The authors review curricular characteristics of combined baccalaureate-M.D. programs at 28 U.S. medical schools from 1961, when the first programs started, until 1991-92. Initially, in the 1960s, these programs were created (1) to offer talented high school graduates an accelerated track leading to the baccalaureate and M.D. degrees, (2) to reduce educational expenses, (3) to improve education in the humanities, and (4) to attract outstanding students into careers in medicine. In the 1970s these objectives were modified to address national health care needs, particularly the need to graduate more physicians more quickly, especially primary care physicians for underserved areas. In the 1980s the objectives were broadened to achieve more diverse goals, including emphases on the humanities, community medicine, and biotechnology, in addition to the continued stress on the education of primary care physicians.
This paper reports the impact on admission to the University of Missouri-Kansas City's 6-yr. combined baccalaureate-doctor of medicine program of an innovation in selection procedures. In 1973 and 1974, the school's Council on Selection de-emphasized high school academic performance but continued to consider extensive biographical and interview data. Significant differences emerged in the correlations of various selection criteria with the Council's ratings of candidates in 1973 and 1974 in comparison with the prior year. Specifically, admission test score which had the highest correlation (.58) in 1972 was only .18 in 1973. The negative correlation (−.30) of race (discriminatory toward non-whites) in 1972 was not present in 1973 or 1974. Instead, the highest correlations were the interviewers' ratings and recommended decisions.
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