The faculty at the University of Missouri-Kansas City School of Medicine has developed an explanation of repeated medical student failures on Part I of the National Board of Medical Examiners (NBME) examination. They see the failures as the result of incomplete development of reasoning skills. Author/MLW)

A study that addressed the question of whether coaching for the MCAT biases the relationship between test performance and medical school performance is described. The criterion used was whether or not a student experienced academic problems in medical school. (MLW)

Two studies on the relationship between taking a commercial coaching course and performance on the Medical College Admission Test (MCAT) are reported. In both studies, one on repeating examinees and another on first-time examinees, differences in scores favoring coached examinees were found on the science knowledge and problems subtests.…

The 55 medical students from the University of Alabama who used a commercial test-coaching company's services to prepare for the National Board of Medical Examiners Part I examination scored significantly higher than students with comparable basic science grade-point averages. The impact of such coaching on licensure is discussed. (Author/JMD)