Advances in Medical Education and Practice (Oct 2023)

A Comparison of the Academic Achievement at the End of the Medicine Undergraduate Degree Program Between Students Who Only Used the University Admission Test and Those Who Used the University Admission Test Plus Marks from the High School National Exam (ENEM) at a Single Brazilian Center

  • Bestetti RB,
  • Durand MT,
  • Couto LB,
  • Faria-Jr M,
  • Fumagalli HF,
  • Silva VMR,
  • Romão GS,
  • Furlan-Daniel R,
  • Garcia ME,
  • Ferri SMN,
  • Reis ACS,
  • Jorge-Neto SD,
  • Geleilete TJM

Journal volume & issue
Vol. Volume 14
pp. 1185 – 1190

Abstract

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Reinaldo Bulgarelli Bestetti,* Marina de Toledo Durand,* Lucélio B Couto, Milton Faria-Jr, Helen Figueiredo Fumagalli, Vinicius M R Silva, Gustavo S Romão, Rosemary Furlan-Daniel, Marcelo E Garcia, Sônia M N Ferri, Ana Cláudia S Reis, Salim D Jorge-Neto, Tufik Jose M Geleilete Department of Medicine, University of Ribeirão Preto, Ribeirão Preto city, Brazil*These authors contributed equally to this workCorrespondence: Reinaldo Bulgarelli Bestetti, Universidade de Ribeirão Preto, Av, Costabile Romano, 2201, Ribeirão Preto city, Brazil, 14096-900, Tel/Fax +55 16 36037031, Email [email protected]: The role of marks in the University Admission Test (UAT) plus the marks from pre-university academic records in predicting academic achievement at the end of the Medicine undergraduate degree program is not completely known. This study was undertaken to compare the performance of marks in the UAT alone with those of the UAT plus marks from the National High School Exam (ENEM in Brazil) regarding students’ outcomes at the end of the Medicine undergraduate degree program.Methods: Fifty-one (51) students from the last semester (12th) of our Medicine undergraduate degree program were included in the study. They were divided into a group of those who used the marks obtained in the UAT plus the marks obtained in the ENEM (ENEM group, n=9), and those who only used the marks in the UAT (non-ENEM group, n=42). We compared the academic achievement of the non-ENEM group with that of the ENEM group regarding the mean marks obtained in the clerkship, in the Progress Test (PT), and in the Objective Structured Clinical Examination (OSCE).Results: The mean scores obtained in the disciplines of the clerkship were higher in the non-ENEM group compared to the ENEM group (7.32 ± 0.41 vs 6.98 ± 0.31, p= 0.01). Both groups obtained similar mean marks in the OSCE and in the PT. A moderate correlation was observed between the marks in the clerkship with those of the UAT from the non-ENEM group (p=0.00006; r=0.45).Conclusion: Marks of the UAT alone appear to be associated with a higher academic achievement in the clerkship than marks of the UAT plus scores obtained from the ENEM at the end of the Medicine undergraduate degree program.Keywords: problem-based learning, medical school selection, medical education, clinical competency, university admission tests

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