Ramsbottom-Lucier M, Johnson M M, Elam C L
Department of Medicine, University of Kentucky College of Medicine (UKCM), Lexington 40536-0284.
Acad Med. 1995 Mar;70(3):236-9. doi: 10.1097/00001888-199503000-00016.
To investigate the age- and gender-related differences in matriculants' preadmission performances and in their subsequent medical school performances.
A longitudinal database was used to provide information on the 557 students in six entering classes (1984-1989) at the University of Kentucky College of Medicine. The preadmission variables were undergraduate science and cumulative grade-point averages (GPAs), Medical College Admission Test (MCAT) scores, and interview ratings. The medical school variables were GPAs for the four years of school and scores on the National Board of Medical Examiners Part I and Part II examinations. Age- and gender-related differences were analyzed by analyses of variance. To examine age differences, the students were grouped by age at matriculation: less than 23 years old, between 23 and 27, and 28 or older.
The younger matriculants had significantly higher undergraduate GPAs than did their older peers; however, their performances on the MCAT were nearly identical. The men had higher MCAT scores than the women in all age groups, but the older women had higher undergraduate GPAs than the older men. The younger students tended to have slightly higher medical school GPAs than the older students. No age differences were found for the NBME I and II, and no gender difference was found for the NBME II; however, a modest gender difference was found for the NBME I, with the men performing better than the women.
Dramatic age and gender differences were evident in the preadmission performances, while the differences in the medical school performances were much smaller.
研究入学前考生成绩及其后续医学院学习成绩在年龄和性别上的差异。
利用一个纵向数据库提供肯塔基大学医学院六个入学班级(1984 - 1989年)557名学生的信息。入学前变量包括本科理科成绩和累积平均绩点(GPA)、医学院入学考试(MCAT)成绩以及面试评分。医学院变量包括四年学习期间的GPA以及美国国家医学考试委员会第一部分和第二部分考试的成绩。通过方差分析来分析年龄和性别相关差异。为研究年龄差异,根据入学时年龄对学生进行分组:小于23岁、23至27岁以及28岁及以上。
较年轻的入学考生本科GPA显著高于年龄较大的同龄人;然而,他们在MCAT考试中的表现几乎相同。在所有年龄组中,男性的MCAT成绩高于女性,但年龄较大的女性本科GPA高于年龄较大的男性。较年轻的学生医学院GPA往往略高于年龄较大的学生。在国家医学考试委员会第一部分和第二部分考试中未发现年龄差异,在国家医学考试委员会第二部分考试中未发现性别差异;然而,在国家医学考试委员会第一部分考试中发现了适度的性别差异,男性表现优于女性。
入学前成绩存在明显的年龄和性别差异,而医学院学习成绩的差异则小得多。