Original Article

Factors Associated with Acceptance of Repeat MCAT Test Takers into a West Virginian Allopathic Medical School

Authors: Manuel C. Vallejo, MD, DMD, Lauren M. Wamsley, MPH, Christa L. Lilly, PhD, Emily K. Nease, MD, Linda S. Nield, MD

Abstract

Objectives: A paucity of information exists to advise medical school applicants who have had to retake the Medical College Admission Test (MCAT) to achieve a competitive score. To better advise repeat test takers from West Virginia and other Appalachian and southern areas, MCAT data from West Virginia applicants were analyzed and compared with national data.

Methods: In the application cycles of 2017–2020, the following factors were analyzed in relation to medical school acceptance in West Virginia applicants: MCAT scores, the number of test-taking attempts, biology-chemistry-physics-math grade point average, time between test-taking attempts, and academic major. MCAT data from medical school applicants from West Virginia who took the test more than once also were compared with national data.

Results: Of the total repeat test takers from West Virginia (N = 285) in the study timeframe, 57 (20%) were ultimately accepted into medical school. Factors associated with medical school acceptance were as follows: first MCAT test score (odds ratio [OR] 1.3, 95% confidence level [CL] 1.2–1.4, P < 0.001), change in MCAT test score (OR 1.2, 95% CL 1.1–1.3, P = 0.0015), and biology-chemistry-physics-math grade point average (OR 15.1, 95% CL 4.2–54.8, P < 0.0001). The highest benefit for improved scores occurred between the first and second attempts. The highest point gain occurred when the first MCAT score was in the range of 477 to 487 (<1st–12th percentile); this finding was not found in the national data.

Conclusions: Although the study was limited to West Virginia medical school applicants, this information could prove useful in advising premedical applicants from other Appalachian and southern US areas.

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References

1. Julian ER. Validity of the Medical College Admission Test for predicting medical school performance. Acad Med 2005;80:910–917.
 
2. Dunleavy DM, Kroopnick MH, Dowd KW, et al. The predictive validity of the MCAT exam in relation to academic performance through medical school: a national cohort study of 2001–2004 matriculants. Acad Med 2013; 88:666–671.
 
3. Callahan CA, Hojat M, Veloski J, et al. The predictive validity of three versions of the MCAT in relation to performance in medical school, residency, and licensing examinations: a longitudinal study of 36 classes of Jefferson Medical College. Acad Med 2010;85:980–987.
 
4. Donnon T, Paolucci EO, Violato C. The predictive validity of the MCAT for medical school performance and medical board licensing examinations: a meta-analysis of the published research. Acad Med 2007;82:100–106.
 
5. Searcy CA, Dowd KW, Hughes MG, et al. Association of MCAT scores obtained with standard vs extra administration time with medical school admission, medical student performance, and time to graduation. JAMA 2015;313:2253–2262.
 
6. Busche K, Elks ML, Hanson JT, et al. The validity of scores from the new MCAT exam in predicting student performance: results from a multisite study. Acad Med 2020;95:387–395.
 
7. Jones RF, Vanyur S. MCAT scores and student progress in medical school. J Med Educ 1984;59:527–531.
 
8. Huff KL, Fang D. When are students most at risk of encountering academic difficulty? A study of the 1992 matriculants to U.S. medical schools. Acad Med 1999;74:454–460.
 
9. Andriole DA, Jeffe DB. Prematriculation variables associated with suboptimal outcomes for the 1994–1999 cohort of US medical school matriculants. JAMA 2010;304:1212–1219.
 
10. Violato C, Gauer JL, Violato EM, et al. A study of the validity of the new MCAT exam. Acad Med 2020;95:396–400.
 
11. Gay SE, Santen SA, Mangrulkar RS, et al. The influence of MCAT and GPA preadmission academic metrics on interview scores. Adv Health Sci Educ Theory Pract 2018;23:151–158.
 
12. Association of American Medical Colleges. Using MCAT® Data in 2020 Medical Student Selection. Washington, DC: Association of American Medical Colleges; 2019.
 
13. Association of American Medical Colleges. 2019 State Physician Workforce Data Report. Washington, DC: Association of American Medical Colleges; 2019.
 
14. Kirch DG. Transforming admissions: the gateway to medicine. JAMA 2012; 308:2250–2251.
 
15. Monroe A, Quinn E, Samuelson W, et al. An overview of the medical school admission process and use of applicant data in decision making: what has changed since the 1980s? Acad Med 2013;88:672–681.
 
16. Witzburg RA, Sondheimer HM. Holistic review—shaping the medical profession one applicant at a time. N Engl J Med 2013;368:1565–1567.
 
17. Association of American Medical Colleges. Medical school admissions: more than grades and test scores. Anal Brief 2011;11:1–2.
 
18. Mitchell KJ. Traditional predictors of performance in medical school. Acad Med 1990;65:149–158.
 
19. Ganjoo R, Schwartz L, Boss M, et al. Predictors of success on the MCAT among post-baccalaureate pre-medicine students. Heliyon 2020;6:e03778.
 
20. Kreiter CD, Kreiter Y. A validity generalization perspective on the ability of undergraduate GPA and the medical college admission test to predict important outcomes. Teach Learn Med 2007;19:95–100.
 
21. Association of American Medical Colleges. Core competencies for entering medical students. https://www.aamc.org/services/admissions-lifecycle/ competencies-entering-medical-students. Accessed March 30, 2021.
 
22. Terregino CA, Saguil A, Price-Johnson T, et al. The diversity and success of medical school applicants with scores in the middle third of the MCAT score scale. Acad Med 2020;95:344–350.