Uniformed Services University of Health Sciences, 20814, Bethesda, MD, USA.
School of Medicine, University of Colorado, Aurora, CO, USA.
Perspect Med Educ. 2019 Oct;8(5):298-304. doi: 10.1007/s40037-019-00539-2.
A perennial difficultly for remediation programmes in medical school is early identification of struggling learners so that resources and assistance can be applied as quickly as is practical. Our study investigated if early academic performance has predictive validity above and beyond pre-matriculation variables.
Using three cohorts of medical students, we used logistic regression modelling and negative binomial regression modelling to assess the strength of the relationships between measures of early academic performance and outcomes-later referral to the academic review and performance committee and total module score.
We found performance on National Board of Medical Examiners (NBME) exams at approximately 5 months into the pre-clerkship curriculum was predictive of any referral as well as the total number of referrals to an academic review and performance committee during medical school (MS)1, MS2, MS3 and/or MS4 years.
NBME exams early in the curriculum may be an additional tool for early identification of struggling learners.
医学院修复课程的一个长期难题是尽早识别学习困难的学生,以便尽快提供资源和援助。我们的研究调查了早期学业成绩是否具有预测价值,超过了入学前变量。
使用三批医学生,我们使用逻辑回归模型和负二项回归模型来评估早期学业成绩与后期转至学术审查和表现委员会以及总模块评分之间关系的强度。
我们发现,在预科课程大约 5 个月时进行的美国医师执照考试(NBME)考试成绩可以预测任何转至学术审查和表现委员会的情况,以及在医学院(MS)1、MS2、MS3 和/或 MS4 年期间被转至学术审查和表现委员会的总次数。
课程早期的 NBME 考试可能是识别学习困难学生的另一个工具。