一个多变量分析,研究社会人口统计差异与英国毕业生在研究生医学考试中的表现之间的关系
Ricky Ellis1, Andy Knapton2, Jane Cannon2
1Institute of Applied Health Sciences, University of Aberdeen, Aberdeen, UK.
Medical teacher
|June 13, 2025
概括
英国的研究生医学考试成绩因社会人口统计学因素而有很大差异. 少数民族的种族背景和残疾是最强的失败预测因素,强调需要解决医疗培训中的成就差距.
科学领域:
- 医学教育 医学教育
- 健康差异 在健康上的差异
- 研究生培训研究生培训
背景情况:
- 之前对英国研究生医学考试的研究集中在有限的因素上.
- 了解特征的交叉性对于培训进展至关重要.
- 关于英国医学研究生考试中成功/失败的预测因素的研究有限.
研究的目的:
- 确定英国医学院毕业生成功或失败的独立预测因素.
- 分析影响研究生医学考试成绩的社会人口学因素.
- 解决了解医疗培训中差异性成就的差距.
主要方法:
- 英国医学院毕业生 (2014-2020年) 的回顾性队列研究.
- 多变量逻辑回归分析GMC数据库中的匿名通过/失败数据.
- 在医学院入学时,考虑先前的学术成绩.
主要成果:
- 分析了132,370次的第一次尝试;75.4%通过.
- 性别,年龄,种族,宗教,性取向,残疾,工作模式和社会经济/教育背景预测了成功/失败.
- 少数民族种族和注册残疾是考试失败的最强预测因素.
结论:
- 显著的社会人口统计差异影响英国研究生医学检查合格率.
- 以前的学术成就并不能消除这些成就差距.
- 总体而言,GMC和培训机构必须使用数据进行研究和干预,以减少差异.
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