Jerant Anthony, Fancher Tonya, Fenton Joshua J, Fiscella Kevin, Sousa Francis, Franks Peter, Henderson Mark
A. Jerant is professor, Department of Family and Community Medicine, Center for Healthcare Policy and Research, University of California, Davis, School of Medicine, Sacramento, California. T. Fancher is associate professor, Division of General Internal Medicine, Department of Internal Medicine, University of California, Davis, School of Medicine, Sacramento, California. J.J. Fenton is associate professor, Department of Family and Community Medicine, Center for Healthcare Policy and Research, University of California, Davis, School of Medicine, Sacramento, California. K. Fiscella is professor, Department of Family Medicine, University of Rochester School of Medicine and Dentistry, Rochester, New York. F. Sousa is assistant dean, Admissions and Student Development, and volunteer clinical professor, Department of Internal Medicine, University of California, Davis, School of Medicine, Sacramento, California. P. Franks is professor, Department of Family and Community Medicine, Center for Healthcare Policy and Research, University of California, Davis, School of Medicine, Sacramento, California. M. Henderson is associate dean, Admissions and Outreach, and professor, Division of General Medicine, Department of Internal Medicine, University of California, Davis, School of Medicine, Sacramento, California.
Acad Med. 2015 Dec;90(12):1667-74. doi: 10.1097/ACM.0000000000000766.
To examine associations of medical school applicant underrepresented minority (URM) status and socioeconomic status (SES) with Multiple Mini-Interview (MMI) invitation and performance and acceptance recommendation.
The authors conducted a correlational study of applicants submitting secondary applications to the University of California, Davis, School of Medicine, 2011-2013. URM applicants were black, Southeast Asian, Native American, Pacific Islander, and/or Hispanic. SES from eight application variables was modeled (0-1 score, higher score = lower SES). Regression analyses examined associations of URM status and SES with MMI invitation (yes/no), MMI score (mean of 10 station ratings, range 0-3), and admission committee recommendation (accept versus not), adjusting for age, sex, and academic performance.
Of 7,964 secondary-application applicants, 19.7% were URM and 15.1% self-designated disadvantaged; 1,420 (17.8%) participated in the MMI and were evaluated for acceptance. URM status was not associated with MMI invitation (OR 1.14; 95% CI 0.98 to 1.33), MMI score (0.00-point difference, CI -0.08 to 0.08), or acceptance recommendation (OR 1.08; CI 0.69 to 1.68). Lower SES applicants were more likely to be invited to an MMI (OR 5.95; CI 4.76 to 7.44) and recommended for acceptance (OR 3.28; CI 1.79 to 6.00), but had lower MMI scores (-0.12 points, CI -0.23 to -0.01).
MMI-based admissions did not disfavor URM applicants. Lower SES applicants had lower MMI scores but were more likely to be invited to an MMI and recommended for acceptance. Multischool collaborations should examine how MMI-based admissions affect URM and lower SES applicants.
研究医学院校申请人中未被充分代表的少数族裔（URM）身份和社会经济地位（SES）与多重迷你面试（MMI）邀请、表现及录取推荐之间的关联。
作者对2011 - 2013年向加州大学戴维斯分校医学院提交二次申请的申请人进行了一项相关性研究。URM申请人包括黑人、东南亚人、美洲原住民、太平洋岛民和/或西班牙裔。根据八个申请变量对SES进行建模（0 - 1评分，分数越高 = SES越低）。回归分析检验了URM身份和SES与MMI邀请（是/否）、MMI分数（10个站点评分的平均值，范围0 - 3）以及招生委员会推荐（录取与否）之间的关联，并对年龄、性别和学业成绩进行了调整。
在7964名提交二次申请的申请人中，19.7%为URM，15.1%自我认定为弱势群体；1420人（17.8%）参加了MMI并接受录取评估。URM身份与MMI邀请（比值比1.14；95%置信区间0.98至1.33）、MMI分数（差异0.00分，置信区间 - 0.08至0.08）或录取推荐（比值比1.08；置信区间0.69至1.68）均无关联。SES较低的申请人更有可能被邀请参加MMI（比值比5.95；置信区间4.76至7.44）并被推荐录取（比值比3.28；置信区间1.79至6.00），但MMI分数较低（ - 0.12分，置信区间 - 0.23至 - 0.01）。
基于MMI的招生方式并未对URM申请人不利。SES较低的申请人MMI分数较低，但更有可能被邀请参加MMI并被推荐录取。多校合作应研究基于MMI的招生方式如何影响URM和SES较低的申请人。
