Crockford P M, Gupta D M, Grace M G
Office of Admissions and Undergraduate Medical Education, Faculty of Medicine, University of Alberta, Edmonton.
CMAJ. 1995 Dec 1;153(11):1595-600.
To assess whether students admitted to medical school after completing 2 years of undergraduate study performed as well as those admitted after longer periods of undergraduate study in terms of broad patient-care skills measured at the time of graduation.
Retrospective study.
University of Alberta, Edmonton.
Graduates of the classes of 1990 and 1991, of the 226 graduates 133 had entered medical school after 2 years of undergraduate training, 39 after 3 years and 54 after 4 or more years. Eight students had been excluded because they were either transfer students or international students.
Objective and subjective assessments of the main clinical rotations (internal medicine, obstetrics and gynecology, pediatrics, psychiatry, radiology and surgery), results of the faculty's final comprehensive examination and of the Medical Council of Canada's Qualifying Examination.
The students who had completed 2 years of undergraduate study before medical school were significantly younger than those who had completed 3 years and those who had completed 4 or more years (mean age [and standard deviation (SD)] 20.5 [2.1], 21.5 [2.4] and 25.1 [4.4] years respectively, p < 0.001). They also had a significantly higher mean grade point average (GPA) for the prerequisite courses for admission to medical school than those with 3 years and those with 4 or more years of undergraduate study (8.26 [SD 0.3], 7.95 [SD 0.3] and 7.80 [SD 0.5] respectively, p < 0.001). The overall mean GPA for the best 2 years of undergraduate study did not differ significantly between the three groups. The students with 2 years of undergraduate study had a significantly lower mean score for the pre-entry interview than those who had 4 or more years of undergraduate study (32.1 [SD 7.6] v. 38.3 [SD 8.5], p < 0.001). There were no significant differences between the three groups in the results of any of the subjective or objective outcome measures.
Students who completed 2 years of undergraduate study before admission to medical school were able to achieve a satisfactory level of competency and maturity by the end of medical school. The 2-year option for entrance into medical school should be reconsidered.
评估本科学习2年后进入医学院的学生，在毕业时所测量的广泛患者护理技能方面，是否与本科学习更长时间后入学的学生表现相当。
回顾性研究。
埃德蒙顿的阿尔伯塔大学。
1990级和1991级的毕业生，226名毕业生中，133名在本科学习2年后进入医学院，39名在3年后进入，54名在4年或更长时间后进入。8名学生被排除，因为他们要么是转学生，要么是国际学生。
对主要临床轮转（内科、妇产科、儿科、精神病学、放射科和外科）的客观和主观评估、教师期末考试结果以及加拿大医学委员会资格考试结果。
医学院入学前完成2年本科学习的学生，明显比完成3年本科学习和完成4年或更长时间本科学习的学生年轻（平均年龄[及标准差（SD）]分别为20.5[2.1]、21.5[2.4]和25.1[4.4]岁，p<0.001）。他们医学院入学前提修课程的平均绩点（GPA）也明显高于本科学习3年和4年或更长时间的学生（分别为8.26[SD 0.3]、7.95[SD 0.3]和7.80[SD 0.5]，p<0.001）。三组学生本科学习成绩最好的两年的总体平均GPA没有显著差异。本科学习2年的学生入学前面试的平均分数，明显低于本科学习4年或更长时间的学生（32.1[SD 7.6]对38.3[SD 8.5]，p<0.）。在任何主观或客观观察指标的结果上，三组之间均无显著差异。
医学院入学前完成2年本科学习的学生，在医学院学习结束时能够达到令人满意的能力和成熟水平。医学院入学的2年制选项应重新考虑。
