Bestetti Reinaldo Bulgarelli, Durand Marina de Toledo, Couto Lucélio B, Faria-Jr Milton, Fumagalli Helen Figueiredo, Silva Vinicius M R, Romão Gustavo S, Furlan-Daniel Rosemary, Garcia Marcelo E, Ferri Sônia M N, Reis Ana Cláudia S, Jorge-Neto Salim D, Geleilete Tufik Jose M
Department of Medicine, University of Ribeirão Preto, Ribeirão Preto city, Brazil.
Adv Med Educ Pract. 2023 Oct 21;14:1185-1190. doi: 10.2147/AMEP.S372822. eCollection 2023.
The role of marks in the University Admission Test (UAT) plus the marks from pre-university academic records in predicting academic achievement at the end of the Medicine undergraduate degree program is not completely known. This study was undertaken to compare the performance of marks in the UAT alone with those of the UAT plus marks from the National High School Exam (ENEM in Brazil) regarding students' outcomes at the end of the Medicine undergraduate degree program.
Fifty-one (51) students from the last semester (12th) of our Medicine undergraduate degree program were included in the study. They were divided into a group of those who used the marks obtained in the UAT plus the marks obtained in the ENEM (ENEM group, n=9), and those who only used the marks in the UAT (non-ENEM group, n=42). We compared the academic achievement of the non-ENEM group with that of the ENEM group regarding the mean marks obtained in the clerkship, in the Progress Test (PT), and in the Objective Structured Clinical Examination (OSCE).
The mean scores obtained in the disciplines of the clerkship were higher in the non-ENEM group compared to the ENEM group (7.32 ± 0.41 vs 6.98 ± 0.31, p= 0.01). Both groups obtained similar mean marks in the OSCE and in the PT. A moderate correlation was observed between the marks in the clerkship with those of the UAT from the non-ENEM group (p=0.00006; r=0.45).
Marks of the UAT alone appear to be associated with a higher academic achievement in the clerkship than marks of the UAT plus scores obtained from the ENEM at the end of the Medicine undergraduate degree program.
大学入学考试（UAT）成绩以及大学预科学习成绩在预测医学本科课程结束时的学业成绩方面所起的作用尚未完全明确。本研究旨在比较仅使用UAT成绩与使用UAT成绩加上巴西全国高中考试（ENEM）成绩对医学本科课程结束时学生学业成果的影响。
本研究纳入了我校医学本科课程最后一学期（第12学期）的51名学生。他们被分为两组，一组使用UAT成绩加上ENEM成绩（ENEM组，n = 9），另一组仅使用UAT成绩（非ENEM组，n = 42）。我们比较了非ENEM组和ENEM组在临床实习、进阶测试（PT）和客观结构化临床考试（OSCE）中获得的平均成绩方面的学业成就。
非ENEM组在临床实习各学科中获得的平均分数高于ENEM组（7.32±0.41对6.98±0.31，p = 0.01）。两组在OSCE和PT中获得的平均分数相似。在非ENEM组中，临床实习成绩与UAT成绩之间观察到中等程度的相关性（p = 0.00006；r = 0.45）。
在医学本科课程结束时，仅UAT成绩似乎比UAT成绩加上ENEM成绩与更高的临床实习学业成就相关。
