医学生表现评估中最后一个形容词对申请人吸引力的影响。
Impact of the final adjective in the Medical Student Performance Evaluation on determination of applicant desirability.
机构信息
a Department of Pediatrics , Baylor College of Medicine , Houston , TX , USA.
b Department of Medicine , Baylor College of Medicine , Houston , TX , USA.
出版信息
Med Educ Online. 2018 Dec;23(1):1542922. doi: 10.1080/10872981.2018.1542922.
BACKGROUND
The Medical Student Performance Evaluation (MSPE) is a primary source of information used by residency programs in their selection of trainees. The MSPE contains a narrative description of the applicant's performance during medical school. In 2002, the Association of American Medical Colleges' guideline for preparation of the MSPE recommended inclusion of a comparative summative assessment of the student's overall performance relative to his/her peers (final adjective).
OBJECTIVE
We hypothesize that the inclusion of a final adjective in the MSPE affects a reviewer's assessment of the applicant's desirability more than the narrative description of performance and designed a study to evaluate this hypothesis.
DESIGN
Fifty-six faculty members from the Departments of Pediatrics and Medicine with experience reviewing MSPEs as part of the intern selection process reviewed two pairs of mock MSPE letters. In each pair, the narrative in one letter was superior to that in the other. Two final adjectives describing relative class ranks were created. Each subject was first presented with a pair of letters with mismatched final adjective (study), i.e., the letter with the stronger narrative was presented with the weaker final adjective and vice versa. The subject was then presented with a second pair of letters without final adjectives (control). Subjects ranked the relative desirability of the two applicants in each pair.
RESULTS
The proportion of rankings congruent with the strength of the narratives under study and control conditions were compared. Subjects were significantly less likely to rank the applicants congruent with the strength of the narratives when the strength of the final adjectives conflicted with the strength of the narrative; 42.9% of study letters were ranked congruent with the narrative versus 82.1% of controls (p = 0.0001).
CONCLUSION
The MSPE final adjective had a greater impact than the narrative description of performance on the determination of applicant desirability.
ABBREVIATIONS
MSPE: Medical Student Performance Evaluation; AAMC: Association of American Medical Colleges; BCM: Baylor College of Medicine.
背景
医学生表现评估（MSPE）是住院医师项目选择学员的主要信息来源。MSPE 包含对申请人在医学院期间表现的描述性说明。2002 年，美国医学协会（AAMC）关于 MSPE 准备的指南建议包括对学生整体表现相对于其同伴的相对总结评估（最终形容词）。
目的
我们假设 MSPE 中包含最终形容词会比表现描述更能影响审阅者对申请人的评价，因此设计了一项研究来评估这一假设。
设计
56 名来自儿科学和医学系的教员参与了这项研究，他们有作为住院医师选拔过程一部分审阅 MSPE 的经验。在每对中，一份信中的叙述优于另一份。创建了两个描述相对班级排名的最终形容词。每个对象首先呈现一对带有不匹配最终形容词的信件（研究），即具有较强叙述的信与较弱最终形容词配对，反之亦然。然后，对象呈现第二对没有最终形容词的信件（对照）。对象对每对中的两个申请人的相对愿望进行排名。
结果
在研究和对照条件下，比较了与叙述强度一致的排名比例。当最终形容词的强度与叙述的强度相冲突时，对象更不可能与叙述的强度一致地对申请人进行排名；研究信中的 42.9%与叙述一致，而对照信中的 82.1%（p = 0.0001）。
结论
MSPE 最终形容词对确定申请人的愿望的影响大于表现描述。
缩写
MSPE：医学生表现评估；AAMC：美国医学协会；BCM：贝勒医学院。
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