Multi-variate analysis on the validity of attitude evaluation scale in the enrollment selection of medical students.

在医学生的态度和习惯领域中，有一些问题是必不可少的，如基于问题的学习动机和获得与医护人员和患者顺利沟通的技能。此外，大多数医学院的教育人员可能知道，在这些领域的医学教育存在一些众所周知的局限性。然而，目前日本医学院的招生选择主要依赖于基于高中课程记忆的知识评价，出生后通过家庭教育和长期经验自学获得的医学职业所需的素质在招生时没有得到评价。高知医学院随后在招生办公室引入了态度评估系统，并引入了学士转学方法，以评估申请人从出生以来通过经历获得的能力。本研究由2003 - 2005年国家科学研究资助基金(C)资助，采用多变量分析的方法，在进入后进行同行评议。结果证实，高考前后态度评价分数之间存在显著的相关关系（r=0.7），强烈表明这种基于态度评价的招生选拔制度是有效的。今后，我们计划继续进行这种后续调查，以便在高知县医学院的招生选择方面做出更多改进，并为高知县的区域社会提供优质的医疗专业。

There are some issues concerning the domains of attitude and habit which are indispensable for medical students, such as motivation for problem-based learning and acquiring skills for smooth communication with medical staff and patients. In addition, most of educational staff in medical school may know that some well-known limitations exist in medical education in these domains. At present, however, the enrollment selection of Japanese medical school is mainly dependent upon evaluation of knowledge based on memory stored by a course of study in a high school, and the qualities requisite for a medical profession which was acquired by home education and self-effort through long-term experiences after birth are not evaluated at the time of enrollment selection. Kochi Medical School has then introduced an attitude-evaluation system for enrollment selection in admissions-office and bachelor transfer methods to assess the abilities that applicants have acquired through experiences since birth. In the present investigation supported by a GRANT-IN-AID FOR SCIENTIFIC RESEARCH (C) from 2003 to 2005, the follow-up survey by multi-variate analyses using a peer review after the entrance. As a result, it is confirmed that there are significant relationships of attitude-evaluation scores (r=0.7) between before and after the entrance, strongly suggesting that this type of enrollment selection system based on attitude-evaluation is effective. Hereafter, we are scheduled to continue this kind of follow-up survey, in order to make more improvements for enrollment selection in Kochi Medical School and to supply good quality medical professions for the regional society in Kochi prefecture.