医科学生不可改变的风险因素与 USMLE 第 1 步考试成绩。

IF 3.1 2区 医学 Q1 EDUCATION & EDUCATIONAL RESEARCH
Medical Education Online Pub Date : 2024-12-31 Epub Date: 2024-03-13 DOI:10.1080/10872981.2024.2327818
Jenna M Davison, Margot B Taylor, Tracy N Bumsted
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引用次数: 0

摘要

要实现医学研究生队伍的多元化,来自各种背景的学生都应享有公平的就业机会。在筛选住院医师面试申请人时,各专科都采用了 USMLE 第 1 步分数的最低门槛。OHSU 2021 届 SOM 学生完成了一项由 14 个问题组成的自愿调查,内容涉及他们的第 1 步考试成绩和以下不可修改的风险因素:童年不良经历评分(ACEs)、性别、在医学界代表性不足的状况(URiM)、青少年时期的家庭收入、监护人持有的最高学位、医学院期间的歧视经历、联邦/州援助的使用情况以及农村与城市的主要家庭。应用描述性统计和未调整风险比来研究第 1 步得分与不可改变的风险因素之间的关系,以及某些不可改变的风险因素与 ACE ≥ 3 之间的关系。第 1 步得分的平均值为 230(213,247)分。在这些学生中,28.2%的人发现 ACE ≥ 3,13.6%的人被认为是 URiM,65.4%的人是女性。URiM为2.34 (1.30, 4.23),女性为2.77 (1.06-7.29),而那些在医学院经历过歧视的学生,其ACE≥3的可能性要高出4.25 (1.85, 9.77)倍。ACE≥3的学生达到住院医师面试最低门槛220分的可能性是ACE≥3的学生的3.58 (1.75, 7.29)倍。这是首次证明步骤 1 分数与 ACE 之间关系的结果。那些被认定为 URiM 的学生、女性以及在医学院受到歧视的学生,其 ACEs ≥ 3 的风险较高。步骤 1 于 2022 年 1 月过渡为通过/未通过。然而,住院医师的第一个通过/未通过评分申请周期是 2023-2024 年,而研究金将继续使用步骤 1 评分,最早也要到 2026-2027 年的申请周期。这些数据为可应用于步骤 2CK 测试评分的研究奠定了基础,并有助于为有关住院医师面试过程的多样性和公平性的决策提供信息。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Medical student non-modifiable risk factors and USMLE Step 1 exam score.

For diversity to exist in the medical graduate workforce, students from all backgrounds should have equitable opportunities of employment. Specialties have utilized a minimal threshold for USMLE Step 1 score when screening applicants for residency interviews. The OHSU SOM class of 2021 completed a 14-question voluntary survey on their Step 1 score and the following non-modifiable risk factors: Adverse Childhood Experience score (ACEs), sex, gender, Underrepresented in Medicine status (URiM), family income during adolescence, highest degree held by a guardian, discrimination experience during medical school, federal/state assistance use, and rural versus urban primary home. Descriptive statistics and unadjusted risk ratios were applied to study the relation between Step 1 score and non-modifiable risk factors as well as certain non-modifiable risk factors and ACEs ≥ 3. The mean Step 1 score was 230 (213, 247). Of the students, 28.2% identified ACEs ≥ 3, 13.6% were considered URiM, and 65.4% were female. URiM were 2.34 (1.30, 4.23),females were 2.77 (1.06-7.29), and those who experienced discrimination in medical school were 4.25 (1.85, 9.77) times more likely to have ACEs ≥ 3. Students who had ACEs ≥ 3 were 3.58 (1.75, 7.29) times less likely to meet a minimal threshold for residency interviews of 220. These are the first results to demonstrate a relationship between Step 1 score and ACEs. Those who identified as URiM, females, and those who experienced discrimination in medical school were at a higher risk of ACEs of ≥ 3. Step 1 transitioned to pass/fail in January 2022. However, the first application cycle that residencies will see pass/fail scoring is 2023-2024, and fellowships will continue to see scored Step 1 until, at the earliest, the 2026-2027 application cycle. These data contribute to a foundation of research that could apply to Step 2CK testing scores, and help to inform decisions about the diversity and equity of the residency interview process.

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来源期刊
Medical Education Online
Medical Education Online EDUCATION & EDUCATIONAL RESEARCH-
CiteScore
6.00
自引率
2.20%
发文量
97
审稿时长
8 weeks
期刊介绍: Medical Education Online is an open access journal of health care education, publishing peer-reviewed research, perspectives, reviews, and early documentation of new ideas and trends. Medical Education Online aims to disseminate information on the education and training of physicians and other health care professionals. Manuscripts may address any aspect of health care education and training, including, but not limited to: -Basic science education -Clinical science education -Residency education -Learning theory -Problem-based learning (PBL) -Curriculum development -Research design and statistics -Measurement and evaluation -Faculty development -Informatics/web
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