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Medical School Aptitude Tests: Can Coaching Help? | Irish Times

HPAT Under Scrutiny: Can Coaching Realy Boost Medical School Entry?



amid growing concerns that test preparation skews results, Irish medical schools are considering reducing the weight given to the Health Professions Admission Test (HPAT) in admissions decisions. The HPAT, a two-hour aptitude test designed to assess reasoning, problem-solving, and interpersonal skills, has become the focus of a burgeoning private tuition industry, raising questions about whether coaching can truly improve a candidate’s inherent abilities.

The Rise of HPAT Prep Courses

What began as an assessment intended to gauge innate capabilities has evolved into a cottage industry of preparatory courses and tutoring services.Companies like AceTheHpat.com, run by john gannon, a public health medicine specialist registrar, offer weekend workshops and group classes promising to help students “unlock their potential” and secure a place in medical school.

Other institutions, such as the Institute of Education and medentry, provide extensive programs costing hundreds or even thousands of euros. MedEntry, founded by medical doctors, claims it’s “proven packages will help you ace the Hpat to gain entry into Ireland’s top medical schools.”

did You Know? The global private tutoring market is projected to reach $128.7 billion by 2027, reflecting the increasing demand for supplemental education and test preparation worldwide.

Medical Schools Re-Evaluate HPAT Weighting

The increasing prevalence of HPAT coaching has prompted medical school deans to reconsider the test’s significance in the admissions process. Concerns have been raised that students from privileged backgrounds, who can afford expensive preparation courses, may have an unfair advantage over those who cannot.

A review conducted three years after the HPAT’s introduction in 2009 revealed that 40% of triumphant applicants had improved their scores after retaking the test. This finding suggests that familiarity with the test format and content, gained through repeated attempts or coaching, can indeed lead to higher scores.

This has led to colleges considering altering entry requirements for medicine amid concern applicants gaming aptitude test.

Can you Really “Ace” an Aptitude Test?

The basic question remains: can students genuinely improve their performance on tests designed to assess inherent skills rather than knowledge recall? According to Dr. Gannon, while practice can lead to some improvement, especially in the non-verbal reasoning section, the impact of coaching is often overstated.

“Preparation can help to improve the approach to the exam and especially managing timing, but core skills like empathy and critical thinking can’t be memorised like Leaving Cert content,” Dr Gannon says.

He notes that students tend to improve most in non-verbal reasoning,moderately in logical reasoning,and least in interpersonal understanding. This observation aligns with the nature of each section: non-verbal reasoning involves identifying patterns, while interpersonal understanding relies on empathy and social awareness, qualities less amenable to rote learning.

Pro tip: Focus on developing critical thinking and problem-solving skills through diverse activities, not just test-specific drills.Read widely, engage in debates, and seek out opportunities to apply your reasoning abilities in real-world scenarios.

HPAT Section Weighting Changes

The Australian Council for Educational Research (Acer),the HPAT’s creator,appears to have recognized the potential for coaching to inflate scores in the non-verbal reasoning section. In recent years, they have adjusted the weighting of the test, reducing the emphasis on non-verbal reasoning while increasing the importance of logical reasoning and interpersonal understanding.

Previously, all three sections were weighted equally at 33% each. now, logical reasoning and interpersonal understanding each account for 40% of the total score, while non-verbal reasoning contributes just 20%. This shift reflects an effort to prioritize skills that are less susceptible to improvement through coaching.

HPAT Sample Questions

Here are sample questions from each of the three HPAT sections:

Q1: Logical Reasoning and Problem-Solving

Botanists studied a rainforest in Nicaragua that had been ravaged by Hurricane Joan in 1988. They found that in the following 10 years the number of tree species had increased by at least 200 per cent, and up to 300 per cent, in eight storm-affected plots. other plots not affected by the hurricane showed little if any such increase. from this information,it can be concluded that:

A. Hurricanes play an crucial role in ensuring the long-term survival of tropical rainforests.

B. When the dominant trees in an area of tropical rainforest are destroyed, other species are given a chance to flourish.

