R.M. Schwartzstein is professor of medicine, Harvard Medical School, Boston, Massachusetts.
Acad Med. 2020 Mar;95(3):333-335. doi: 10.1097/ACM.0000000000003091.
An excellent physician has a range of talents, including the knowledge and critical thinking abilities to work with the rapidly changing biomedical and social science content of the profession as well as the interpersonal and communication skills to build meaningful relationships with patients and families. The Medical College Admission Test (MCAT) was revised in 2015 to focus more on analytical reasoning skills and behavioral and social sciences knowledge to ensure that future physicians have the capabilities needed to care for patients in the 21st century and to allow admissions committees to identify applicants who have demonstrated proficiency in these areas. With these changes, scores continue to be predictive of student performance in the preclerkship curriculum.In this Invited Commentary, the author argues that, as educators struggle to define the characteristics of the "right" candidates for medical school and design processes to identify and admit those applicants, it is important to consider the message being sent by calls for the MCAT exam to play a reduced role in admissions decisions. Educators must avoid diminishing the importance of intellectual rigor and, while pursuing goals for a more diverse physician workforce, maintain standards that ensure medicine's commitment to patients. The author concludes with suggestions for how educators can work with under-resourced colleges and premedical programs to help disadvantaged students get the preparation they need to succeed in medical school and throughout their careers. Taking these steps will allow educators to support students, prepare them for practice, and fulfill their obligation to the public to produce excellent physicians.
一位优秀的医生具备多种才能,包括掌握不断变化的生物医学和社会科学知识、运用批判性思维能力,以及与患者和家属建立有意义关系的人际交往和沟通技巧。医学院入学考试(MCAT)于 2015 年进行了修订,更加注重分析推理能力和行为与社会科学知识,以确保未来的医生具备 21 世纪照顾患者所需的能力,并使招生委员会能够识别出在这些领域表现出色的申请人。有了这些变化,考试成绩仍然可以预测学生在预科课程中的表现。在这篇特邀评论中,作者认为,教育工作者在努力定义医学院“合适”申请人的特征并设计识别和录取这些申请人的流程时,重要的是要考虑到减少 MCAT 考试在招生决策中作用的呼声所传达的信息。教育工作者必须避免降低对知识严谨性的重视,同时追求实现医生队伍多元化的目标,保持确保医学对患者的承诺的标准。作者最后提出了教育工作者如何与资源不足的学院和医学预科项目合作,帮助贫困学生为在医学院和整个职业生涯中取得成功做好准备的建议。采取这些步骤将使教育工作者能够支持学生,为他们的实践做好准备,并履行对公众的义务,培养优秀的医生。