Abstract:
CONTEXT:Medical schools are increasingly using novel tools to select applicants. The UK Clinical Aptitude Test (UKCAT) is one such tool and measures mental abilities, attitudes and professional behaviour conducive to being a doctor using constructs likely to be less affected by socio-demographic factors than traditional measures of potential. Universities are free to use UKCAT as they see fit but three broad modalities have been observed: 'borderline', 'factor' and 'threshold'. This paper aims to provide the first longitudinal analyses assessing the impact of the different uses of UKCAT on making offers to applicants with different socio-demographic characteristics. METHODS:Multilevel regression was used to model the outcome of applications to UK medical schools during the period 2004-2011 (data obtained from UCAS), adjusted for sex, ethnicity, schooling, parental occupation, educational attainment, year of application and UKCAT use (borderline, factor and threshold). RESULTS:The three ways of using the UKCAT did not differ in their impact on making the selection process more equitable, other than a marked reversal for female advantage when applied in a 'threshold' manner. Our attempt to model the longitudinal impact of the use of the UKCAT in its threshold format found again the reversal of female advantage, but did not demonstrate similar statistically significant reductions of the advantages associated with White ethnicity, higher social class and selective schooling. CONCLUSION:Our findings demonstrate attenuation of the advantage of being female but no changes in admission rates based on White ethnicity, higher social class and selective schooling. In view of this, the utility of the UKCAT as a means to widen access to medical schools among non-White and less advantaged applicants remains unproven.
journal_name
Med Educjournal_title
Medical educationauthors
Mathers J,Sitch A,Parry Jdoi
10.1111/medu.13082subject
Has Abstractpub_date
2016-10-01 00:00:00pages
1033-44issue
10eissn
0308-0110issn
1365-2923journal_volume
50pub_type
杂志文章abstract:OBJECTIVE:This instalment in the series on professional assessment provides an introduction to methods of setting standards. METHOD:A standard is a special score that serves as a boundary between those who perform well enough and those who do not. The practical steps in selecting it include: deciding on the type of st...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1046/j.1365-2923.2003.01495.x
更新日期:2003-05-01 00:00:00
abstract::In Finland primary health care has a long historical background. The local communities, the state and the church have at various times and places been responsible for primary health care during the last few centuries. In 1972, a major reform took place when a new Primary Health Care Act came into force. In the same ye...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1987.tb00392.x
更新日期:1987-09-01 00:00:00
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journal_title:Medical education
pub_type: 杂志文章
doi:10.1046/j.1365-2923.2002.01163.x
更新日期:2002-07-01 00:00:00
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journal_title:Medical education
pub_type: 杂志文章
doi:10.1046/j.1365-2923.2001.00733.x
更新日期:2001-04-01 00:00:00
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journal_title:Medical education
pub_type: 杂志文章
doi:10.1046/j.1365-2923.2002.01371.x
更新日期:2002-12-01 00:00:00
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journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1978.tb00337.x
更新日期:1978-05-01 00:00:00
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journal_title:Medical education
pub_type: 杂志文章,评审
doi:10.1111/j.1365-2923.2011.04188.x
更新日期:2012-04-01 00:00:00
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journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1985.tb01313.x
更新日期:1985-05-01 00:00:00
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journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1991.tb00102.x
更新日期:1991-11-01 00:00:00
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journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2929.2005.02343.x
更新日期:2006-01-01 00:00:00
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journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1986.tb01388.x
更新日期:1986-11-01 00:00:00
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journal_title:Medical education
pub_type: 杂志文章
doi:10.1046/j.1365-2923.37.s1.5.x
更新日期:2003-11-01 00:00:00
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journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1977.tb00603.x
更新日期:1977-07-01 00:00:00
abstract::Many doctors rate themselves as ineffective smoking cessation counsellors. It is logical to initiate training efforts with medical students. We incorporated smoking history-taking in the physical diagnosis course at the University of North Carolina at Chapel Hill using a simple method to teach smoking history-taking s...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1996.tb00830.x
更新日期:1996-07-01 00:00:00
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journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/medu.12942
更新日期:2016-03-01 00:00:00
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journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2929.2004.02043.x
更新日期:2004-11-01 00:00:00
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journal_title:Medical education
pub_type: 杂志文章,多中心研究
doi:10.1111/j.1365-2923.2008.03093.x
更新日期:2008-08-01 00:00:00
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journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1984.tb00976.x
更新日期:1984-03-01 00:00:00
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journal_title:Medical education
pub_type: 杂志文章,多中心研究
doi:10.1111/j.1365-2929.2005.02121.x
更新日期:2005-05-01 00:00:00
abstract::Over the past decade, on-line databases have become increasingly popular among health care professionals. As a group, these 'end-users' report utilizing databases to keep abreast of medical progress, to conduct research and to address specific patient care issues. Throughout the literature, medical professionals ('con...
journal_title:Medical education
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1046/j.1365-2923.1998.00229.x
更新日期:1998-05-01 00:00:00
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journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1980.tb02379.x
更新日期:1980-09-01 00:00:00
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journal_title:Medical education
pub_type: 杂志文章
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更新日期:2006-05-01 00:00:00
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journal_title:Medical education
pub_type: 杂志文章
doi:10.1046/j.1365-2923.2003.01675.x
更新日期:2003-11-01 00:00:00
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journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1982.tb01259.x
更新日期:1982-09-01 00:00:00
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journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2929.2006.02410.x
更新日期:2006-04-01 00:00:00
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journal_title:Medical education
pub_type: 杂志文章
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更新日期:2011-01-01 00:00:00
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journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1990.tb02510.x
更新日期:1990-03-01 00:00:00
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journal_title:Medical education
pub_type: 杂志文章,随机对照试验
doi:10.1111/medu.12659
更新日期:2015-03-01 00:00:00
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journal_title:Medical education
pub_type: 杂志文章,多中心研究,随机对照试验
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更新日期:2006-06-01 00:00:00
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journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/medu.13698
更新日期:2018-12-01 00:00:00