Barriers to Achieving Passing BioMedical Admissions Test Scores for Medical and Dental School Admission in Thailand
DOI:
https://doi.org/10.33165/rmj.48.04.e272773Keywords:
Medical school admission, Dental school admission, BMATAbstract
Background: The BioMedical Admissions Test (BMAT), developed and validated under the UK curriculum, is utilized by many medical and dental schools worldwide for applicant selection. No studies have investigated the fairness of the BMAT in countries with non-UK curricula and limited English usage.
Objectives: To determine the effects of the barriers and compare the disparities in the prevalence between candidates in the Bangkok Metropolitan Region (BMR) and other provinces.
Methods: This study was cross-sectional and quantitative, using contingency tables and nonparametric tests, retrospectively analyzing secondary data from the survey conducted by the RAdiator, a free online education platform targeted at university admission preparation.
Results: From 108 participants with available score data, the presence of BMAT barriers was associated with lower odds of passing the BMAT requirement satisfactory by most medical schools in Thailand and was significantly more prevalent in non-BMR group. The language barrier was the biggest impeding factor to passing the requirement (OR [95% CI], 0.236 [0.103-0.539]; P < .001) and the most pronounced difference in prevalence between BMR and non-BMR groups (OR [95% CI], 2.423 [1.277-4.596]; P = .009). About 82% of the participants used the RAdiator, limiting the samples to those using free unofficial BMAT resources to alleviate the barriers.
Conclusions: There were BMAT barriers for medical and dental admissions which were more prevalent outside the BMR. English proficiency was the core skill to achieve satisfactory BMAT scores. Admission criteria should be adjusted to align with the context, faculty’s values, and learning outcomes.
References
Fielding S, Tiffin PA, Greatrix R, et al. Do changing medical admissions practices in the UK impact on who is admitted? an interrupted time series analysis. BMJ Open. 2018;8(10):e023274. doi:10.1136/bmjopen-2018-023274
Ferguson WJ, Candib LM. Culture, language, and the doctor-patient relationship. Fam Med. 2002;34(5):353-361.
Saha S, Guiton G, Wimmers PF, Wilkerson L. Student body racial and ethnic composition and diversity-related outcomes in US medical schools. JAMA. 2008;300(10):1135-1145. doi:10.1001/jama.300.10.1135
Whitla DK, Orfield G, Silen W, Teperow C, Howard C, Reede J. Educational benefits of diversity in medical school: a survey of students. Acad Med. 2003;78(5):460-466. doi:10.1097/00001888-200305000-00007
Cambridge Assessment Admissions Testing. BioMedical Admissions Test (BMAT). Accessed 7 February 2025. https://web.archive.org/web/20210512160451/https://www.admissionstesting.org/for-institutions/about-our-tests/biomedical-admissions-test
Emery JL, Bell JF. The predictive validity of the BioMedical Admissions Test for pre-clinical examination performance. Med Educ. 2009;43(6):557-564. doi:10.1111/j.1365-2923.2009.03367.x
Cambridge Assessment Admissions Testing. BioMedical Admissions Test (BMAT) Content Specification. Cambridge University Press & Assessment; 2023. Accessed 7 February 2025. https://www.ox.ac.uk/sites/files/oxford/media_wysiwyg/47829-bmat-test-specification.pdf
McElwee S, Cheung KYF, Cromie SRT, Shannon M, Gallacher T. Revising the BioMedical Admissions Test (BMAT) to improve impact and washback for candidates and support fair access to test preparation. Assess Educ. 2021;28(1):77-95. doi:10.1080/0969594X.2019.1639133
Waluyo B. Thai first-year university students’ English proficiency on CEFR levels: a case study of Walailak University, Thailand. The New English Teacher. 2019;13(2):51-71.
