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The value of the UK Clinical Aptitude Test in predicting pre-clinical performance: a prospective cohort study at Nottingham Medical School

机译:英国临床能力测验对预测临床前表现的价值:诺丁汉医学院的一项前瞻性队列研究

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Background The UK Clinical Aptitude Test (UKCAT) was introduced in 2006 as an additional tool for the selection of medical students. It tests mental ability in four distinct domains (Quantitative Reasoning, Verbal Reasoning, Abstract Reasoning, and Decision Analysis), and the results are available to students and admissions panels in advance of the selection process. As yet the predictive validity of the test against course performance is largely unknown. The study objective was to determine whether UKCAT scores predict performance during the first two years of the 5-year undergraduate medical course at Nottingham. Methods We studied a single cohort of students, who entered Nottingham Medical School in October 2007 and had taken the UKCAT. We used linear regression analysis to identify independent predictors of marks for different parts of the 2-year preclinical course. Results Data were available for 204/260 (78%) of the entry cohort. The UKCAT total score had little predictive value. Quantitative Reasoning was a significant independent predictor of course marks in Theme A ('The Cell'), (p = 0.005), and Verbal Reasoning predicted Theme C ('The Community') (p Conclusion This limited study from a single entry cohort at one medical school suggests that the predictive value of the UKCAT, particularly the total score, is low. Section scores may predict success in specific types of course assessment. The ultimate test of validity will not be available for some years, when current cohorts of students graduate. However, if this test of mental ability does not predict preclinical performance, it is arguably less likely to predict the outcome in the clinical years. Further research from medical schools with different types of curriculum and assessment is needed, with longitudinal studies throughout the course.
机译:背景技术2006年引入了英国临床能力测验(UKCAT),作为选择医学生的附加工具。它在四个不同的领域(定量推理,言语推理,抽象推理和决策分析)测试智力,在选择过程之前,结果将提供给学生和招生小组。迄今为止,针对课程表现的测试的预测有效性尚不清楚。研究目的是确定UKCAT分数是否能预测诺丁汉5年制本科医学课程的前两年的表现。方法我们研究了一组学生,他们于2007年10月进入诺丁汉医学院并参加了UKCAT。我们使用线性回归分析来确定两年期临床前课程不同部分的独立预测指标。结果进入队列的204/260(78%)数据可用。 UKCAT总分几乎没有预测价值。定量推理是主题A(“细胞”)(p = 0.005)和言语推理预测主题C(“社区”)(p结论)的重要独立预测指标。一所医学院认为UKCAT的预测价值,特别是总分的预测价值很低,科目分数可能会预测在特定类型的课程评估中的成功,当当前的学生群体存在时,最终的有效性测试将无法使用但是,如果这种智力测验不能预测临床前的表现,那么可以说预测临床结果的可能性就较小。需要医学院的进一步研究,包括不同类型的课程和评估,并在整个研究过程中进行纵向研究。课程。

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