对英国皇家麻醉学院初级考试中英国医学院校和性别表现的评估。

An evaluation of the performance in the UK Royal College of Anaesthetists primary examination by UK medical school and gender.

机构信息

Centre for Excellence in Teaching and Learning, School Of Medical Education, The University of Liverpool, Cedar House, Ashton Street, Liverpool, L69 3GE, UK.

出版信息

BMC Med Educ. 2009 Jun 29;9:38. doi: 10.1186/1472-6920-9-38.

DOI:10.1186/1472-6920-9-38

PMID:19563655

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2707380/

Abstract

BACKGROUND

There has been comparatively little consideration of the impact that the changes to undergraduate curricula might have on postgraduate academic performance. This study compares the performance of graduates by UK medical school and gender in the Multiple Choice Question (MCQ) section of the first part of the Fellowship of the Royal College of Anaesthetists (FRCA) examination.

METHODS

Data from each sitting of the MCQ section of the primary FRCA examination from June 1999 to May 2008 were analysed for performance by medical school and gender.

RESULTS

There were 4983 attempts at the MCQ part of the examination by 3303 graduates from the 19 United Kingdom medical schools. Using the standardised overall mark minus the pass mark graduates from five medical schools performed significantly better than the mean for the group and five schools performed significantly worse than the mean for the group. Males performed significantly better than females in all aspects of the MCQ - physiology, mean difference = 3.0% (95% CI 2.3, 3.7), p < 0.001; pharmacology, mean difference = 1.7% (95% CI 1.0, 2.3), p < 0.001; physics with clinical measurement, mean difference = 3.5% (95% CI 2.8, 4.1), p < 0.001; overall mark, mean difference = 2.7% (95% CI 2.1, 3.3), p < 0.001; and standardised overall mark minus the pass mark, mean difference = 2.5% (95% CI 1.9, 3.1), p < 0.001. Graduates from three medical schools that have undergone the change from Traditional to Problem Based Learning curricula did not show any change in performance in any aspects of the MCQ pre and post curriculum change.

CONCLUSION

Graduates from each of the medical schools in the UK do show differences in performance in the MCQ section of the primary FRCA, but significant curriculum change does not lead to deterioration in post graduate examination performance. Whilst females now outnumber males taking the MCQ, they are not performing as well as the males.

摘要

背景

对于本科生课程改革可能对研究生学业成绩产生的影响，人们关注甚少。本研究比较了英国医学院校和性别的毕业生在皇家麻醉师学院（FRCA） Fellowship 第一部分的多项选择题（MCQ）部分的考试成绩。

方法

分析了 1999 年 6 月至 2008 年 5 月期间 MCQ 部分每次考试的成绩，以了解医学院校和性别的表现。

结果

共有 3303 名毕业生来自 19 所英国医学院，参加了 MCQ 部分的考试，共有 4983 次尝试。使用标准化总分数减去及格分数，来自五所医学院的毕业生的表现明显优于该组的平均值，而五所医学院的表现明显低于该组的平均值。在 MCQ 的所有方面，男性的表现都明显优于女性——生理学，平均差异=3.0%（95%置信区间 2.3，3.7），p<0.001；药理学，平均差异=1.7%（95%置信区间 1.0，2.3），p<0.001；物理与临床测量，平均差异=3.5%（95%置信区间 2.8，4.1），p<0.001；总分数，平均差异=2.7%（95%置信区间 2.1，3.3），p<0.001；以及标准化总分数减去及格分数，平均差异=2.5%（95%置信区间 1.9，3.1），p<0.001。经历了从传统学习到基于问题的学习课程转变的三所医学院的毕业生在 MCQ 的任何方面都没有显示出任何表现上的变化。