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Updated: Apr 14, 2026

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医学院评分应该是分层的还是通过/失败的? 一个概念论证和经验数据的广泛审查
概括
关于医学院分级与通过/失败分级的辩论仍在继续,有证据表明通过/失败可能会改善福祉,但仍然担心职工分级的有效性和公平性.
科学领域:
- 医学教育研究 医学教育研究
- 学术评估学术评估
- 健康 职业 教育 教育 专业
背景情况:
- 医学院评分系统显著影响学生的福祉,动机,公平和居住选择.
- 关于分层与通过/失败等级的争论已经存在很长一段时间,特别是在核心职位上,没有明确的共识.
研究的目的:
- 进行范围审查,检查概念论据,经验数据和有关美国医学院分级与通过/失败分级的知识差距.
- 综合现有文献,为正在进行的医学院评估策略讨论提供信息.
主要方法:
- 在OVID MEDLINE,Embase,Web of Science和ERIC中搜索了2000-2023年期间的文章.
- 包括概念论证和美国医学院评分系统的经验数据.
- 使用医学教育研究研究质量仪器 (MERSQI) 进行了元综合和评估研究质量.
主要成果:
- 收录了40篇文章,包括22项具有可变质量的经验研究.
- 通过/失败的学前实习成绩与改善短期幸福感和保持学术表现有关.
- 确定分层等级的可靠性低,以及在职员等级中的种族/民族差异.
- 不确定性的领域包括通过/失败对职员福利,动机,学习,成就和居留申请方面的影响.
结论:
- 医学院评分的10个领域仍然存在重大争议.
- 挑战包括不同的评分目的,研究质量有限,过度依赖意见.
- 建议强调要谨慎对待分层等级,对职工分级差异的透明度和整体评估.
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