scholarly journals Evaluating the validity of an integrity-based situational judgement test for medical school admissions

2015 ◽  
Vol 15 (1) ◽  
Author(s):  
Adrian Husbands ◽  
Mark J. Rodgerson ◽  
Jon Dowell ◽  
Fiona Patterson

This chapter covers multiple choice questions (MCQs), extended matching questions (EMQs), short answer questions (SAQs), essays, situational judgement test (SJT exam), and the prescribing skills assessment (PSA exam). It focuses on the importance of exam technique with useful tips for the start, during, and after the exam. The chapter provides examples of different types of questions, and how to best prepare and answer them. More recent additions to the curriculum, such as the SJT and PSA, are explained in detail. The SJT is an essential requirement in the final year of clinical schools nationwide, and the score is considered in ranking Foundation Year applications. The PSA tests a final-year medical student’s ability to prescribe. The examination is online and involves MCQs and some SAQs. This chapter includes important links with further updated information, and is written for both those looking to apply for medicine, and those in medical school.


2021 ◽  
Vol 108 (Supplement_2) ◽  
Author(s):  
R Ellis ◽  
D Scrimgeour ◽  
P Brennan ◽  
A Lee ◽  
J Cleland

Abstract Background Identifying factors that predict success in the Membership of the Royal College of Surgeons (MRCS) examination can aid trainees’ exam preparation and help deaneries identify candidates likely to require additional support. We assessed whether performance at Medical School and UK Foundation Programme selection (Educational Performance Measurement (EPM) and Situational Judgement Test (SJT)) predicted MRCS success. Method We analysed data from the UKMED Database for UK graduates who had attempted MRCS Part A (n = 1,975) and Part B (n = 630) between 2013-2017. Univariate analysis examined the relationship between performance and the likelihood of passing MRCS at first attempt. Logistic regression identified independent predictors of MRCS success. Results Each additional EPM decile increased the chances of passing MRCS by 52% for Part A (odds ratio 1.52 [95% confidence interval 1.46-1.60]) and 27% for Part B (1.27 [1.18-1.38]). Each EPM point awarded for degrees increased the likelihood of passing Part A by 29% (1.29 [1.12-1.48]). SJT score was not a statistically significant independent predictor of MRCS success (P>0.05). Conclusions This is the first study to investigate the relationship between UK medical school performance and postgraduate surgical exam success. Higher ranked students are more likely to succeed in the MRCS compared to their lower ranked peers.


2018 ◽  
Vol 52 (4) ◽  
pp. 427-437 ◽  
Author(s):  
Wendy E de Leng ◽  
Karen M Stegers-Jager ◽  
Marise Ph Born ◽  
Axel P N Themmen

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Sally Curtis ◽  
Daniel Smith

Abstract Background Gateway courses are increasingly popular widening participation routes into medicine. These six year courses provide a more accessible entry route into medical school and aim to support under-represented students’ progress and graduation as doctors. There is little evidence on the performance of gateway students and this study compares attainment and aptitude on entry, and outcomes at graduation of students on the UK’s three longest running gateway courses with students studying on a standard entry medical degree (SEMED) course at the same institutions. Methods Data were obtained from the UK Medical Education Database for students starting between 2007 and 2012 at three UK institutions. These data included A-levels and Universities Clinical Aptitude Test scores on entry to medical school and the Educational Performance Measure (EPM) decile, Situational Judgement Test (SJT) and Prescribing Safety Assessment (PSA) scores as outcomes measures. Multiple regression models were used to test for difference in outcomes between the two types of course, controlling for attainment and aptitude on entry. Results Four thounsand three hundred forty students were included in the analysis, 560 on gateway courses and 3785 on SEMED courses. Students on SEMED courses had higher attainment (Cohen’s d = 1.338) and aptitude (Cohen’s d = 1.078) on entry. On exit SEMED students had higher EPM scores (Cohen’s d = 0.616) and PSA scores (Cohen’s d = 0.653). When accounting for attainment and aptitude on entry course type is still a significant predictor of EPM and PSA, but the proportion of the variation in outcome explained by course type drops from 6.4 to 1.6% for EPM Decile and from 5.3% to less than 1% for the PSA score. There is a smaller significant difference in SJT scores, with SEMED having higher scores (Cohen’s d = 0.114). However, when measures of performance on entry are accounted for, course type is no longer a significant predictor of SJT scores. Conclusions This study shows the differences of the available measures between gateway students and SEMED students on entry to their medical degrees are greater than the differences on exit. This provides modest evidence that gateway courses allow students from under-represented groups to achieve greater academic potential.


2021 ◽  
Vol 49 (2) ◽  
pp. 181-189
Author(s):  
Nancy L. Zisk

AbstractThe tremendous toll that COVID-19 has taken on this country’s minority population is the most recent reminder of the health disparities between people of color and people who classify themselves as white. There are many reasons for these disparities, but one that gets less attention than it deserves is the lack of physicians of color available to treat patients of color.


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