McKinley A, Stevenson M, Steele K
Centre for Medical Education, QUB.
Ulster Med J. 2017 May;86(2):119-122. Epub 2017 May 20.
The United Kingdom Clinical Aptitude Test (UKCAT) was introduced to assist in identification of applicants from all levels of society with the appropriate characteristics to become good doctors. Evidence that the UKCAT has achieved such widened participation (WP) in applicants to medical school remains elusive. One of the limitations to WP investigation has been that data on socioeconomic status of applicants to medical schools has been obtained through voluntary submission on application to UKCAT and up to 30% of applications offered either none or only limited information. In this study of local applicants (451 from Northern Ireland) to Queens University Belfast (QUB) for 2012, socioeconomic data was ascertained through post code analysis. These data were utilized to investigate the relationship between affluence, application to the medical school and UKCAT score. Our study has shown that for NI applicants to QUB medical school, postcode /socioeconomic back ground accounts for only 3 percent of UK CAT score variation. We have also shown that our admissions process is largely independent of socioeconomic background. However we have demonstrated that the socioeconomic profile of applicants from Northern Ireland to QUB medical school is such that even if every applicant to QUB in 2012 were offered a place in the medical school the number of applicants from least affluent areas would increase by only 9. In conclusion efforts to achieve meaningful WP must be directed at raising aspirations for a career in Medicine within the community.
英国临床能力测试(UKCAT)旨在帮助从社会各阶层中甄别出具有成为优秀医生所需适当特质的申请者。然而,目前尚无证据表明UKCAT在扩大医学院校申请者的社会参与度方面取得了成效。社会参与度调查的一个局限在于,医学院校申请者的社会经济地位数据是通过他们在申请UKCAT时自愿提交的,高达30%的申请要么没有提供任何信息,要么只提供了有限的信息。在这项针对2012年申请贝尔法斯特女王大学(QUB)的当地申请者(451名来自北爱尔兰)的研究中,社会经济数据是通过邮政编码分析确定的。这些数据被用于研究富裕程度、申请医学院校与UKCAT分数之间的关系。我们的研究表明,对于申请QUB医学院的北爱尔兰申请者而言,邮政编码/社会经济背景仅占UKCAT分数差异的3%。我们还表明,我们的录取过程在很大程度上独立于社会经济背景。然而,我们已经证明,北爱尔兰申请QUB医学院的申请者的社会经济概况是,即使2012年申请QUB的每一位申请者都能被医学院录取,来自最贫困地区的申请者数量也只会增加9人。总之,要实现有意义的社会参与度提升,必须致力于提高社区内人们对医学职业的期望。