C. The overall life of a tropical rainforest is increased if large areas are occasionally levelled to the ground.

D. The productivity of a tropical rainforest will be maximised if large areas are occasionally levelled to the ground.

Q2: Interpersonal Understanding

In the following passage, an adolescent boy talks about living with a physical disability:

As I have been physically disabled all my life, I have managed to cope with the purely practical problems arising with a minimum of fuss. I felt no loss, because I had no feelings of “normality” to compare with. One of my physical problems is that I am short, about 127 centimetres tall. I was constantly mistaken by strangers for a little kid. It’s a real pain for a 16-year-old boy to be handed a kid’s menu every time he enters a restaurant. it is even worse when mere coherent speech is greeted with awe.

For the writer,the main problem with his disability is:

A. The embarrassment of being so short.

B. never knowing what it is to be “normal”.

C. Dealing with other people’s preconceptions.

D. Coping with the practical problems caused by his condition.

Q3: Non-Verbal reasoning

Arrange the five pictures so that they form a logical sequence.Then select the middle picture of the sequence and mark the corresponding letter (A, B, C, D or E) on the answer sheet.

Answers: Q1 (B), Q2(D), Q3(E)

HPAT: Key Considerations

As medical schools grapple with the challenges of ensuring a fair and equitable admissions process, the role of the HPAT remains a subject of debate. While the test can provide valuable insights into a candidate’s aptitude for medicine,its susceptibility to coaching raises concerns about its validity as a sole determinant of suitability.

Ultimately, a holistic approach to admissions, one that considers academic achievements, extracurricular activities, personal qualities, and performance on multiple assessments, may be the most effective way to identify future doctors who possess not only the intellectual capacity but also the empathy, resilience, and critical thinking skills necessary to excel in the demanding field of medicine.

HPAT Section Skills Assessed Current Weighting
Logical Reasoning and Problem-Solving Analytical thinking, deductive reasoning 40%
Interpersonal Understanding Empathy, social awareness, ethical judgment 40%
Non-Verbal Reasoning Pattern recognition, spatial reasoning 20%

The Evolution of Standardized Testing in Medical Admissions

Standardized tests have long been a staple of medical school admissions, serving as a seemingly objective measure of a candidate’s aptitude and preparedness. However, the reliance on these tests has been increasingly questioned in recent years, with critics arguing that they may perpetuate systemic inequalities and fail to capture the full range of qualities that make a successful physician.

The HPAT, like other similar tests such as the Medical College Admission Test (MCAT) in the United States, was initially designed to assess cognitive skills and knowledge deemed essential for medical training. Over time, though, concerns have emerged about the extent to which these tests can be “gamed” through intensive preparation, potentially giving an unfair advantage to students from affluent backgrounds who can afford expensive coaching services.

As a result, many medical schools are now exploring option admissions models that place greater emphasis on holistic review, considering factors such as a candidate’s personal experiences, community involvement, and demonstrated commitment to service. These approaches aim to create a more diverse and equitable student body, reflecting the diverse communities that physicians will ultimately serve.

Frequently Asked Questions About the HPAT

What is the HPAT?
The Health Professions Admission Test (HPAT) is a standardized test used by Irish medical schools to assess candidates’ suitability for undergraduate medicine programs. It evaluates reasoning, problem-solving, and interpersonal skills.
Why are medical schools considering reducing the weighting of the HPAT?
Medical school deans are concerned about equity issues and evidence suggesting that many applicants benefit from coaching for the HPAT, potentially skewing results.
Can students improve their HPAT scores through coaching?
While some improvement is possible, especially in non-verbal reasoning, dramatic score increases due to coaching are unlikely. Core skills like empathy and critical thinking are difficult to learn through practice alone.
How is the HPAT structured?
The HPAT consists of three sections: logical reasoning and problem-solving, interpersonal understanding, and non-verbal reasoning. The weighting of these sections has changed over time,with non-verbal reasoning now accounting for a smaller percentage of the overall score.
What resources are available for HPAT preparation?
Numerous private tuition services and grind schools offer preparatory courses, mock exams, and one-on-one tutoring for the HPAT, though the Australian Council for Educational Research (Acer), which devised the test, initially discouraged such training.
What skills does the HPAT aim to assess?
The HPAT aims to evaluate qualities crucial for success in medicine,including logical reasoning,problem-solving abilities,empathy,and critical thinking skills,rather than rote memorization of factual knowledge.

What are your thoughts on the role of standardized tests in medical school admissions? Share your opinions in the comments below!

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