美国医学院再申请人的申请后咨询：一所学校的项目。

Postapplication Advisement for U.S. Medical School Reapplicants: One School's Program.

机构信息

M.P. Ballejos is assistant professor and vice chair of diversity, equity and inclusion, Department of Family and Community Medicine, and assistant dean for admissions, University of New Mexico School of Medicine, Albuquerque, New Mexico; ORCID: http://orcid.org/0000-0002-6288-1849. C.L. Schmitt is senior statistician, Department of Family and Community Medicine, University of New Mexico School of Medicine, Albuquerque, New Mexico. K.L. McKinney is research specialist, Department of Family and Community Medicine, University of New Mexico School of Medicine, Albuquerque, New Mexico. R. Sapien is distinguished professor, Departments of Emergency Medicine and Pediatrics, and associate dean for admissions, University of New Mexico School of Medicine, Albuquerque, New Mexico.

出版信息

Acad Med. 2019 May;94(5):688-691. doi: 10.1097/ACM.0000000000002538.

DOI:10.1097/ACM.0000000000002538

PMID:31021874

Abstract

PROBLEM

Reapplicants make up over one-quarter of U.S. medical school applicants. Postapplication advisement (PAA) can provide potential reapplicants with concrete strategies for improvement, a contextualized basis for their scores, and a realistic idea of their chances for success. However, more data showing the effectiveness of PAA and an analysis of best practices are needed for PAA programs to be more widely adopted.

APPROACH

In 2010, the University of New Mexico School of Medicine (UNM SOM) created a PAA program that involves a postapplication seminar (PAS), mandatory self-assessment and action plan development, and an individual consult with an admissions dean to prepare participants for reapplication.

OUTCOMES

From 2010 to 2016, 892 applicants who interviewed and were rejected at UNM SOM were eligible to participate in PAA. Of these, 478 (53.6%) chose to participate in PAA over the seven-year period. Males had a higher participation rate (246/430; 57.2%) compared with females (232/461; 50.3%; P = .04). African Americans had a higher participation rate (12/17; 70.6%) and American Indian/Alaska Natives had a lower participation rate (17/64; 26.6%) than any other race/ethnicity. Of reapplicants who were subsequently accepted, 140/178 (78.7%) attended PAS and a consult, and 7/178 (3.9%) attended PAS only, compared with 31/178 (17.4%) of subsequently accepted reapplicants who did not participate in any PAA (P < .001).

NEXT STEPS

Additional research should focus on the best approach for assisting reapplicants with prioritizing areas for improvement in their application. Demographic data may be used to target outreach to specific populations.

摘要

问题

美国医学院申请者中，重新申请者超过四分之一。申请后咨询（PAA）可以为潜在的重新申请者提供具体的改进策略、成绩的背景依据，以及对成功机会的现实认识。然而，需要更多的数据来证明 PAA 的有效性，并对最佳实践进行分析，以便 PAA 项目得到更广泛的采用。

方法

2010 年，新墨西哥大学医学院（UNM SOM）创建了一个 PAA 项目，其中包括申请后研讨会（PAS）、强制性自我评估和行动计划制定，以及与招生院长的个人咨询，为参与者重新申请做准备。

结果

2010 年至 2016 年，在 UNM SOM 面试并被拒绝的 892 名申请者有资格参加 PAA。在这 892 名申请者中，7 年间有 478 名（53.6%）选择参加 PAA。男性的参与率（246/430；57.2%）高于女性（232/461；50.3%；P=.04）。非裔美国人的参与率（12/17；70.6%）高于任何其他种族/族裔，而美洲印第安人/阿拉斯加原住民的参与率（17/64；26.6%）则低于任何其他种族/族裔。随后被接受的重新申请者中，140/178（78.7%）参加了 PAS 和咨询，7/178（3.9%）仅参加了 PAS，而 178 名随后被接受的重新申请者中，7/178（3.9%）未参加任何 PAA（P<.001）。