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Optimizing Medical School Selection Criteria: Addressing Scant Performance Recognition

Explore ways to improve medical school selection with transparent, fair, and cost-effective criteria. Consider using existing data and innovative testing methods while avoiding cheating and inconsistency. Future directions suggest piloting national tests and enhancing interview processes to select the best candidates effectively. Additional features such as specialized questions and communication skills assessment may enhance the selection process, leading to better career guidance for medical students.

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Optimizing Medical School Selection Criteria: Addressing Scant Performance Recognition

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  1. ASME SELECTIONApril 28th 2010

  2. MTAS

  3. ASME SELECTIONSOME CURRENT PROBLEMS • Scant recognition of performance

  4. MARKS IN MRCP MARKS Medical Schools McManus BMC Med 2008;6:5

  5. ASME SELECTION SOME CURRENT PROBLEMS • Scant recognition of performance • White space boxes • Non-discriminating

  6. ASME SELECTION SOME CURRENT PROBLEMS • Scant recognition of performance • White space boxes • Non-discriminating • Plagiarism

  7. ASME SELECTION SOME CURRENT PROBLEMS • Scant recognition of performance • White space boxes • Non-discriminating • Plagiarism • Tedious + expensive to mark

  8. ASME SELECTION SOME CURRENT PROBLEMS • Scant recognition of performance • White space boxes • Interviews

  9. ASME SELECTION SOME CURRENT PROBLEMS • Scant recognition of performance • White space boxes • Interviews • Single station OSCEs

  10. ASME SELECTION SOME CURRENT PROBLEMS • Scant recognition of performance • White space boxes • Interviews • Single station OSCEs • Different marks system by deanery

  11. ASME SELECTION SOME CURRENT PROBLEMS • Scant recognition of performance • White space boxes • Interviews • Single station OSCEs • Different marks system by deanery • Stick or twist on offers

  12. ASME SELECTION SOME CURRENT PROBLEMS • Scant recognition of performance • White space boxes • Interviews • Single station OSCEs • Different marks system by deanery • Stick or twist on offers • “Commitment to specialty”

  13. IDEAL SELECTION SYSTEM • Transparent • Fair • Objectively chooses best

  14. IDEAL SELECTION SYSTEM • Transparent • Fair • Objectively chooses best • Simple – uses existing data if possible • Cost effective • Avoids cheating / plagiarism • Avoids stick or twist • Consistent (+ Regulated)

  15. FUTURE DIRECTIONS?Foundation • National applied knowledge test • as a component

  16. FUTURE DIRECTIONS?Foundation • National applied knowledge test • as a component • Patient safety requires a knowledgeable doctor

  17. FUTURE DIRECTIONS?ST1/CT1 • ALL SUBJECT TO PILOTING • Shortlisting • Interview everyone if low numbers?

  18. FUTURE DIRECTIONS?ST1/CT1 • ALL SUBJECT TO PILOTING • Shortlisting • Interview everyone or • Computer based CPS/SJT to weed out the very poor

  19. MARKS IN MRCP MARKS Medical Schools McManus BMC Med 2008;6:5

  20. FUTURE DIRECTIONS?ST1/CT1 • ALL SUBJECT TO PILOTING • Shortlisting • Interview everyone or • Computer based CPS/SJT • Available for weeks

  21. FUTURE DIRECTIONS?ST1/CT1 • ALL SUBJECT TO PILOTING • Shortlisting • Interview everyone or • Computer based CPS/SJT • Available for weeks • Changing equated questions

  22. FUTURE DIRECTIONS?ST1/CT1 • ALL SUBJECT TO PILOTING • Shortlisting • Interview everyone or • Computer based CPS/SJT • Available for weeks • Changing equated questions • Single broad SJT

  23. FUTURE DIRECTIONS?ST1/CT1 • ALL SUBJECT TO PILOTING • Shortlisting • Interview everyone or • Computer based CPS/SJT • Available for weeks • Changing equated questions • Single broad SJT – use specialty relevant questions

  24. FUTURE DIRECTIONS?ST1/CT1 • ALL SUBJECT TO PILOTING • Shortlisting? • Selection centre – marks for communication and desired skills -eg • Working under pressure • Organisation

  25. FUTURE DIRECTIONS?ST1/CT1 • ALL SUBJECT TO PILOTING • Shortlisting? • Selection centre – marks for communication and desired skills -eg • Working under pressure • Organisation • Add % for knowledge from CPS/SJT

  26. FUTURE DIRECTIONS?ST1/CT1 • ALL SUBJECT TO PILOTING • Shortlisting? • Selection centre – marks for communication and desired skills -eg • Working under pressure • Organisation • Add % for knowledge from CPS/SJT • TOTAL SCORE

  27. FUTURE DIRECTIONS?ST1/CT1 • ALL SUBJECT TO PILOTING • Shortlisting? • Selection centre • Single national process

  28. FUTURE DIRECTIONS?ST1/CT1 • ALL SUBJECT TO PILOTING • Shortlisting? • Selection centre • Single national process • OR IF marking criterion referenced and reproducible

  29. FUTURE DIRECTIONS?ST1/CT1 • ALL SUBJECT TO PILOTING • Shortlisting? • Selection centre • Single national process • OR IF marking criterion referenced and reproducible, regional selection centres can cascade unsuccessful candidates’ marks to other regions

  30. FUTURE DIRECTIONS?ST3/4 • Feasible to interview all in more specialties as smaller numbers

  31. FUTURE DIRECTIONS?ST3/4 • Feasible to interview all in more specialties • Develop objective marker of progress • NOT WORKPLACE ASSESSMENT

  32. www.aomrc.org.uk/reports.aspx

  33. FUTURE DIRECTIONS?ST3/4 • Feasible to interview all in more specialties • Develop objective marker of progress • NOT WORKPLACE ASSESSMENT • ? Summative assessment • ? College exams • ??

  34. FUTURE DIRECTIONS?ST3/4 • Feasible to interview all in more specialties • Develop objective marker of progress • Detailed selection centre

  35. OTHER REQUIREMENTS • Much better career guidance

  36. OTHER REQUIREMENTS • Much better career guidance • Robust advice from Yr 1- inc CRs • “50% will be GPs”

  37. OTHER REQUIREMENTS • Much better career guidance • Offers period

  38. OTHER REQUIREMENTS • Much better career guidance • Offers period • Computer matching/cascade system • within and across specialties

  39. OTHER REQUIREMENTS • Much better career guidance • Offers period • Computer matching/cascade system • within and across specialties • Matching CT with ST3 numbers

  40. OTHER REQUIREMENTS • Much better career guidance • Offers period • Computer matching/cascade system • within and across specialties • Matching CT with ST3 numbers • Willingness to accept doctors with experience into different specialty

  41. OTHER REQUIREMENTS • Much better career guidance • Offers period • Computer matching/cascade system • within and across specialties • Matching CT with ST3 numbers • Willingness to accept doctors with experience into different specialty • English language ability

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