一所医学院招生过程的价值观分析：探索个体价值观和价值体系。

An Axiological Analysis of One Medical School's Admissions Process: Exploring Individual Values and Value Systems.

机构信息

R.H. Ellaway is professor, Department of Community Health Sciences, and director, Office of Health and Medical Education Scholarship, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada. R.L. Malhi is research associate, Distributed Learning and Rural Initiatives, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada. W. Woloschuk is program evaluation consultant, Undergraduate Medical Education, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada. J.M. de Groot is associate professor, Departments of Psychiatry and Oncology, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada. C.J. Doig is professor, Departments of Critical Care Medicine and Community Health Sciences, and current chair, Admissions Committee, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada. D. Myhre is professor, Department of Family Medicine, and associate dean, Distributed Learning and Rural Initiatives, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada.

出版信息

Acad Med. 2019 Aug;94(8):1229-1236. doi: 10.1097/ACM.0000000000002698.

DOI:10.1097/ACM.0000000000002698

PMID:30870149

Abstract

PURPOSE

Values and value systems are fundamental to medical school admissions processes. An axiological analysis was carried out to explore the individual values and value systems found within the University of Calgary's Cumming School of Medicine's undergraduate admissions process.

METHOD

A mixed-methods case study methodology was developed with a focus on applicant characteristics viewed as desirable, the relative value ascribed to applicant characteristics, the values that participants in admissions processes brought to bear, the values that were reflected in the artifacts and procedures used in support of admissions processes, and the values that were expressed at a system, program, or institutional level. The study employed a descriptive audit of admissions processes, a stakeholder survey, stakeholder interviews, and a discourse analysis of admissions materials (all carried out between June and September 2017).

RESULTS

The study found that, despite a general sense of satisfaction with the rigor of the admissions process, there was less satisfaction with the final selection it produced. Participants wanted to see more attention paid to responsibilities to patients and society than to gender and ethnic balance.

CONCLUSIONS

Those involved with medical school admissions need to be mindful of their value systems and use them to align intent with process and outcomes in selecting tomorrow's physicians. Axiological analysis of medical education processes can play a central role in reviewing and refocusing efforts on meeting an institution's social mission and medical education's social contract.

摘要

目的

价值观和价值体系是医学院校招生过程的基础。本研究采用价值分析方法，探索卡尔加里大学卡明医学院本科招生过程中的个体价值观和价值体系。

方法

采用混合方法案例研究方法，重点关注被视为理想的申请人特征、申请人特征的相对价值、招生过程参与者带来的价值观、支持招生过程中使用的人工制品和程序所反映的价值观，以及在系统、项目或机构层面表达的价值观。该研究对招生过程进行了描述性审计、利益相关者调查、利益相关者访谈以及招生材料的话语分析（均在 2017 年 6 月至 9 月期间进行）。