Bakker Dorothy, Russell Christopher, Schmuck Mary Lou, Bell Amanda, Mountjoy Margo, Whyte Rob, Grierson Lawrence
Department of Family Medicine, Faculty of Health Sciences, McMaster University, Ontario, Canada.
Michael G DeGroote School of Medicine, Faculty of Health Sciences, McMaster University, Ontario, Canada.
Can Med Educ J. 2020 Jul 15;11(3):e73-e81. doi: 10.36834/cmej.69328. eCollection 2020 Jul.
The Michael G. DeGroote School of Medicine expanded its medical education across three campus sites (Hamilton, Niagara Regional and Waterloo Regional) in 2007. Ensuring the efficacy and equivalency of the quality of training are important accreditation considerations in distributed medical education. In addition, given the social accountability mission implicit to distributed medical education, the proportion of learners at each campus that match to family medicine residency programs upon graduation is of particular interest.
By way of between campus comparisons of Canadian Residency Matching Service (CaRMS) match rates, this study investigates the family medicine match proportion of medical students from McMaster's three medical education campuses. These analyses are further supported by between campus comparisons of Personal Progress Index (PPI), Objective Structured Clinical Examination (OSCE), Medical Council of Canada Qualifying Examination-Part 1 (MCCQE1) performances that offer insight into the equivalency and efficacy of the educational outcomes at each campus.
The Niagara Regional Campus (NRC) demonstrated a significantly greater proportion of students matched to family medicine. With respect to education equivalency, the proportion of students' PPI scores that were more than two SD below the mean was comparable across campuses. OSCE analysis yielded less than 2% differences across campuses with no differences in the last year of training. The MCCQE1 pass rates were not statistically significant between campuses and there were no differences in CaRMS match rates. With respect to education efficacy, there were no differences among the three campuses' pass rates on the MCCQE1 and CaRMS match rates with the national rates.
Students in all campuses received equivalent educational experiences and were efficacious when compared to national metrics, while residency matches to family medicine were greater in the NRC. The reasons for this difference may be a factor of resident and leadership role-models as well as the local hospital and community environment.
迈克尔·G·德格罗特医学院于2007年将其医学教育扩展至三个校区（汉密尔顿、尼亚加拉地区和滑铁卢地区）。在分布式医学教育中，确保培训质量的有效性和等效性是重要的认证考量因素。此外，鉴于分布式医学教育隐含的社会问责使命，各校区毕业生中匹配家庭医学住院医师项目的学生比例尤其令人关注。
通过比较各校区之间加拿大住院医师匹配服务（CaRMS）的匹配率，本研究调查了麦克马斯特大学三个医学教育校区的医学生在家庭医学方面的匹配比例。个人进步指数（PPI）、客观结构化临床考试（OSCE）、加拿大医学委员会资格考试第一部分（MCCQE1）成绩的校区间比较进一步支持了这些分析，这些比较有助于深入了解各校区教育成果的等效性和有效性。
尼亚加拉地区校区（NRC）匹配家庭医学的学生比例显著更高。在教育等效性方面，各校区学生PPI分数低于均值两个标准差以上的比例相当。OSCE分析显示各校区之间的差异不到2%，在培训的最后一年没有差异。各校区之间MCCQE1的通过率无统计学意义，CaRMS匹配率也没有差异。在教育有效性方面，三个校区MCCQE1的通过率和CaRMS匹配率与全国水平相比没有差异。
与全国指标相比，所有校区的学生都获得了等效的教育体验且效果良好，而NRC校区匹配家庭医学住院医师项目的比例更高。这种差异的原因可能是住院医师和领导榜样以及当地医院和社区环境等因素。
