a Division of Health Professions Education , School of Allied Health, The University of Western Australia , Perth , Australia.
b UWA Medical School, The University of Western Australia , Perth , Australia.
Med Teach. 2018 Nov;40(11):1175-1182. doi: 10.1080/0142159X.2018.1426840. Epub 2018 Jan 21.
Predicting workplace performance of junior doctors from before entry or during medical school is difficult and has limited available evidence. This study explored the association between selected predictor variables and workplace based performance in junior doctors during their first postgraduate year.
Two cohorts of medical students (n = 200) from one university in Western Australia participated in the longitudinal study. Pearson correlation coefficients and multivariate analyses utilizing linear regression were used to assess the relationships between performance on the Junior Doctor Assessment Tool (JDAT) and its sub-components with demographic characteristics, selection scores for medical school entry, emotional intelligence, and undergraduate academic performance.
Grade Point Average (GPA) at the completion of undergraduate studies had the most significant association with better performance on the overall JDAT and each subscale. Increased age was a negative predictor for junior doctor performance on the Clinical management subscale and understanding emotion was a predictor for the JDAT Communication subscale. Secondary school performance measured by Tertiary Entry Rank on entry to medical school score predicted GPA but not junior doctor performance.
The GPA as a composite measure of ability and performance in medical school is associated with junior doctor assessment scores. Using this variable to identify students at risk of difficulty could assist planning for appropriate supervision, support, and training for medical graduates transitioning to the workplace.
在医学生进入医学院之前或就读期间预测其工作表现是困难的,且目前相关证据有限。本研究旨在探讨医学生在研究生第一年的工作场所表现与某些预测变量之间的关系。
来自西澳大利亚一所大学的两批医学生(n=200)参与了这项纵向研究。采用皮尔逊相关系数和多元分析线性回归评估了初级医生评估工具(JDAT)及其分量与人口统计学特征、医学院入学选拔分数、情绪智力和本科学习成绩之间的关系。
本科学习结束时的平均绩点(GPA)与 JDAT 总分和各分量表的表现呈显著正相关。年龄的增加是初级医生临床管理分量表表现的负预测因子,而理解情绪是 JDAT 沟通分量表的预测因子。医学院入学的入学排名(TER)作为中学表现的衡量标准,预测了 GPA,但不能预测初级医生的表现。
作为医学院能力和表现的综合衡量标准,绩点与初级医生评估分数相关。使用这一变量来识别有困难风险的学生,可以帮助规划为即将进入工作场所的医学生提供适当的监督、支持和培训。