Hamamoto Filho Pedro Tadao, de Arruda Lourenção Pedro Luiz Toledo, do Valle Adriana Polachini, Abbade Joélcio Francisco, Bicudo Angélica Maria
Botucatu Medical School, Department of Neurology, Psychology and Psychiatry, UNESP - Univ Estadual Paulista, Botucatu, Brazil.
Botucatu Medical School, Department of Surgery an Orthopedics, UNESP - Univ Estadual Paulista, Botucatu, Brazil.
Med Sci Educ. 2019 Oct 11;29(4):1071-1075. doi: 10.1007/s40670-019-00811-4. eCollection 2019 Dec.
Brazil is currently seeing an increased number of medical schools, leading to high competition for medical residency vacancies. Public managers have thus considered Progress Testing scores potentially useful as part of the final decision in the medical residency selection process. We analyzed whether there is a correlation between students' Progress Testing scores and their performances in medical residency selection. We examined four subsequent cohorts of students who attempted Progress Testing yearly and compared their accumulated scores with their medical residency selection scores from Botucatu Medical School, Universidade Estadual Paulista. We included 212 students who finished the 6-year medical course in 2013, 2014, 2015, and 2016. The comparison between the area under the Progress Testing curve and the medical residency selection score was performed using a Pearson correlation, with a value set at < 0.05. We found a positive association between the two scores ( < 0.05 for the 4 years). Next, the students were grouped according to their performance in Progress Testing: above one, within one, and below one standard deviation. A chi-square test was used to compare the rates of approval with the second step of the medical residency selection process. Approval rates were 91.7%, 69.2%, and 42.1%, respectively ( < 0.05). We conclude that, in fact, there is a correlation between students' performance on these measures. This is partially explained by the fact that both instruments measure cognitive competencies and knowledge. These data may support national policy changes for medical residency selection.
巴西目前医学院数量不断增加，导致医学住院医师职位竞争激烈。因此，公共管理人员认为进步测试成绩可能有助于作为医学住院医师选拔过程最终决策的一部分。我们分析了学生的进步测试成绩与他们在医学住院医师选拔中的表现之间是否存在相关性。我们研究了每年参加进步测试的四批学生，并将他们的累计成绩与圣保罗州立大学博图卡图医学院的医学住院医师选拔成绩进行比较。我们纳入了2013年、2014年、2015年和2016年完成6年制医学课程的212名学生。使用Pearson相关性分析进步测试曲线下面积与医学住院医师选拔成绩之间的比较，设定P值<0.05。我们发现这两个成绩之间存在正相关（4年的P值均<0.05）。接下来，根据学生在进步测试中的表现进行分组：高于一个标准差、在一个标准差内和低于一个标准差。使用卡方检验比较医学住院医师选拔过程第二步的通过率。通过率分别为91.7%、69.2%和42.1%（P<0.05）。我们得出结论，事实上，学生在这些测评中的表现之间存在相关性。部分原因是这两种测评工具都衡量认知能力和知识。这些数据可能支持医学住院医师选拔的国家政策变革。
