Kumar Alok, Krishnamurthy Kandamaran, Campbell Michael H, Connell Kenneth L, Lashley Paula Michele, Motilal Shastri, Majumder Md Anwarul Azim
Faculty of Medical Sciences, The University of the West Indies, Cave Hill Campus, Bridgetown, Barbados.
Faculty of Medical Sciences, The University of the West Indies, St Augustine Campus, St Augustine, Trinidad and Tobago.
Adv Med Educ Pract. 2025 May 23;16:891-901. doi: 10.2147/AMEP.S515141. eCollection 2025.
To evaluate the correlation between in-course grade point average (GPA) and exit examination scores in a five-year undergraduate medical program in a Small Island Developing State setting.
A retrospective observational study was conducted in the Faculty of Medical Sciences at three campuses of a single multinational university, involving 470 students. Pearson correlation coefficients were used to measure the strength of association between GPA and scores on various components of the final examination, as well as to determine the predictive value of GPA for overall performance on the examination.
GPA showed a strong positive correlation (>0.7) with the written Medicine and Therapeutics exam scores in cohort 1, and a moderate positive correlation (0.5-0.7) in cohorts 2 and 3. Written Obstetrics and Gynecology scores were moderately positively (0.5-0.7) correlated across all cohorts. For written Surgery exams, the correlation was moderately positive in cohorts 1 and 3 but weak (<0.5) in cohort 2. GPA and scores from the Objective Structured Clinical Examination (OSCE) component of Medicine and Therapeutics exam showed moderate positive correlation in all three student cohorts; the Obstetrics and Gynecology OSCE showed moderately positive correlation with GPA in cohorts 1 and 3 and weakly so in cohort 2; the Surgery OSCE showed moderate positive correlation with GPA in cohorts 1 and 3 and weak positive correlation in cohort 2. GPA was strongly correlated with the total score on the final MBBS examination.
Although the degree of correlation between the GPA and scores on the different components of the final MBBS examination varied, there was a strong correlation between GPA and total score on the final examination. Our findings suggest that further discussion of the purposes and design of course-based and final examinations is needed.
评估在一个小岛屿发展中国家环境下的五年制本科医学项目中，课程平均绩点（GPA）与结业考试成绩之间的相关性。
在一所单一的跨国大学的三个校区的医学科学学院进行了一项回顾性观察研究，涉及470名学生。使用Pearson相关系数来衡量GPA与期末考试各部分成绩之间的关联强度，并确定GPA对考试总体表现的预测价值。
在队列1中，GPA与医学与治疗学笔试成绩呈强正相关（>0.7），在队列2和队列3中呈中度正相关（0.5 - 0.7）。在所有队列中，妇产科笔试成绩呈中度正相关（0.5 - 0.7）。对于外科笔试，队列1和队列3中的相关性为中度正相关，而在队列2中较弱（<0.5）。医学与治疗学考试的客观结构化临床考试（OSCE）部分的GPA和成绩在所有三个学生队列中呈中度正相关；妇产科OSCE在队列1和队列3中与GPA呈中度正相关，在队列2中较弱；外科OSCE在队列1和队列3中与GPA呈中度正相关，并在队列2中呈弱正相关。GPA与MBBS期末考试总成绩密切相关。
尽管GPA与MBBS期末考试不同部分成绩之间的相关程度有所不同，但GPA与期末考试总成绩之间存在很强的相关性。我们的研究结果表明，需要进一步讨论基于课程的考试和期末考试的目的与设计。
