Center for Health Professions Education, Uniformed Services University of the Health Sciences, Bethesda, MD 20814 USA.
Wade Alliance, Texas 78757.
Mil Med. 2020 Dec 30;185(11-12):e1999-e2003. doi: 10.1093/milmed/usaa237.
Holistic review, in which medical schools seek to balance applicant attributes and experiences alongside traditional academic metrics in making admissions decisions, has been in place for over a decade. Medical school applicants and the admissions' community are still trying to understand the impact of holistic review on the composition of those medical schools choose to interview and accept.
The study cohort included all candidates who applied to Uniformed Services University of the Health Sciences (USU) in 2014, 2015, and 2016 (N = 8,920). We conducted logistic regression analysis to examine the associations between the sociodemographic, academic, and military service variables of applicants applying to the School of Medicine and offers for interview.
Medical College Admission Test scores and undergraduate grade point averages were important in predicting who would receive an interview. Having military experience, being a woman, and being self-reported African American race also predicted a higher likelihood of receiving an interview invitation. For example, controlling for all other variables in the model, if an applicant had previous military experience, the odds of being invited for interview was about 4 times that of an applicant who had no previous military experience. Leave this for the text and discussion. The resulting pool of interviewed and accepted students more increasingly represented the Military Health Service population served.
The use of holistic review generated a class with a composition different from that which would be predicted by Medical College Admission Test and grade point average alone. Further, holistic review produced an interview pool and class more representative of the wider Military Health Service beneficiary population. In the case of USU, holistic review allowed the school to better meet its mission to create a representative class able to "care for those in harm's way."
整体评估，即医学院在做出录取决定时，除了传统的学术指标外，还寻求平衡申请人的属性和经验，已经实施了十多年。医学院申请者和招生界仍在努力了解整体评估对那些选择面试和录取的医学院构成的影响。
研究队列包括 2014 年、2015 年和 2016 年申请美国卫生与公众服务大学（USU）医学院的所有申请人（N=8920）。我们进行了逻辑回归分析，以检查申请人的社会人口统计学、学术和兵役变量与医学院提供面试的机会之间的关联。
医学院入学考试成绩和本科平均绩点是预测谁将获得面试机会的重要因素。有兵役经验、女性身份和自我报告的非裔美国人种族也预示着更高的面试邀请可能性。例如，在模型中控制所有其他变量，如果申请人有以前的兵役经验，那么被邀请面试的几率大约是没有以前兵役经验的申请人的 4 倍。把这一点留给正文和讨论。接受面试和录取的学生群体越来越代表了所服务的军事卫生服务人群。
整体评估的使用产生了一个组成与仅由医学院入学考试和平均绩点预测的组成不同的班级。此外，整体评估产生了一个更能代表更广泛的军事卫生服务受益人群的面试群体和班级。就 USU 而言，整体评估使该校能够更好地实现其使命，即培养一个能够“照顾那些处于危险之中的人”的代表性班级。
