Department of Anatomy, Case Western Reserve University, Cleveland, Ohio.
Anat Sci Educ. 2015 Jan-Feb;8(1):31-6. doi: 10.1002/ase.1455. Epub 2014 Apr 14.
In this retrospective study of medical student data from Case Western Reserve University School of Medicine, we examined the impact of the Master of Science in Applied Anatomy (MS) program on medical student performance on the United States Medical Licensing Examination(®) (USMLE(®)) Step 1 and Step 2. From 2002 to 2010, 1,142 students matriculated as either students in the medical curriculum (MD group; 1,087 students) or MD students who also participated in the MS program (MD/MS group; 55 students). In addition, students were grouped as in either the Western Reserve Curriculum (2002-2005; WR1) or the Western Reserve 2 Curriculum (2006-2010; WR2). Data were analyzed using SPSS statistical package. The mean Medical College Admission Test(®) (MCAT(®)) score of all students increased significantly between the WR1 and WR2 curricula [from 32.48 ± 3.73 to 34.00 ± 2.92 (P < 0.00)], but MD and MD/MS students showed similar mean MCAT scores in each curriculum. In contrast, the mean USMLE Step 1 score for the MD/MS group (241.45 ± 18.90) was significantly higher than that of the MD group (229.93 ± 20.65; P < 0.00). The MD/MS group in the WR2 curriculum showed significantly higher USMLE Step 1 scores than the MD group. No significant difference was observed in the USMLE Step 2 Clinical Knowledge scores between the groups. The results show that MD/MS students performed better on the USMLE Step 1 than MD students in the WR2 curriculum, although MCAT scores were similar between the two groups. Together, these results suggest that medical student participation in the Masters in Applied Anatomy program enhances student performance on the USMLE Step 1.
在这项对凯斯西储大学医学院医学生数据的回顾性研究中，我们考察了应用解剖学理学硕士（MS）课程对医学生美国医师执照考试（USMLE）® 第 1 步和第 2 步考试成绩的影响。2002 年至 2010 年，共有 1142 名学生入读医学课程（MD 组；1087 名学生）或同时参加 MS 课程的 MD 学生（MD/MS 组；55 名学生）。此外，学生分为西部保留课程（2002-2005 年；WR1）或西部保留 2 课程（2006-2010 年；WR2）组。数据使用 SPSS 统计软件包进行分析。所有学生的 MCAT 平均分在 WR1 和 WR2 课程之间显著增加[从 32.48±3.73 增加到 34.00±2.92（P<0.00）]，但 MD 和 MD/MS 学生在每个课程中的平均 MCAT 分数相似。相比之下，MD/MS 组的 USMLE 第 1 步平均分（241.45±18.90）明显高于 MD 组（229.93±20.65；P<0.00）。WR2 课程的 MD/MS 组 USMLE 第 1 步得分明显高于 MD 组。两组间 USMLE 第 2 步临床知识分数无显著差异。结果表明，尽管两组 MCAT 分数相似，但 WR2 课程中 MD/MS 学生的 USMLE 第 1 步成绩优于 MD 学生。这些结果表明，医学生参加应用解剖学硕士课程有助于提高 USMLE 第 1 步的考试成绩。
