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个人面试和认知能力在医学生内科实习中的作用,预测医学生的表现。

The roles of personal interview and cognitive abilities at admission to medical school in predicting performance of medical students in their internal medicine sub-internship.

机构信息

Diabetes Clinic, Soroka University Medical Center, Beer-Sheva, Israel.

Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel.

出版信息

BMC Med Educ. 2022 Jul 13;22(1):541. doi: 10.1186/s12909-022-03614-1.

DOI:10.1186/s12909-022-03614-1
PMID:35831889
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9281101/
Abstract

BACKGROUND

The medical school admission process is complicated, perhaps reflecting unresolved debates concerning the most important skills necessary to become an ideal physician. The Goldman Medical School at Ben-Gurion University in Israel is known for placing great emphasis on the personal attributes of candidates in addition to their academic excellence. To this end, 1-h consecutive interviews are embedded in the admission process. This study aims to determine whether there is an association between candidates' personal interview ratings and the ratings assigned to these students at the conclusion of their 6 year internal medicine sub-internship.

METHODS

Our study sample included 136 students who were admitted to the medical school in 2015, and who completed their 6 year internal medicine sub-internship in 2019-2020. Our data were derived from the admissions information for each candidate and from structured interviews concerning medical competence and personal traits, which were completed by medical personnel who were in contact with these students during their clinical rounds.

RESULTS

Higher interview ratings of candidates during the admission process were associated with a higher probability that students would be evaluated as top-rated internists 6 years later (Odds Ratio (OR) = 9.4, p-value = 0.049), independent of gender (OR for male vs female = 0.2, p-value = 0.025) and age (OR = 1.3 per each year, p-value = 0.115). Although significant, the numeric difference in interview rating was relatively small (median 9.5 and 9.4 for top-rated and not top-rated internists, respectively).

CONCLUSIONS

Our study shows that high personal interview ratings assigned to candidates as part of the medical school admission process are predictive of high performance ratings of students after they complete their 6 year internal medicine sub-internships. These findings demonstrate the value and importance of using semi-structured personal interviews in the medical school admission process.

摘要

背景

医学院的录取过程很复杂,这或许反映了有关成为理想医生最重要技能的一些未解决的争议。以色列本古里安大学的戈德曼医学院以除了学术卓越之外,还非常重视候选人的个人特质而闻名。为此,在录取过程中嵌入了 1 小时的连续面试。本研究旨在确定候选人的个人面试评分与他们在完成 6 年内科实习后获得的评分之间是否存在关联。

方法

我们的研究样本包括 2015 年被录取的 136 名学生,他们在 2019-2020 年完成了 6 年的内科实习。我们的数据来自每个候选人的录取信息以及关于医疗能力和个人特质的结构化访谈,这些访谈是由在临床轮班期间与这些学生接触的医务人员完成的。

结果

在录取过程中,候选人的面试评分越高,他们在 6 年后被评为顶尖内科住院医师的可能性就越大(优势比(OR)=9.4,p 值=0.049),独立于性别(男性与女性的 OR 比为 0.2,p 值=0.025)和年龄(OR 每增加 1 岁为 1.3,p 值=0.115)。尽管具有统计学意义,但面试评分的数值差异相对较小(顶尖和非顶尖内科住院医师的中位数分别为 9.5 和 9.4)。

结论

我们的研究表明,作为医学院录取过程的一部分,对候选人进行的高个人面试评分与学生完成 6 年内科实习后的高绩效评分相关。这些发现证明了在医学院录取过程中使用半结构化个人访谈的价值和重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c13e/9281101/e7b15d846a86/12909_2022_3614_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c13e/9281101/e7b15d846a86/12909_2022_3614_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c13e/9281101/e7b15d846a86/12909_2022_3614_Fig1_HTML.jpg

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