Herman M W, Veloski J J
Med Educ. 1981 Nov;15(6):363-7. doi: 10.1111/j.1365-2923.1981.tb02415.x.
Despite concern over the concentration on science in pre-medical education and the selection of medical students in the United States, no major changes have been made. The present study compares attrition rates and clinical competence levels of medical students who vary in pre-medical training, age, and sex, in order to determine the risk attached to accepting applicants with different background characteristics. No differences were found in levels of clinical competence, although the groups varied in average science scores on the medical college admission tests (MCATs). Students with non-science undergraduate majors had lower scores on this test than science majors. Younger women had relatively high attrition rates, but high performance on the MCAT science sub-test and in medical school science course. It was concluded that all groups had adequate science preparation for medical school, and there was no greater risk of producing doctors with low levels of clinical competence associated with accepting students from groups with lower science performance.
尽管人们对美国医学预科教育专注于科学以及医学生选拔存在担忧，但并未做出重大改变。本研究比较了医学预科训练、年龄和性别各异的医学生的退学率和临床能力水平，以确定接受具有不同背景特征的申请者所带来的风险。尽管各群体在医学院入学考试（MCAT）的平均科学成绩上有所不同，但在临床能力水平上未发现差异。非科学本科专业的学生在该考试中的成绩低于科学专业的学生。年轻女性的退学率相对较高，但在MCAT科学子测试和医学院科学课程中表现出色。研究得出结论，所有群体都为医学院学习做好了充分的科学准备，接受科学成绩较低群体的学生并不会增加培养临床能力低下医生的风险。
