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医疗机构选择:英国医学生队列研究(UKMACS)前瞻性纵向队列研究的专题论文。

Institutional choice among medical applicants: a profile paper for The United Kingdom Medical Applicant Cohort Study (UKMACS) prospective longitudinal cohort study.

机构信息

Research Department for Medical Education, University College London, London, UK

Research Department for Medical Education, University College London, London, UK.

出版信息

BMJ Open. 2022 Sep 26;12(9):e060135. doi: 10.1136/bmjopen-2021-060135.

DOI:10.1136/bmjopen-2021-060135
PMID:36167376
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9516324/
Abstract

PURPOSE

To generate a large cohort of those in 2019 seriously considering applying to study Medicine, collecting data on a range of socioeconomic and other demographic factors that influence choice of medical schools and to link to other datasets to form a longitudinal study of progress through medical school and careers in medicine.

DESIGN

Cross-sectional questionnaire studies, part of the longitudinal UK Medical Applicant Cohort Study (UKMACS).

SETTING

UK medical school admissions in 2020.

PARTICIPANTS

UK residents aged 16+ and seriously considering applying to study Medicine. The cohort was primarily drawn from those registering in 2019 for the U(K)CAT (University Clinical Aptitude Test (formerly the UK Clinical Aptitude Test)) with additional potential applicants responding to an open call. Participants consented to their data being linked within the UK Medical Education Database.

FINDINGS TO DATE

UKMACS Wave 1 questionnaire respondents consisted of 6391 consenting respondents from across the UK. In 2019, 14 980 of the 17 470 UK-domiciled medicine applicants were first-time applicants. The questionnaires show that many of these applicants have a need for more help and guidance to make informed choices, with less advantaged groups reporting themselves as being at a disadvantage when applying due to limited understanding of information and limited access to guidance to enable informed and effective decision-making.

FUTURE PLANS

To link the cohort with successive Universities and Colleges Admissions Service and other datasets to analyse outcomes of applications and establish national longitudinal evidence to understand how medical choices are made and how they impact on educational, career and workforce outcomes.

摘要

目的

生成一组 2019 年有意愿申请医学专业的大量学生,收集影响医学院选择的一系列社会经济和其他人口统计学因素的数据,并与其他数据集链接,形成对医学生涯和医学职业发展的纵向研究。

设计

横断面问卷调查研究,是英国医学申请者队列研究(UKMACS)的一部分。

地点

2020 年英国医学院入学。

参与者

16 岁及以上、认真考虑申请医学专业的英国居民。该队列主要由 2019 年参加 UKCAT(大学临床能力倾向测验(前身为 UKCAT))的注册者组成,另有潜在的申请者通过公开招募回应。参与者同意将其数据在英国医学教育数据库中链接。

迄今为止的发现

UKMACS 第 1 波问卷调查的回应者包括来自英国各地的 6391 名同意的受访者。在 2019 年,17470 名英国籍医学申请者中有 14980 名是首次申请者。问卷调查显示,这些申请者中的许多人需要更多的帮助和指导,以做出明智的选择,而弱势群体则报告说,由于对信息的了解有限,以及获取指导的机会有限,他们在申请时处于劣势,无法做出明智和有效的决策。

未来计划

将队列与连续的大学和学院招生服务以及其他数据集链接,分析申请结果,并建立全国性的纵向证据,以了解医学选择是如何做出的,以及它们如何影响教育、职业和劳动力成果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e82/9516324/0b0e5b05205c/bmjopen-2021-060135f05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e82/9516324/497bdfa76981/bmjopen-2021-060135f01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e82/9516324/49cb3127e653/bmjopen-2021-060135f02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e82/9516324/1415310ab9e5/bmjopen-2021-060135f03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e82/9516324/7d3ee09eeba4/bmjopen-2021-060135f04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e82/9516324/0b0e5b05205c/bmjopen-2021-060135f05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e82/9516324/497bdfa76981/bmjopen-2021-060135f01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e82/9516324/49cb3127e653/bmjopen-2021-060135f02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e82/9516324/1415310ab9e5/bmjopen-2021-060135f03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e82/9516324/7d3ee09eeba4/bmjopen-2021-060135f04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e82/9516324/0b0e5b05205c/bmjopen-2021-060135f05.jpg

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本文引用的文献

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Med Educ Online. 2022 Dec;27(1):2118121. doi: 10.1080/10872981.2022.2118121.
2
The attitudes, perceptions and experiences of medical school applicants following the closure of schools and cancellation of public examinations in 2020 due to the COVID-19 pandemic: a cross-sectional questionnaire study of UK medical applicants.2020 年新冠疫情导致学校关闭和公共考试取消后,英国医学生申请者的态度、看法和经历:一项针对英国医学生申请者的横断面问卷调查研究。
BMJ Open. 2021 Mar 4;11(3):e044753. doi: 10.1136/bmjopen-2020-044753.
3
Exploring UK medical school differences: the MedDifs study of selection, teaching, student and F1 perceptions, postgraduate outcomes and fitness to practise.探索英国医学院校的差异:MedDifs 研究选拔、教学、学生和 F1 认知、研究生结果和执业能力。
BMC Med. 2020 May 14;18(1):136. doi: 10.1186/s12916-020-01572-3.
4
Bridging the cultural divide? Exploring school pupils' perceptions of medicine.弥合文化鸿沟?探索医学生对医学的看法。
Med Educ. 2019 Jun;53(6):571-583. doi: 10.1111/medu.13805. Epub 2019 Feb 14.
5
Geographical mobility of UK trainee doctors, from family home to first job: a national cohort study.英国实习医生的地域流动性,从家庭住所到第一份工作:一项全国队列研究。
BMC Med Educ. 2018 Dec 20;18(1):314. doi: 10.1186/s12909-018-1414-9.
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