本研究的目的在於了解:經大學聯招、申請和推薦甄試、僑生身分入學的醫學系三年級(以下簡稱醫三)和學士後醫學系一年級(以下簡稱後醫一)等四種不同管道入學的醫學生,在接受第一學期基礎臨床整合教育時的學業表現是否有所差異,以供未來持續改革醫學教育入學制度之參考。研究對象是高雄醫學大學醫學院九十四學年度接受基礎和臨床課程整合教育的醫三和後醫一醫學生,經排除特殊身分者的大學聯招入學、申請和推薦甄試入學、僑生和後醫系醫學生,分析四組醫學生在第一學期基礎臨床整合教育四個學習單元的成績表現,以檢定是否因入學管道不同而有所差異。研究結果顯示:在四個學習單元的學業成績上,後醫系醫學生和醫學系申請推甄入學生的成績表現並未達顯著差異,但此兩組醫學生有兩個學習單元的成績表現比大學聯招入學生顯著較佳、另兩個單元表現則無顯著差異,而所有單元表現皆比僑生較佳。由第一學期基礎臨床整合教育的成績表現來看,學士後醫學系和醫學系申請推甄入學的醫學生在學習評量成績上有較佳的表現,而僑生的學習需要進一步的協助。
This study aimed to compare academic achievement among medical students from four college entrance systems who were experiencing educational reformation. Grade 1 medical students from a graduate-entry program and grade 3 medical students from an undergraduate-entry program in their first semester of educational reformation were recruited. They were divided into four groups of ”recommended”, ”conventional”, ”overseas Chinese” and ”graduate-entry”, according to the different methods of medical college entrance. Academic achievement in the four blocks of the first semester of educational reformation was compared. The results revealed no difference in the academic achievement of any block between ”graduate-entry” and ”recommended” medical students. The ”graduate-entry” and ”recommended” medical students had better academic achievement of two blocks than the ”conventional” ones, and had similar academic achievement of the other two blocks with the ”conventional” ones. The ”graduate-entry” and ”recommended” medical students had better academic achievement of all four blocks than the ”overseas Chinese” ones. The results of this study demonstrated that recommended admission and graduate-entry policies are effective ways to select appropriate students for medical education, and adequate supplementary education is needed for overseas Chinese students.