Faculty of Medicine, Dentistry and Health Sciences, University of Western Australia, 35 Stirling Hwy, Crawley, WA 6009, Australia.
BMC Med Educ. 2011 Nov 23;11:97. doi: 10.1186/1472-6920-11-97.
Prior to 1999 students entering our MBBS course were selected on academic performance alone. We have now evaluated the impact on the demographics of subsequent cohorts of our standard entry students (those entering directly from high school) of the addition to the selection process of an aptitude test (UMAT), a highly structured interview and a rural incentive program.
Students entering from 1985 to 1998, selected on academic performance alone (N = 1402), were compared to those from 1999 to 2011, selected on the basis of a combination of academic performance, interview score, and UMAT score together with the progressive introduction of a rural special entry pathway (N = 1437).
Males decreased from 57% to 45% of the cohort, students of NE or SE Asian origin decreased from 30% to 13%, students born in Oceania increased from 52% to 69%, students of rural origin from 5% to 21% and those from independent high schools from 56% to 66%. The proportion of students from high schools with relative socio-educational disadvantage remained unchanged at approximately 10%. The changes reflect in part increasing numbers of female and independent high school applicants and the increasing rural quota. However, they were also associated with higher interview scores in females vs males and lower interview scores in those of NE and SE Asian origin compared to those born in Oceania or the UK. Total UMAT scores were unrelated to gender or region of origin.
The revised selection processes had no impact on student representation from schools with relative socio-educational disadvantage. However, the introduction of special entry quotas for students of rural origin and a structured interview, but not an aptitude test, were associated with a change in gender balance and ethnicity of students in an Australian undergraduate MBBS course.
在 1999 年之前，我们的 MBBS 课程学生仅根据学业成绩进行选拔。现在，我们评估了在选拔过程中增加能力倾向测试（UMAT）、高度结构化面试和农村激励计划对我们标准入学学生（直接从高中入学的学生）后续队列的人口统计学的影响。
我们将 1985 年至 1998 年期间仅根据学业成绩入学的学生（N=1402）与 1999 年至 2011 年期间根据学业成绩、面试成绩和 UMAT 成绩以及逐步引入农村特殊入学途径选拔的学生（N=1437）进行了比较。
男性学生比例从 57%降至 45%，来自东北亚或东南亚的学生比例从 30%降至 13%，出生在大洋洲的学生比例从 52%增至 69%，来自农村的学生比例从 5%增至 21%，来自独立高中的学生比例从 56%增至 66%。来自相对社会经济劣势高中的学生比例保持在约 10%不变。这些变化部分反映了女性和独立高中申请者人数的增加，以及农村配额的增加。然而，它们也与女性面试成绩高于男性以及与出生在大洋洲或英国的学生相比，来自东北亚或东南亚的学生面试成绩较低有关。UMAT 总分数与性别或原籍地区无关。
修订后的选拔程序对来自相对社会经济劣势高中的学生代表人数没有影响。然而，为农村出身的学生和结构化面试引入特殊入学配额，而不是能力倾向测试，与澳大利亚本科 MBBS 课程学生的性别平衡和种族构成的变化有关。
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