医学院校的表现能否预测住院医师阶段的表现？妇产科住院医师选拔及成功表现的预测因素。
Can medical school performance predict residency performance? Resident selection and predictors of successful performance in obstetrics and gynecology.
作者信息
Stohl Hindi E, Hueppchen Nancy A, Bienstock Jessica L
出版信息
J Grad Med Educ. 2010 Sep;2(3):322-6. doi: 10.4300/JGME-D-09-00101.1.
BACKGROUND
During the evaluation process, Residency Admissions Committees typically gather data on objective and subjective measures of a medical student's performance through the Electronic Residency Application Service, including medical school grades, standardized test scores, research achievements, nonacademic accomplishments, letters of recommendation, the dean's letter, and personal statements. Using these data to identify which medical students are likely to become successful residents in an academic residency program in obstetrics and gynecology is difficult and to date, not well studied.
OBJECTIVE
To determine whether objective information in medical students' applications can help predict resident success.
METHOD
We performed a retrospective cohort study of all residents who matched into the Johns Hopkins University residency program in obstetrics and gynecology between 1994 and 2004 and entered the program through the National Resident Matching Program as a postgraduate year-1 resident. Residents were independently evaluated by faculty and ranked in 4 groups according to perceived level of success. Applications from residents in the highest and lowest group were abstracted. Groups were compared using the Fisher exact test and the Student t test.
RESULTS
Seventy-five residents met inclusion criteria and 29 residents were ranked in the highest and lowest quartiles (15 in highest, 14 in lowest). Univariate analysis identified no variables as consistent predictors of resident success.
CONCLUSION
In a program designed to train academic obstetrician-gynecologists, objective data from medical students' applications did not correlate with successful resident performance in our obstetrics-gynecology residency program. We need to continue our search for evaluation criteria that can accurately and reliably select the medical students that are best fit for our specialty.
背景
在评估过程中，住院医师招生委员会通常通过电子住院医师申请服务收集医学生表现的客观和主观衡量数据，包括医学院成绩、标准化考试分数、研究成果、非学术成就、推荐信、院长推荐信和个人陈述。利用这些数据来确定哪些医学生有可能在妇产科的学术住院医师项目中成为成功的住院医师是困难的，并且迄今为止尚未得到充分研究。
目的
确定医学生申请中的客观信息是否有助于预测住院医师的成功。
方法
我们对1994年至2004年间匹配进入约翰霍普金斯大学妇产科住院医师项目并通过全国住院医师匹配计划作为一年级住院医师进入该项目的所有住院医师进行了一项回顾性队列研究。住院医师由教员独立评估，并根据感知到的成功水平分为4组。对最高和最低组住院医师的申请进行了摘要分析。使用Fisher精确检验和学生t检验对组间进行比较。
结果
75名住院医师符合纳入标准，29名住院医师被排在最高和最低四分位数（最高组15名，最低组14名）。单因素分析未发现任何变量是住院医师成功的一致预测因素。
结论
在一个旨在培养学术妇产科医生的项目中，医学生申请中的客观数据与我们妇产科住院医师项目中住院医师的成功表现没有相关性。我们需要继续寻找能够准确可靠地选拔最适合我们专业的医学生的评估标准。
Zotero 插件