Biology AND Social Skills? Med Students’ Entrance Test Changing

Oct. 29, 2015 

For the first time, aspiring doctors will be tested on their understanding of how social issues and behavior affect people’s health in addition to traditional science topics like biology.

Next year’s incoming class of Texas medical students will be the first to take a newly revised Medical College Admissions Test (MCAT) designed to test their cultural competency as well as their science-based knowledge. The new MCAT, changed for the first time in 30 years, gauges students’ knowledge of self-identity, social stratification, and multiculturalism, and has them apply those factors to certain scenarios.

“There’s a large body of research in medicine showing how so many other things — poverty, access to safe housing and communities, greater education, and other social determinants of health — are key drivers of health care costs and mortality, and they really can’t be ignored in looking at how to find the doctors of the future and how we are going to train them,” says Rodney Young, MD, a practicing family physician and chair of the Texas Medical Association Council on Medical Education.

The new exam is part of a broader effort by the Association of American Medical Colleges (AAMC) and the nation’s medical schools to improve the medical school admissions process. The goal is to attract well-rounded future physicians by reviewing the applicant’s life experiences, personal attributes, and academic accomplishments.

Educators say about 65 percent of the questions on the old test were straightforward knowledge-based questions, whereas about 65 percent of questions on the new exam test students’ ability to think on their feet through critical-thinking-type questions. The questions come in forms ranging from science-related vignettes to reading passages that require students to know the formulas and concepts discussed and tie some meaning to them. The new test is anticipated to take more than 7.5 hours to complete, compared with the current four-hour exam.

“The balance that the new exam has in terms of testing the natural and non-natural sciences and critical analysis is meant to communicate that medical schools are looking for applicants who are well-rounded and have a variety of interests and experiences,” says Karen Mitchell, PhD, MCAT director at AAMC.

Texas medical schools will accept and evaluate scores from the current as well as the revised MCAT exam until 2020. To help schools transition to the new MCAT, AAMC will provide schools with percentile ranks from the old MCAT and the first few administrations of the new test, to show how students generally scored compared with fellow test-takers. Dr. Young says the new MCAT reflects a continuing effort to find and train candidates in a field that itself is evolving — medicine. “The goal of the MCAT has always been to develop a test that helps us identify and pick the people best-suited for careers in medicine,” he says, “and the new changes reflect the fact that those best-suited for medicine are not only found in the group who can post the highest science scores.”

TMA is the largest state medical society in the nation, representing more than 48,000 physician and medical student members. It is located in Austin and has 110 component county medical societies around the state. TMA’s key objective since 1853 is to improve the health of all Texans.

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Contact: Brent Annear (512) 370-1381; cell: (512) 656-7320; email: brent.annear[at]texmed[dot]org

Marcus Cooper (512) 370-1382; cell: (512) 650-5336; email: marcus.cooper[at]texmed[dot]org

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Last Updated On

March 16, 2018

Originally Published On

October 29, 2015