目的 评估英国中学高级水平考试成绩和智力是否能预测医生的职业未来业绩。 设计20年后通过邮寄问卷随访进行前瞻性定群研究。 地点 伦敦的一所英国医学院。 参加者 2002年1月进行随访的511名医师,他们是在1975至1982年进入Westminister医学院的临床医学生。 主要结局测量指标 在医院或全科医师中晋升不同职别所需要的时间;毕业后获得的资格,如执业医师资格(membership)／合作研究员职位(fellowship)、文凭、更高的学位;发表研究性文章的数量;进入医学院时与中学高级水平考试和智力测验结果(AH5)有关的压力和疲惫的评估;普通健康调查表;Maslach疲惫调查表;在随访时对职业满意度的调查表。 结果 47名(9％)医生已经不在医师注册簿上。他们的中学高级水平考试级别低于仍然在册的那些医生(P<0.001)。中学高级水平考试也可以预测大学生阶段的学习情况、注册后任住院医师职位的业绩以及获得执业医师资格的时间(Cox回归,P<0.001;b=0.376,SE=0.098,exp(b)=1.457)。智力测验不独立预测医生是否会脱离医师注册登记、职业结局或其他测量结果。中学高级水平考试不预测文凭或更高的学位资格、研究性出版物、压力或疲惫评估。然而,文凭、更高的学位及研究性出版物数量却与个性的衡量显著相关。 结论 在英国,成绩测验的 Objectives To assess whether secondary school high school English test scores and intelligence predict the future career of doctors. Design 20 years later by mail questionnaire follow-up prospective cohort study. Location A British Medical School in London. Participants 511 physicians who were followed up in January 2002 were clinicians who entered Westminister Medical School between 1975 and 1982. The time taken for the primary outcome measure to advance to different ranks in the hospital or general practitioner; the qualifications earned after graduation, such as membership / fellowship, diploma, higher degree; Number of sex articles; assessment of stress and fatigue related to AH5 and intelligence test results (GP5) at admission to medical school; General Health Questionnaire; Maslach Fatigue Questionnaire; Survival Satisfaction Survey at follow-up. Results 47 (9%) doctors are no longer in the physician’s register. They had lower-level advanced level exams than those who were still enrolled (P <0.001). The ABRSD can also predict the status of undergraduates, the performance of registrars and the qualification of licensed physician (Cox regression, P <0.001; b = 0.376, SE = 0.098, exp (b) = 1.457) . Mental tests do not predict independently whether a physician will be out of physician registration, career outcomes, or other measures. High school advanced level exams do not predict diplomas or higher qualifications, research publications, stress or exhaustion assessments. However, the number of diplomas, higher degrees and research publications is significantly related to the measure of personality. Conclusion In the UK, the results of the test