Meredith K E, Dunlap M R, Baker H H
J Med Educ. 1982 Oct;57(10 Pt 1):743-51. doi: 10.1097/00001888-198210000-00002.
Subjective and objective measures available at the time of medical school admission were related to subjective and objective clinical performance measures during medical school. Strategies were developed for coding narrative faculty comments from admissions interviews and clinical performance evaluations. Factor analysis was used to examine underlying structures for both admission and clinical performance measures. Summed scores were calculated to represent each factor, and multiple regression was used in predicting each of the clinical factors from the admission factors. Multiple regression showed that admission interview comments best predict narrative clerkship performance, while objective scores best predict an objective measure of clinical knowledge. Conclusions were: (a) narrative information can be coded reliably. (b) Objective and subjective measures are distinct, identifiable structures both at admission and during the third year of medical school. (c) Prediction formulas will vary depending on what outcome variables are chosen.
医学院入学时可用的主观和客观测量指标与医学院期间的主观和客观临床绩效指标相关。制定了对招生面试和临床表现评估中的教师叙述性评语进行编码的策略。使用因子分析来检验入学和临床表现测量指标的潜在结构。计算总分以代表每个因子，并使用多元回归从入学因子预测每个临床因子。多元回归表明，招生面试评语最能预测实习成绩，而客观分数最能预测临床知识的客观测量指标。结论为：(a) 叙述性信息可以可靠地编码。(b) 客观和主观测量指标在入学时和医学院三年级期间都是不同的、可识别的结构。(c) 预测公式将因所选的结果变量而异。
