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加速 3 年制医学博士途径项目中学生学习和表现成果的初步评估。

A Preliminary Evaluation of Students' Learning and Performance Outcomes in an Accelerated 3-Year MD Pathway Program.

机构信息

is Associate Dean of Education and Faculty, Associate Professor of Pathology, and Director, Accelerated 3-Year MD Pathway, New York University Grossman School of Medicine.

is a Postdoctoral Research Scientist, New York University Grossman School of Medicine.

出版信息

J Grad Med Educ. 2022 Feb;14(1):99-107. doi: 10.4300/JGME-D-21-00284.1.

DOI:10.4300/JGME-D-21-00284.1
PMID:35222827
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8848877/
Abstract

BACKGROUND

Little outcome data exist on 3-year MD (3YMD) programs to guide residency program directors (PDs) in deciding whether to select these graduates for their programs.

OBJECTIVE

To compare performance outcomes of 3YMD and 4-year MD (4YMD) students at New York University Grossman School of Medicine.

METHODS

In 2020, using the Kirkpatrick 4-level evaluation model, outcomes from 3 graduating cohorts of 3YMD students (2016-2018) were compared with the 4YMD counterparts.

RESULTS

Descriptive statistics compared outcomes among consented student cohorts: 92% (49 of 53) 3YMD, 87% (399 of 459) 4YMD-G, and 84% (367 of 437) 4YMD-S. Student survey response rates were 93% (14 of 15), 74% (14 of 19), and 89% (17 of 19) from 2016 to 2018. PDs' response rates were 58% (31 of 53, 3YMD) and 51% (225 of 441, 4YMD). Besides age, 3YMD and 4YMD cohorts did not differ significantly in admissions variables. Other than small statistically significant differences in the medicine shelf examination (3YMD mean 74.67, SD 7.81 vs 4YMD-G mean 78.18, SD 7.60; test=3.02; =.003) and USMLE Step 1 (3YMD mean 235.13, SD 17.61 vs 4YMD-S mean 241.70, SD 15.92; test=2.644; =.009 and vs 4YMD-G mean 242.39, SD 15.65; test=2.97; =.003) and Step 2 CK scores (3YMD mean 242.57, SD 15.58 vs 4YMD-S mean 248.55, SD 15.33; test=2.55; =.01 and vs 4YMD-G mean 247.83, SD 15.38; test=2.97; =.03), other metrics and overall intern ratings did not differ by pathway.

CONCLUSIONS

Exploratory findings from a single institution suggest that 3YMD students performed similarly to 4YMD students in medical school and the first year of residency.

摘要

背景

关于 3 年制医学博士(3YMD)项目的 3 年结果数据很少,无法为住院医师项目主任(PD)在选择这些毕业生进入项目时提供指导。

目的

比较纽约大学格罗斯曼医学院 3 批 3YMD 学生(2016-2018 年)和 4 年制医学博士(4YMD)学生的表现结果。

方法

2020 年,使用 Kirkpatrick 4 级评估模型,将 3 个 3YMD 毕业队列的结果与 4YMD 对照组进行比较。

结果

描述性统计比较了同意参与学生队列的结果:92%(53 名中的 49 名)3YMD、87%(459 名中的 399 名)4YMD-G 和 84%(437 名中的 367 名)4YMD-S。2016 年至 2018 年,学生调查的回复率分别为 93%(14 名中的 15 名)、74%(19 名中的 14 名)和 89%(19 名中的 17 名)。PD 的回复率分别为 58%(53 名中的 31 名,3YMD)和 51%(441 名中的 225 名,4YMD)。除了年龄外,3YMD 和 4YMD 队列在入学变量方面没有显著差异。除了医学架子考试(3YMD 平均 74.67,标准差 7.81 与 4YMD-G 平均 78.18,标准差 7.60;检验=3.02;=.003)和 USMLE 第 1 步(3YMD 平均 235.13,标准差 17.61 与 4YMD-S 平均 241.70,标准差 15.92;检验=2.644;=.009 和 4YMD-G 平均 242.39,标准差 15.65;检验=2.97;=.003)和第 2 步 CK 分数(3YMD 平均 242.57,标准差 15.58 与 4YMD-S 平均 248.55,标准差 15.33;检验=2.55;=.01 和 4YMD-G 平均 247.83,标准差 15.38;检验=2.97;=.03)存在较小的统计学差异外,其他指标和整体住院医师评分没有因途径的不同而不同。

结论

来自单一机构的探索性发现表明,3YMD 学生在医学院和住院医师培训的第一年的表现与 4YMD 学生相似。

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Accelerated 3-Year MD Pathway Programs: Graduates' Perspectives on Education Quality, the Learning Environment, Residency Readiness, Debt, Burnout, and Career Plans.加速 3 年制医学博士途径项目:毕业生对教育质量、学习环境、住院医师准备情况、债务、倦怠和职业规划的看法。
Acad Med. 2022 Feb 1;97(2):254-261. doi: 10.1097/ACM.0000000000004332.
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Evolution of an Accelerated 3-Year Pathway to the MD Degree: The Experience of New York University Grossman School of Medicine.加速 3 年制 MD 学位课程的演变:纽约大学格罗斯曼医学院的经验。
Acad Med. 2020 Apr;95(4):534-539. doi: 10.1097/ACM.0000000000003013.
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