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Designing a Situational Judgment Test for Use in Medical School Admissions.

Linda Berardi-Demo, Tara Cunningham, Dana M Dunleavy

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    The Association of American Medical Colleges (AAMC) developed a situational judgment test (SJT) to assess essential professional competencies for medical school admissions. This new assessment aids in holistic review and predicts future performance.

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    Area of Science:

    • Medical Education
    • Psychometrics
    • Healthcare Professionalism

    Background:

    • Professional competencies are crucial for success in medical training and practice.
    • Current medical school admissions often rely on interviews after significant applicant screening, potentially missing key competency data.
    • Assessing professional competencies early and effectively is a challenge in high-volume admissions.

    Purpose of the Study:

    • To describe the development, evaluation, and launch of the AAMC Situational Judgment Test (SJT) for medical school admissions.
    • To assess core competencies essential for entering medical students, such as teamwork, ethics, and resilience.
    • To provide an evidence-based tool supporting holistic review and identifying candidates with strong professional skills.

    Main Methods:

    • Development of the AAMC SJT based on core competencies for medical students.
    • Evaluation of existing research on SJTs in employment, international medical education, and residency selection.
    • Analysis of the need for SJTs by examining medical school derailers and admissions process gaps.

    Main Results:

    • Situational judgment test scores are positively associated with subsequent performance in various professional contexts.
    • The AAMC SJT is designed to assess critical competencies like service orientation, social skills, and ethical responsibility.
    • Existing research suggests SJTs can add significant value to the medical school admissions process.

    Conclusions:

    • The AAMC SJT offers a standardized method to assess professional competencies vital for medical school success.
    • This assessment supports holistic review by providing objective data on candidate professionalism in high-volume settings.
    • The development of the AAMC SJT aims to improve admissions while minimizing applicant burden and signaling the importance of preparedness in professionalism.