PDF(Pubmed)
Abstract：
BACKGROUND: The ultimate aim of medical education is to produce successful practitioners, which is a goal that educators, students and stakeholders support. These groups consider success to comprise optimum patient care with consequently positive career progression. Accordingly, identification of the common educational features of such high-achieving doctors will facilitate the generation of clinical excellence amongst future medical trainees. In our study we source data from British clinical merit award schemes and subsequently identify the medical school origins of pathologists who have achieved at least national distinction.
METHODS: Britain operates Distinction Award/Clinical Excellence Award schemes which honour National Health Service doctors in Scotland, Wales and England who are identified as high achievers. This quantitative observational study used these awards as an outcome measure in an analysis of the 2019-20 dataset of all 901 national award-winning doctors. Where appropriate, Pearson\'s Chi-Square test was applied.
RESULTS: The top five medical schools (London university medical schools, Aberdeen, Edinburgh, Oxford and Cambridge) were responsible for 60.4% of the pathologist award-winners, despite the dataset representing 85 medical schools. 96.4% of the pathologist merit award-winners were from European medical schools. 9.0% of the pathologist award-winners were international medical graduates in comparison with 11.4% of all 901 award-winners being international medical graduates.
CONCLUSIONS: The majority of pathologists who were national merit award-winners originated from only five, apparently overrepresented, UK university medical schools. In contrast, there was a greater diversity in medical school origin among the lower grade national award-winners; the largest number of international medical graduates were in these tier 3 awards (13.9%). As well as ranking educationally successful university medical schools, this study assists UK and international students, by providing a roadmap for rational decision making when selecting pathologist and non-pathologist medical education pathways that are more likely to fulfil their career ambitions.
METHODS: Britain operates Distinction Award/Clinical Excellence Award schemes which honour National Health Service doctors in Scotland, Wales and England who are identified as high achievers. This quantitative observational study used these awards as an outcome measure in an analysis of the 2019-20 dataset of all 901 national award-winning doctors. Where appropriate, Pearson\'s Chi-Square test was applied.
RESULTS: The top five medical schools (London university medical schools, Aberdeen, Edinburgh, Oxford and Cambridge) were responsible for 60.4% of the pathologist award-winners, despite the dataset representing 85 medical schools. 96.4% of the pathologist merit award-winners were from European medical schools. 9.0% of the pathologist award-winners were international medical graduates in comparison with 11.4% of all 901 award-winners being international medical graduates.
CONCLUSIONS: The majority of pathologists who were national merit award-winners originated from only five, apparently overrepresented, UK university medical schools. In contrast, there was a greater diversity in medical school origin among the lower grade national award-winners; the largest number of international medical graduates were in these tier 3 awards (13.9%). As well as ranking educationally successful university medical schools, this study assists UK and international students, by providing a roadmap for rational decision making when selecting pathologist and non-pathologist medical education pathways that are more likely to fulfil their career ambitions.
摘要：
背景：医学教育的最终目标是培养成功的从业者，这是教育工作者的目标，学生和利益相关者的支持。这些小组认为成功包括最佳的患者护理，因此职业发展积极。因此，识别这些成就卓著的医生的共同教育特征，将有助于在未来的医学学员中创造卓越的临床成就。在我们的研究中，我们从英国临床绩效奖励计划中获取数据，并随后确定了至少获得国家荣誉的病理学家的医学院起源。
方法：英国实施杰出奖/临床卓越奖计划，以表彰苏格兰国家卫生服务医生，威尔士和英格兰被认定为高成就者。这项定量观察性研究将这些奖项用作对所有901名全国获奖医生的2019-20数据集的分析中的结果衡量。在适当的情况下，采用皮尔森卡方检验。
结果：前五名医学院（伦敦大学医学院，阿伯丁,爱丁堡,牛津和剑桥）占病理学家获奖者的60.4％，尽管数据集代表了85所医学院。96.4％的病理学家优异奖获得者来自欧洲医学院。9.0%的病理学家获奖者是国际医学毕业生，而901名获奖者中11.4%是国际医学毕业生。
结论：获得国家优异奖的大多数病理学家仅来自五名，显然代表过多，英国大学医学院。相比之下,在低年级国家奖项获得者中，医学院的起源更加多样化；在这些三级奖项中，国际医学毕业生的人数最多（13.9％）。除了对教育上成功的大学医学院进行排名，这项研究帮助英国和国际学生，在选择更有可能实现其职业抱负的病理学家和非病理学家医学教育途径时，为理性决策提供路线图。
方法：英国实施杰出奖/临床卓越奖计划，以表彰苏格兰国家卫生服务医生，威尔士和英格兰被认定为高成就者。这项定量观察性研究将这些奖项用作对所有901名全国获奖医生的2019-20数据集的分析中的结果衡量。在适当的情况下，采用皮尔森卡方检验。
结果：前五名医学院（伦敦大学医学院，阿伯丁,爱丁堡,牛津和剑桥）占病理学家获奖者的60.4％，尽管数据集代表了85所医学院。96.4％的病理学家优异奖获得者来自欧洲医学院。9.0%的病理学家获奖者是国际医学毕业生，而901名获奖者中11.4%是国际医学毕业生。
结论：获得国家优异奖的大多数病理学家仅来自五名，显然代表过多，英国大学医学院。相比之下,在低年级国家奖项获得者中，医学院的起源更加多样化；在这些三级奖项中，国际医学毕业生的人数最多（13.9％）。除了对教育上成功的大学医学院进行排名，这项研究帮助英国和国际学生，在选择更有可能实现其职业抱负的病理学家和非病理学家医学教育途径时，为理性决策提供路线图。