Ignite by OnDemand. BMAT. Accessed 7 February 2025. https://web.archive.org/web/20241113173835/https://www.ignitebyondemand.com/our-courses/bmat
MedCoach Institute. BMAT. Accessed 7 February 2025. https://web.archive.org/web/20240718012435/https://medcoachinstitute.com/bmat
Englican International-Thailand. BMAT Course. Accessed 7 February 2025. http://web.archive.org/web/20230404162733/https://englican.in.th/featured_item/bmat-course-private
House of Griffin. BMAT Tutoring. Accessed 7 February 2025. https://web.archive.org/web/20211206080417/https://www.houseofgriffin.com/courses/bmat
Panya Society. Conquer the BMAT. Accessed 7 February 2025. https://web.archive.org/web/20250113204752/https://www.panyasociety.com/course/preview/19
The Planner Education. BMAT. Accessed 7 February 2025. https://web.archive.org/web/20250117020457/https://theplannereducation.com/home/bmat
Siam Tutor. BMAT. Accessed 7 February 2025. http://web.archive.org/web/20210125014704/https://www.siamtutor.com/bmat
Test Tutor Chiangmai Thailand. BMAT (BioMedical Admissions Test). Accessed 7 February 2025. http://web.archive.org/web/20230921225705/https://www.testtutorchiangmai.com/bmat-biomedical-admissions-test
Word Bank Group. DataBank: World Development Indicators. Updated 28 January 2025. Accessed 7 February 2025. https://databank.worldbank.org/reports.aspx?source=2&country=THA#
Puttanapong N, Luenam A, Jongwattanakul P. Spatial analysis of inequality in Thailand: applications of satellite data and spatial statistics/econometrics. Sustainability. 2022;14(7):3946. doi:10.3390/su14073946
Thai University Central Admission System (TCAS). Applicant Guideline. Accessed 7 February 2025. http://web.archive.org/web/20230107101210/https://assets.mytcas.com/d/TCAS66-manual-v5-27otc65.pdf
Faculty of Medicine Ramathibodi Hospital, Mahidol University. Selection Criteria for Applicants in TCAS Round One Portfolio for Doctor of Medicine Program. Accessed 7 February 2025. http://web.archive.org/web/20231127200208/https://www.rama.mahidol.ac.th/meded/sites/default/files/public/MEO/yr2566/RAMA-Portfolio2567.pdf
Cambridge Assessment Admissions Testing. BMAT. Cambridge University Press & Assessment; 2023. Accessed 7 February 2025. https://web.archive.org/web/20230530073837/https://www.admissionstesting.org/for-test-takers/bmat/bmat-october/
The Medical Council of Thailand. Name of Recognized Medical schools (Thai). Updated 14 December 2023. Accessed 7 February 2025. https://web.archive.org/web/20241202191947/https://tmc.or.th/En/name_of_recognized_medical_schools_en.php
The Dental Council of Thailand. Doctor of Dental Surgery Degree: Recognized Dental Faculties (Domestic). 29 September 2022. Accessed 7 February 2025. https://web.archive.org/web/20221129032749/https://dentalcouncil.or.th/Pages/Dentistry
RAdiator YouTube page. Accessed 7 February 2025. https://web.archive.org/web/20250301044753/https://www.youtube.com/@radiator5264
Academic Affairs, Faculty of Medicine, Khon Kaen University. Announcement of Khon Kaen University: Admissions. Accessed 7 February 2025. https://bit.ly/4ieSQnH
Faculty of Dentistry, Chulalongkorn University. Announcement of Chulalongkorn University: Admission for the Doctor of Dental Surgery Program, Academic Year 2024, TCAS Round 1 Portfolio. Accessed 7 February 2025. https://web.archive.org/web/20240329030552/http://www.admissions.chula.ac.th/images/stories/33.dent_r1e_67.pdf
Faculty of Medicine Siriraj Hospital, Mahidol University. Admission Summary, Academic Year 2023. 14 September 2022. Accessed 7 February 2025. https://bit.ly/3EWLLt9
Faculty of Medicine, Chulalongkorn University. Announcement of Chulalongkorn University: Admission for Students with English Proficiency to Study in the Doctor of Medicine Program, Academic Year 2024, TCAS Round 1 Portfolio. Accessed 7 February 2025. https://web.archive.org/web/20250301153251/https://9choke.com/wp-content/uploads/2023/09/en-admission2567.pdf
Lenkeit J, Caro D, Ertl H, et al. The impact of preparation on TSA and BMAT test results – an institutional case study at Oxford University. Paper presented at: Oxford University Centre for Educational Assessment Report, OUCEA/19/3. University of Oxford; 2019. Accessed 7 February 2025. https://www.researchgate.net/publication/342096529
Griffin B, Horton GL, Lampe L, Shulruf B, Hu W. The change from UMAT to UCAT for undergraduate medical school applicants: impact on selection outcomes. Med J Aust. 2021;214(2):84-89. doi:10.5694/mja2.50877
International Schools Association of Thailand (ISAT). Member Schools. Accessed 7 February 2025. https://web.archive.org/web/20240523160941/https://isat.or.th/member-school
Statista. Number of inhabitants in Bangkok Metropolitan Area (BMA) in Thailand from 2015 to 2024 (in millions). Accessed 7 February 2025. https://www.statista.com/statistics/910999/thailand-population-in-bangkok-metropolitan-area
Statista. Total population in Thailand from 2019 to 2029 (in million inhabitants). Accessed 7 February 2025. https://www.statista.com/statistics/331889/total-population-of-thailand
National Statistical Office of Thailand. Important statistics and indicators: Area of Thailand Categorized by Region and Province 2012-2021. Accessed 7 February 2025. https://www.nso.go.th/nsoweb/downloadFile/stat_impt/PM/file_xls_th
Wang G, Shulruf B. Admission model and equity in higher education. Asia-Pacific Edu Res. 2013;22(1):111-117. doi:10.1007/s40299-012-0002-8
Talamantes E, Henderson MC, Fancher TL, Mullan F. Closing the gap - making medical school admissions more equitable. N Engl J Med. 2019;380(9):803-805. doi:10.1056/NEJMp1808582
Koenig TW, Parrish SK, Terregino CA, Williams JP, Dunleavy DM, Volsch JM. Core personal competencies important to entering students' success in medical school: what are they and how could they be assessed early in the admission process? Acad Med. 2013;88(5):603-613. doi:10.1097/ACM.0b013e31828b3389
Lucey CR, Saguil A. The consequences of structural racism on MCAT scores and medical school admissions: the past is prologue. Acad Med. 2020;95(3):351-356. doi:10.1097/ACM.0000000000002939
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