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医学预科专业硕士项目提高了美国医师执照考试第一步的成绩,并改善了住院医师实习安排。

Premedical special master's programs increase USMLE STEP1 scores and improve residency placements.

作者信息

Johnson Bryan, Flemer Matthew, Khuder Sadik, Puri Nitin

机构信息

Dept. of Physiology and Pharmacology, College of Medicine and Life Sciences, The University of Toledo, Toledo, Ohio, United States of America.

Dept. of Medicine, College of Medicine and Life Sciences, The University of Toledo, Toledo, Ohio, United States of America.

出版信息

PLoS One. 2017 Nov 30;12(11):e0188036. doi: 10.1371/journal.pone.0188036. eCollection 2017.

Abstract

The effectiveness of Special Master's Programs (SMPs) in benefiting a potential medical student's career beyond admission into an MD-program is largely unknown. This study aims to evaluate the role of SMPs, if any, in affecting the performance and outcomes of students during their medical school career. This study analyzed anonymous surveys of students and residents from the University of Toledo. The data analysis is used to evaluate a student's academic performance before, during and after medical school. Measured metrics included: MCAT Scores, undergraduate GPA, USMLE STEP 1 scores, participation in research, number of research publications, and residency placement. Of 500 people surveyed 164 medical students or residents responded. Based on their responses, the respondents were divided into traditional (non-SMP) and SMP groups. As anticipated, MCAT scores (SMP: 29.82 vs. traditional 31.10) are significantly (p<0.05) different between the two groups. Interestingly, there is no significant difference in USMLE STEP 1 scores (SMP: 232.7 vs. traditional: 233.8) and when normalized relative to MCAT scores, USMLE STEP 1 scores for SMP-students are significantly (p<0.05) higher than their traditional counterparts (p<0.05). Additionally, SMP-students did not outperform the traditional students with regards to research publications. But, they did demonstrate a significant (p<0.05) proclivity towards surgical residencies when compared to the traditional students. Overall, our results highlight that SMPs potentiate USMLE STEP 1 performance and competitive residency-placements for its students.

摘要

特殊硕士项目(SMPs)对潜在医学生的职业发展所带来的益处,在其被医学博士项目录取之后,很大程度上尚不清楚。本研究旨在评估SMPs(若有影响的话)在医学生学业生涯中对学生表现和成果的作用。本研究分析了托莱多大学学生和住院医师的匿名调查问卷。数据分析用于评估学生在医学院就读前、就读期间和毕业后的学业表现。测量指标包括:医学院入学考试(MCAT)成绩、本科平均绩点(GPA)、美国医师执照考试第一步(USMLE STEP 1)成绩、参与研究情况、研究发表数量以及住院医师匹配情况。在500名接受调查的人中,有164名医学生或住院医师做出了回应。根据他们的回答,受访者被分为传统(非SMP)组和SMP组。正如预期的那样,两组之间的MCAT成绩(SMP组:29.82,传统组:31.10)存在显著差异(p<0.05)。有趣的是,USMLE STEP 1成绩在两组之间没有显著差异(SMP组:232.7,传统组:233.8),并且相对于MCAT成绩进行标准化后,SMP组学生的USMLE STEP 1成绩显著高于传统组学生(p<0.05)。此外,在研究发表方面,SMP组学生并未超过传统组学生。但是,与传统组学生相比,他们在进入外科住院医师项目方面表现出显著倾向(p<0.05)。总体而言,我们的结果表明,SMPs提高了学生在USMLE STEP 1考试中的表现以及获得有竞争力的住院医师岗位的几率。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4377/5708752/cb8b46f82c56/pone.0188036.g001.jpg

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