Merchant Asma Altaf Hussain, Afzal Noreen, Rahim Komal Abdul, Shah Shayan Ali, Jamal Wafa Zehra, Rahim Anum, Bakhshi Saqib Kamran, Shaikh Namra Qadeer, Noorali Ali Aahil, Mahmood Saad Bin Zafar, Akbarali Laila, Tariq Muhammad, Khan Sadaf, Haider Adil H
Dean's Office, Medical College, Aga Khan University, Karachi, Pakistan.
Department of Surgery, Aga Khan University, Karachi, Pakistan.
BMC Med Educ. 2025 Feb 11;25(1):223. doi: 10.1186/s12909-025-06800-z.
Students have long been admitted into medical colleges using standardized tests/interviews. However, limited evidence exists on their association with academic achievement during medical education. Moreover, the relationship between its individual components and subsequent academic achievement remains unexplored. This study aims to determine the association between medical students' demographics and admission scores with their academic performance during medical college.
This cross-sectional study was conducted in 2023 at one of the oldest private medical colleges in a South Asian low- and middle-income country, where data for medical students graduating with a Bachelor of Medicine, Bachelor of Surgery (MBBS) degree in 2018-2022 were retrieved electronically. Through an extreme groups approach (EGA) sampling, factors leading to students falling within the top 20% scorers in preclinical, clinical, procedural, and non-procedural clerkships were identified. Binary logistic regression models assessed the association between demographics and admission scores with their academic performance in medical college.
From data of 418 students, EGA sampling included a total of 168 and 169 students for comparison between the top and bottom 20% scorers in preclinical and clinical rotations, respectively. Female sex (adjusted OR:4.10, 95% CI:1.94,8.65) and higher biology, physics, and mathematical reasoning scores on the university's admission test independently predicted preclinical academic achievement. Female sex and higher mathematical reasoning scores significantly predicted academic achievement in clinical, procedural, and non-procedural clerkships. Higher biology scores also independently predicted achievement in non-procedural clerkships (adjusted OR:1.03, CI:1.01,1.06). Prior schooling from the British education system was significantly associated with higher mean percentage for admission scores and clinical clerkships for applicants compared to the local education system.
Higher scores on medical college admission tests can predict medical students' academic achievement during undergraduate studies. Understanding the specific test components associated with students' success can refine the selection process, ultimately fostering efficient healthcare professionals.
长期以来，医学院校一直通过标准化考试/面试来录取学生。然而，关于这些考试/面试与医学教育期间学业成绩之间的关联，证据有限。此外，其各个组成部分与后续学业成绩之间的关系仍未得到探索。本研究旨在确定医学生的人口统计学特征和录取分数与其在医学院期间学业表现之间的关联。
这项横断面研究于2023年在南亚一个低收入和中等收入国家最古老的私立医学院之一进行，通过电子方式检索了2018 - 2022年毕业并获得医学学士、外科学士（MBBS）学位的医学生的数据。通过极端分组法（EGA）抽样，确定了导致学生在前临床、临床、操作和非操作实习中成绩位列前20%的因素。二元逻辑回归模型评估了人口统计学特征和录取分数与其在医学院学业表现之间的关联。
从418名学生的数据中，EGA抽样分别纳入了168名和169名学生，用于比较前临床和临床轮转中成绩前20%和后20%的学生。女性（调整后的优势比：4.10，95%置信区间：1.94，8.65）以及大学入学考试中更高的生物、物理和数学推理分数独立预测了前临床学业成绩。女性和更高的数学推理分数显著预测了临床、操作和非操作实习中的学业成绩。更高的生物分数也独立预测了非操作实习中的成绩（调整后的优势比：1.03，置信区间：1.01，1.06）。与当地教育系统相比，接受英国教育系统的先前教育与申请人更高的录取分数平均百分比和临床实习成绩显著相关。
医学院入学考试的更高分数可以预测医学生本科期间的学业成绩。了解与学生成功相关的特定考试组成部分可以优化选拔过程，最终培养出高效的医疗专业人员。
