2014-2020 年医学生成绩评估回顾分析：有保留地推荐。

A Retrospective Analysis of Medical Student Performance Evaluations, 2014-2020: Recommend with Reservations.

机构信息

Health Services Research and Development (HSR&D), Center for Innovation to Implementation (Ci2i), VA Palo Alto Health Care System (152-MPD), 795 Willow Road, Building 324, Menlo Park, CA, 94025, USA.

Department of Health Policy, Stanford University, Stanford, USA.

出版信息

J Gen Intern Med. 2022 Jul;37(9):2217-2223. doi: 10.1007/s11606-022-07502-8. Epub 2022 Jun 16.

DOI:10.1007/s11606-022-07502-8

PMID:35710660

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9296706/

Abstract

BACKGROUND

The Medical Student Performance Evaluations (MSPE) is a cornerstone of residency applications. Little is known regarding adherence to Association of American Medical Colleges (AAMC) MSPE recommendations and longitudinal changes in MSPE content.

OBJECTIVES

Evaluate current MSPE quality and longitudinal changes in MSPE and grading practices.

DESIGN

Retrospective analysis.

PARTICIPANTS

Students from all Liaison Committee on Medical Education (LCME)-accredited medical schools from which the Stanford University Internal Medicine residency program received applications between 2014-2015 and 2019-2020.

MAIN MEASURES

Inclusion of key words to describe applicant performance and metrics thereof, including distribution among students and key word assignment explanation; inclusion of clerkship grades, grade distributions, and grade composition; and evidence of grade inflation over time.

KEY RESULTS

MSPE comprehensiveness varied substantially among the 149 schools analyzed. In total, 25% of schools provided complete information consistent with AAMC recommendations regarding key word/categorization of medical students and clerkship grades in 2019-2020. Seventy-seven distinct key word terms appeared across the 139 schools examined in 2019-2020. Grading practices markedly varied, with 2-83% of students receiving the top internal medicine clerkship grade depending on the year and school. Individual schools frequently changed key word and grading practices, with 33% and 18% of schools starting and/or stopping use of key words and grades, respectively. Significant grade inflation occurred over the 6-year study period, with an average 14% relative increase in the proportion of students receiving top clerkship grades.

CONCLUSIONS

A minority of schools complies with AAMC MSPE guidelines, and MSPEs are inconsistent across time and schools. These practices may impair evaluation of students within and between schools.

摘要

背景

医学生表现评估（MSPE）是住院医师申请的基石。关于遵守美国医学协会（AAMC）MSPE 建议以及 MSPE 内容的纵向变化，知之甚少。

目的

评估当前 MSPE 的质量以及 MSPE 和评分实践的纵向变化。

设计

回顾性分析。

参与者

所有联委会医学教育（LCME）认可的医学院的学生，斯坦福大学内科住院医师项目在 2014-2015 年和 2019-2020 年期间收到了这些学校的申请。

主要措施

包括描述申请人表现及其指标的关键词，包括学生之间的分布和关键词分配说明；包括实习成绩、成绩分布和成绩组成；以及随着时间的推移成绩膨胀的证据。

主要结果

在分析的 149 所学校中，MSPE 的全面性差异很大。在 2019-2020 年，共有 25%的学校提供了完整的信息，这些信息与 AAMC 关于医学生的关键词/分类和实习成绩的建议一致。在 2019-2020 年检查的 139 所学校中出现了 77 个不同的关键词术语。评分实践差异很大，取决于年份和学校，有 2-83%的学生获得内科实习的最高成绩。个别学校经常更改关键词和评分实践，分别有 33%和 18%的学校开始和/或停止使用关键词和成绩。在 6 年的研究期间发生了显著的成绩膨胀，获得最高实习成绩的学生比例平均增加了 14%。