.27, SD = 2.96, N = 37) (t = 7.86, df = 152, p < 0.001). MEDPATH premedical PBP coursework grade-point averages improved from 3.48 to 3.67 over the same time intervals. Diversity of program participants was maintained.
The enhanced MEDPATH premedical PBP appears to be producing underrepresented minority and disadvantaged medical students who are better prepared to succeed in medical school.
本文旨在分享用于强化医学路径（MEDPATH）医学预科后学士学位项目（PBP）的程序，以增加其学生在四年内成功从医学院毕业的机会。
研究对象包括1991年至1999年间成功完成12个月MEDPATH医学预科PBP后进入医学院的学生（N = 72）。首次通过美国医师执照考试第一步（USMLE Step 1）的学生被定义为成功，与首次未通过的学生进行比较。根据这些结果实施了项目改进，并对结果进行了评估。
2003年前（PBP入学年份）参与者（均值 = 20.73，标准差 = 3.10，N = 117）和2003年后（PBP入学年份）参与者（均值 = 25.27，标准差 = 2.96，N = 37）的MCAT总分有显著提高（t = 7.86，自由度 = 152，p < 0.001）。在相同时间段内，MEDPATH医学预科PBP课程的平均绩点从3.48提高到了3.67。项目参与者的多样性得以保持。
强化后的MEDPATH医学预科PBP似乎正在培养代表性不足的少数族裔和处境不利的医学生，他们为在医学院取得成功做好了更充分的准备。
