Jerant Anthony, Henderson Mark C, Griffin Erin, Talamantes Efrain, Fancher Tonya, Sousa Francis, Franks Peter
J Health Care Poor Underserved. 2018;29(1):303-320. doi: 10.1353/hpu.2018.0021.
Multiple Mini-Interviews (MMIs) are increasingly used in medical school admissions. We previously reported that while under-represented minority (URM) status was not associated with MMI scores, self-designated disadvantaged applicants had lower MMI scores, possibly affecting their matriculation prospects. No studies have examined how URM status or socioeconomic disadvantage (SED) are associated with academic performance following admission through an MMI. We examined the adjusted associations of MMI scores, SED, and URM status with U.S. Medical Licensing Examination Steps 1 and 2 performance and third-year clerkship Honors, measures affecting residency matching. While URM status was not associated with the measures, students with greater SED had lower Step 1 scores and fewer Honors. Students with higher MMI scores had more Step 1 failures, but more Honors. The findings identify areas to address in medical school admissions, student support, and evaluation processes, which is important given the need for a more representative physician workforce.
多重迷你面试（MMIs）在医学院招生中越来越常用。我们之前报告过，虽然未被充分代表的少数族裔（URM）身份与MMI分数无关，但自我认定处于不利地位的申请者MMI分数较低，这可能会影响他们的录取前景。尚无研究考察通过MMI录取后，URM身份或社会经济劣势（SED）与学业成绩之间的关联。我们研究了MMI分数、SED和URM身份与美国医师执照考试第1步和第2步成绩以及三年级临床实习荣誉之间的校正关联，这些指标会影响住院医师匹配。虽然URM身份与这些指标无关，但SED程度较高的学生第1步成绩较低，获得荣誉的次数也较少。MMI分数较高的学生第1步考试不及格的情况较多，但获得荣誉的次数较多。这些发现确定了医学院招生、学生支持和评估过程中需要解决的领域，鉴于需要一支更具代表性的医师队伍，这一点很重要。
