Multiple Mini-Interviews(MMI)가 임상실습과 면허시험에서의 수행능력을 예측한다.

Multiple Mini-Interviews(MMI)가 임상실습과 의사면허시험에서의 수행능력을 예측한다.

Multiple mini-interviews predict clerkship and licensing examination performance

Harold I Reiter,1 Kevin W Eva,2 Jack Rosenfeld3 & Geoffrey R Norman2

목적

Multiple Mini-Interview (MMI)가 초기의 의과대학 성적과 정(positive)의 상관관계가 있다는 것이 보여진바 있다. 이제 그 데이터들은 임상실습에서의 성적이나 의사면허시험에서의 성적과 비교해볼 수 있을 정도로까지 성숙되었다.

방법

Michael G DeGroote School of Medicine at McMaster University에 지원한 117명의 지원자 중에서 45명이 입학하였고 임상실습 평가를 거쳐 MCCQE의 Part I시험까지 치뤘다. 이 117명에 대해서는  MMI점수, 전통적인 비인지적 능력 평가점수, 학부 학점(uGPA)의 데이터가 있다. 임상실습의 평가는 임상실습 총괄평가, OSCE평가, 과정평가(progress test score)로 구성되어 있다. MCCQE시험은 전문과와 관련된 하부 영역들이 포함되어 있으며, 광범위한 법적, 윤리적 문제들을 다루는 시험(CLEO/PHELO)가 포함된다.

결과 

MMI는 OSCE점수, 임상실습카드(clerkship encounter cards), 임상실습 수행능력 점수를 잘 예측했다. MCCQE Part I에 대해서 MMI는 CLEO/PHELO점수, 그리고 임상의사결정(clinical decision making, CDM) 점수를 잘 예측했다. 이들 중 어떤 것도 다른 비인지 능력 평가방법이나 uGPA로 예측되지 않았고, uGPA는 과정평가(progress test)점수와 MCCQE Part I의 다지선다형 전공별 하부영역 점수를 예측했다.

결론

MMI는 기존의 임상실습의 결과나 캐나다 의사면허국가시험 점수를 예측하는데 있어서 기존의 방법(pre-admission cognitive measures)를 보완할 수 있다.

KEYWORDS clinical clerkship ⁄ *standards; clinical competence ⁄ *standards; *licensure, medical; Ontario; school admission criteria; schools, medical

Overview

What is already known on this subject

The Multiple Mini-Interview (MMI) is a feasible, acceptable and reliable admissions protocol that is predictive of pre-clerkship OSCE performance.

What this study adds

This study provides further support for the MMI as a measure of non-cognitive (i.e. personal) qualities in medical school applicants. Relative to other admissions tools, the MMI was the best predictor of intramural clinical performance ratings and ethical ⁄ clinical decision-making scores on the Canadian national licensing examination.

Suggestions for further research

The relationship between MMI scores and scores on the OSCE-based component of the Canadian licensing examination has yet to be considered, as does the adequacy of the MMI for making postgraduate admissions decisions.

1 Does the MMI predict clinical clerkship performance?

2 Does the MMI predict national licensing examination performance?

3 How does the predictive validity of the MMI compare with that of more traditional admission measures of professional qualities?

4 How does the predictive validity of the MMI compare with that of the uGPA?

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Analysis

We examined the correlation between admissions measures, in-course measures, and the MCCQE Part I using Pearson’s correlation coefficients. 

Regression analyses were then performed to determine which admissions tools were statistically predictive of each outcome when scores on the other admissions tools were taken into account (i.e. to determine the independent predictability of each admissions tool).

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Med Educ. 2007 Apr;41(4):378-84.

Multiple mini-interviews predict clerkship and licensing examination performance.

Reiter HI, Eva KW, Rosenfeld J, Norman GR.

Source

Department of Oncology, McMaster University, Hamilton, Ontario, Canada.

Abstract

OBJECTIVE:

The Multiple Mini-Interview (MMI) has previously been shown to have a positive correlation with early medical school performance. Data have matured to allow comparison with clerkship evaluations and national licensing examinations.

METHODS:

Of 117 applicants to the Michael G DeGroote School of Medicine at McMaster University who had scores on the MMI, traditional non-cognitive measures, and undergraduate grade point average (uGPA), 45 were admitted and followed through clerkship evaluations and Part I of the Medical Council of Canada Qualifying Examination (MCCQE). Clerkship evaluations consisted of clerkship summary ratings, a clerkship objective structured clinical examination (OSCE), and progress test score (a 180-item, multiple-choice test). The MCCQE includes subsections relevant to medical specialties and relevant to broader legal and ethical issues (Population Health and the Considerations of the Legal, Ethical and Organisational Aspects of Medicine[CLEO/PHELO]).

RESULTS:

In-programme, MMI was the best predictor of OSCE performance, clerkship encounter cards, and clerkship performance ratings. On the MCCQE Part I, MMI significantly predicted CLEO/PHELO scores and clinical decision-making (CDM) scores. None of these assessments were predicted by other non-cognitive admissions measures or uGPA. Only uGPA predicted progress test scores and the MCQ-based specialty-specific subsections of the MCCQE Part I.

DISCUSSION:

The MMI complements pre-admission cognitive measures to predict performance outcomes during clerkship and on the Canadian national licensing examination.

PMID:

 

17430283

 

[PubMed - indexed for MEDLINE]