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

医学生在态度和习惯方面存在一些问题，如基于问题的学习动机和获得与医务人员和患者顺利沟通的技能。此外，大多数医学院的教育工作者可能知道，在这些领域的医学教育中存在一些众所周知的局限性。然而，目前，日本医学院的入学选择主要依赖于基于高中学习课程存储的记忆的知识评估，并且在入学选择时不评估通过家庭教育和出生后通过长期经验获得的自我努力获得的医学专业所需的素质。高知医学院引进了入学选拔的态度评估系统和学士学位转移方法，以评估申请人从出生以来通过经验获得的能力。本研究在2003 - 2005年科学研究资助项目（C）的支持下，采用多变量分析的方法，在入学后进行同行评议。结果表明，入学前后学生的态度评价得分之间存在显著的正相关关系（r=0.7），说明这种基于态度评价的招生选拔系统是有效的。今后，我们计划继续进行这种跟踪调查，以进一步改善高知医学院的招生选拔，并为高知县的地方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.