기존의 의예과 요건(Premedical Requirements)에 대한 도전 : HuMed Program.

기존의 의예과 요건(Premedical Requirements)에 대한 도전 : HuMed Program.

Challenging Traditional Premedical Requirements as Predictors of Success in Medical School: The Mount Sinai School of Medicine Humanities and Medicine Program

David Muller, MD, and Nathan Kase, MD

목적

학생들은 MCAT을 준비하고 (어떠한 교육적 가치가 있는지도 불확실한) 의예과 요건(premedical requirement)을 채우기 위해서 엄청난 경쟁을 한다. 그 과정에서 학생들의 인문학적, 생의학적 교육에 대한 관점은 좁아진다. 이 연구는 유기화학, 물리, 미적분학 등을 수강하지 않고 MCAT 역시 치르지 않은 인문-사회과학 학생들의 의과대학에서의 수행능력을 평가하고자 하였다.

방법

저자들은 Mount Sinai School of Medicine의 2004년~2009년 졸업생 중, 85명의 HuMed 학생들과 606명의 기존 방식으로 의예과를 마친 동료들을 비교하였다. 저자들은 기초의학지식, 임상실습 수행능력, 휴머니즘, 리더십, 지역사회봉사, 연구 장학금, 우등상 등을 비교하였다.

결과

정신과학을 제외한 다른 과의 임상실습 우등상(clerkship honors), 졸업시 우등상에 대해서는 HuMed와 Non-HuMed사이에 차이가 없었다. HuMed학생들이 scholarly-year mentored project를 더 많이 따내긴 했지만, 졸업시에 특별히 연구에 우수성을 보여준 것은 아니었다. HuMed학생은 더 낮은 USMLE Step 1 점수를 받았고, 비학업적 이유의 결석(nonscholarly leave of absence)가 더 많았다. HuMed학생은 일차진료와 관련된 레지던트를 더 많이 했고, 수술 분과나 마취과는 덜 선택하였다. 

결론

HuMed학생은 기존의 방식을 따른 학생들과 거의 동등한 수준의 수행능력을 보여주었다.

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The Humanities and Medicine Program at Mount Sinai

The Humanities and Medicine Program(HuMed) was established at Mount Sinai School of Medicine in 1987. It offers qualified sophomores and juniors majoring in humanities or the social sciences guaranteed admission to our medical school on successful completion of a baccalaureate degree. Admission decisions are based on high school and college transcripts, two personal essays, three letters of recommendation, SAT scores (minimum verbal score of 650, or ACT equivalent), and two interviews at Mount Sinai.

Once accepted, students must maintain a minimum GPA of 3.5. They forego organic chemistry, physics, calculus, and the MCAT, but they must achieve a minimum grade of B in biology and general chemistry (two semesters each). 

After completing their junior year, students are required to spend an eight-week summer term at Mount Sinai.

The summer experience includes clinical service rotations in all specialties, seminars in medical topics (e.g., bioethics, health policy, palliative care), and an abbreviated course in the “Principles of Organic Chemistry and Physics Related to Medicine” (six credit hours for organic chemistry, two credit hours for physics). 

This course covers basic principles and complies with the requirement that all graduates of medical schools chartered by the University of the State of New York must have passed courses in these subjects before receiving the MD degree. Students complete weekly examinations, which are graded pass/fail.

On completing their undergraduate degree, accepted students are encouraged to take a year off before matriculating. 

During the summer before they matriculate, students may attend an optional Summer Enrichment Program (SEP) that attempts to acclimate incoming HuMed students to the medical school curriculum and environment. 

Approximately 75% of the matriculating HuMed cohort participate each year. The SEP curriculum includes overviews of biochemistry, anatomy, embryology, cell physiology, and histology. Examinations are self-assessments and are reviewed in class. Students do not receive grades.

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Acad Med. 2010 Aug;85(8):1378-83. doi: 10.1097/ACM.0b013e3181dbf22a.

Challenging traditional premedical requirements as predictors of success in medical school: the Mount Sinai School of Medicine Humanities and Medicine Program.

Muller D, Kase N.

Source

Department of Medical Education, Mount Sinai School of Medicine of New York University, New York, NY, USA. david.muller@mssm.edu

Abstract

PURPOSE:

Students compete aggressively as they prepare for the MCAT and fulfill traditional premedical requirements that have uncertain educational value for medical and scientific careers and limit the scope of their liberal arts and biomedical education. This study assessed the medical school performance of humanities and social science majors who omitted organic chemistry, physics, and calculus, and did not take the MCAT.

METHOD:

The authors compared and contrasted the academic outcomes of 85 Humanities and Medicine Program (HuMed) students at Mount Sinai School of Medicine with those of their 606 traditionally prepared classmates for the 2004-2009 graduating classes. The authors analyzed basic science knowledge, clerkship performance, humanism, leadership, community service, research fellowships, distinctions, and honors.

RESULTS:

There were no statistically significant differences between the groups in clerkship honors other than psychiatry (HuMed students outperformed their peers, P < .0001) or in commencement distinctions or honors. Although HuMed students were significantly more likely to secure a scholarly-year mentored project (P = .001), there was no difference in graduating with distinction in research (P = .281). HuMed students were more likely to have lower United States Medical Licensing Examination Step 1 scores (221 +/- 20 versus 227 +/- 19, P = .0039) and to take a nonscholarly leave of absence (P = .0001). There was a trend among HuMed students toward residencies in primary care and psychiatry and away from surgical subspecialties and anesthesiology.

CONCLUSIONS:

Students without the traditional premedical preparation performed at a level equivalent to their premedical classmates.