背景
项目主管使用美国医学执照考试 (USMLE) 分数作为对申请人进行排名的标准。美国外科委员会 (ABS) 资格 (QE) 和认证 (CE) 考试的首次通过率已成为住院医师计划质量的重要衡量标准。USMLE 步骤 1 将在 2022 年变为通过/失败。
学习规划
考虑到 2011 年 22 个普通外科项目的高排名(前 20 名)申请人的多个特征,评估了美国外科委员会 QE 和 CE 成功率。使用了卡方、t检验、Wilcoxon 秩和、线性和逻辑回归,如合适的。
结果
QE 和 CE 首次尝试通过率分别为 96% (235/244) 和 86% (190/221)。QE/CE 的成功与性别、种族、研究经验或出版物没有显着关联。Alpha Omega Alpha (AΩA) 状态与指数 CE 的成功相关(98% 对 83%;p = 0.008)。第 1 步通过 QE 的外科医生的第 1 步和第 2 步临床知识 (CK) 得分高于失败者的得分(第 1 步:233 对 218;p = 0.016);(步骤 2CK:244 对 228,p = 0.009)。Step 1 和 2CK 分数每增加 10 分,第一次通过 CE 的几率增加 1.5 倍 (95% CI 1.12, 2.0; p = 0.006) 和 1.5 倍 (95% CI 1.11, 2.02, p = 0.008),分别。步骤 1 和 2CK 分数每增加 10 分,第一次尝试通过 QE 的几率就会增加 1.85 倍(95% CI 1.11, 3.09;p = 0。
结论
USMLE Step 1 和 Step 2 CK 考试分数与美国外科委员会 QE 和 CE 的表现和成功相关。USMLE 将第 1 步过渡到通过/失败考试的决定将要求项目主管确定其他因素来预测排名申请人的 ABS 表现。
"点击查看英文标题和摘要"
US Medical Licensing Exam Performance and American Board of Surgery Qualifying and Certifying Examinations
Background
Program directors use US Medical Licensing Exam (USMLE) scores as criteria for ranking applicants. First-time pass rates of the American Board of Surgery (ABS) Qualifying (QE) and Certifying (CE) Examinations have become important measures of residency program quality. USMLE Step 1 will become pass/fail in 2022.
Study design
American Board of Surgery QE and CE success rates were assessed considering multiple characteristics of highly ranked (top 20) applicants to 22 general surgery programs in 2011. Chi-square, t-test, Wilcoxon Rank sum, linear and logistic regression were used, as appropriate.
Results
The QE and CE first attempt pass rates were 96% (235/244) and 86% (190/221), respectively. QE/CE success was not significantly associated with sex, race, research experience, or publications. Alpha Omega Alpha (AΩA) status was associated with success on the index CE (98% vs 83%; p = 0.008). Step 1 and Step 2 Clinical Knowledge (CK) scores of surgeons who passed QE on their first attempt were higher than scores of those who failed (Step 1: 233 vs 218; p = 0.016); (Step 2CK: 244 vs 228, p = 0.009). For every 10-point increase in Step 1 and 2CK scores, the odds of passing CE on the first attempt increased 1.5 times (95% CI 1.12, 2.0; p = 0.006) and 1.5 times (95% CI 1.11, 2.02, p = 0.008), respectively. For every 10-point increase in Steps 1 and 2CK scores, the odds of passing the QE on the first attempt increased 1.85 times (95% CI 1.11, 3.09; p = 0.018) and 1.86 times (95% CI 1.14, 3.06, p = 0.013), respectively.
Conclusions
USMLE Step 1 and Step 2 CK examination scores correlate with American Board of Surgery QE and CE performance and success. The USMLE decision to transition Step 1 to a pass/fail examination will require program directors to identify other factors that predict ABS performance for ranking applicants.