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比较医学预科生在独特的替代医学预科课程与常规医学预科课程中的学习成就。

Comparing achievements of medical graduates in an alternative unique pre-medical track vs regular medical track.

机构信息

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

出版信息

Int J Med Educ. 2022 Sep 2;13:249-255. doi: 10.5116/ijme.62f6.10b6.

Abstract

OBJECTIVES

To evaluate the association between the achievements of medical students and whether they were admitted via the pre-medical track or the regular direct track.

METHODS

We performed a comparative retrospective data study using data from a three-year experimental cohort in a six-year medical school. We analyzed the academic achievements of all students admitted at one Israeli medical school between 2013-2015, either directly to the six-year program or via a pre-medical track. We compared averages of both yearly final grades and final medical examinations grades between the two groups. Descriptive statistics were calculated and differences between groups were evaluated using multivariate analysis.

RESULTS

Of the 324 students included in the study, 65 (20.1%) were enrolled in all three cohorts of the pre-medical track. Age and Gender distribution were nearly similar for both tracks. For the first two cohorts, the average final grades of year one of pre-medical students were significantly higher than those of regular direct track (F= 6.10, p=0.001), but the opposite was true for the third cohort (F=2.38, p=0.073). No further statistically significant differences were found neither between the groups in their final exams grades nor between choosing a MD/PhD optional track and admission pathway.

CONCLUSIONS

Our results suggest promising achievements with the pre-medical admission pathway. This should encourage further discussion about the significant potential human resources lost by current admission processes and may question the effectiveness of six-year programs in medical schools.

摘要

目的

评估医学生的学业成绩与他们通过医学预科轨道还是直接常规轨道入学之间的关联。

方法

我们使用一所六年制医学院三年实验队列的数据进行了一项比较性回顾性数据研究。我们分析了 2013-2015 年期间一所以色列医学院所有通过直接进入六年制课程或通过医学预科轨道入学的学生的学业成绩。我们比较了两组学生的每年期末成绩和最终医学考试成绩的平均值。计算了描述性统计数据,并使用多变量分析评估了两组之间的差异。

结果

在纳入研究的 324 名学生中,有 65 名(20.1%)学生参加了医学预科轨道的所有三个队列。两个轨道的年龄和性别分布几乎相似。对于前两个队列,医学预科学生第一年的期末平均成绩明显高于直接常规轨道学生(F=6.10,p=0.001),但第三个队列则相反(F=2.38,p=0.073)。在最终考试成绩方面,两组之间没有发现进一步的统计学显著差异,也没有发现选择 MD/PhD 可选轨道与入学途径之间存在差异。

结论

我们的结果表明,医学预科入学途径取得了有希望的成就。这应该鼓励进一步讨论当前入学流程中失去的重要人力资源,并可能质疑医学院六年制课程的有效性。

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