RESUMO
Many different variables have been used in an attempt to predict performance in medical school, residency, and practice. The extensive literature on this subject has been reviewed and evaluated. Admission to medical school should not be based solely on grade point average and Medical College Admission Test scores because these offer no measure of extremely important noncognitive attributes. Although performance in the preclinical years is predicted by the grade point average and Medical College Admission Test scores, no such correlation exists for achievements in the clinical years, for postgraduate training, or as physicians. Thus, even though underrepresented minority applicants to medical school tend to have lower grade point averages and Medical College Admission Test scores than majority applicants, ultimate success in postgraduate training and as practicing physicians is equivalent to that attained by majority students.
Assuntos
Educação Médica , Médicos , Estudantes de Medicina , Logro , Educação de Pós-Graduação em Medicina , Avaliação Educacional , Previsões , Humanos , Internato e Residência , Grupos Minoritários , Padrões de Prática Médica , Prática Profissional , Critérios de Admissão Escolar , Faculdades de MedicinaAssuntos
Disciplinas das Ciências Biológicas , Medicina Clínica , Bases de Dados Factuais , Grupos Minoritários , Médicos , Ciências Sociais , Disciplinas das Ciências Biológicas/estatística & dados numéricos , Medicina Clínica/estatística & dados numéricos , National Institutes of Health (U.S.) , Ciências Sociais/estatística & dados numéricos , Estados Unidos , Recursos HumanosRESUMO
This study examined the routine implementation of the Pediatric Symptom Checklist (PSC), a brief questionnaire which screens for psychosocial dysfunction in school-aged children in an outpatient pediatric practice. Results indicated that the PSC was well-accepted by parents and adequately tolerated by busy clinic staff. When the PSC was included as part of the standard procedure for well-child visits, the referral rate for psychosocial problems due to positive PSC scores rose to 12% from the clinic baseline referral rate of 1.5%, a significant increase (P < .01). Half of the children who screened positive on the PSC had not been previously identified by their pediatricians as having psychosocial problems, and more than half had never received any psychological treatment. When implementation of the PSC was discontinued, the referral rate fell to 2%, a rate similar to baseline. The findings suggest that it is possible to incorporate the PSC into routine pediatric practice and that the PSC can help pediatricians identify and better serve children experiencing psychosocial difficulties. The study also suggests that further work is needed to understand the barriers to ongoing implementation.
