Correlation of United States Medical Licensing Examination and Internal Medicine In-Training Examination performance

Perez, Jose A.; Greer, Sharon

doi:10.1007/s10459-009-9158-2

Cited by 57 publications

(33 citation statements)

References 10 publications

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“…15,35,40 By contrast, it has been shown that medical school performance and scores on a national knowledge-based medical examination correlate well with postgraduate examination performance. [41][42][43][44] If an SJT is to be used as part of any assessment process, it should be a low-stakes component of the overall assessment until it is validated in context. The current selection process risks diverting the attentions of fi nal year medical students from perfecting clinical examination and learning applicable medical knowledge to 'studying' for the SJT.…”

Section: Problems With Foundation Programme Selectionmentioning

confidence: 99%

UK medical selection: lottery or meritocracy?

Harris¹,

Walsh²,

Lammy³

2015

Clinical Medicine

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From senior school through to consultancy, a plethora of assessments shape medical careers. Multiple methods of assessment are used to discriminate between applicants. Medical selection in the UK appears to be moving increasingly towards non-knowledge-based testing at all career stages. We review the evidence for non-knowledge-based tests and discuss their perceived benefi ts. We raise the question: is the current use of non-knowledge-based tests within the UK at risk of undermining more robust measures of medical school and postgraduate performance?

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Section: Problems With Foundation Programme Selectionmentioning

confidence: 99%

UK medical selection: lottery or meritocracy?

Harris¹,

Walsh²,

Lammy³

2015

Clinical Medicine

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“…15 However, some studies suggest that the Step 2 score might be a better predictor in other specialties. 29,31 Results from our study indicate that information available prior to residency training, particularly first-attempt USMLE Step 2 scores, can predict ABA Part 1 examination scores. In fact, USMLE Step 2 scores were the only significant predictor in our model from a group of variables that also included gender, URM status, type of medical degree, and first-attempt USMLE Step 1 scores.…”

Section: Table 2 Stepwise Regression Analyses Predictors From Ites Bmentioning

confidence: 77%

Predictors of success on the written anesthesiology board certification examination

et al. 2012

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Objectives: To determine whether information available prior to and during anesthesia residency training can predict American Board of Anesthesiology (ABA) Part 1 (Written) performance and help identify anesthesia residents at risk for failure. Methods: Retrospective analysis of 97 anesthesiology residents' academic files at a single Midwestern residency program. ABA Part 1 score was used as the dependent variable. Categorical demographic predictor variables included gender, under-represented minority status, and type of medical degree. Quantitative academic predictor variables included first-attempt scores on United States Medical Licensing Examination (USMLE) Steps 1 and 2, annual ABA In-Training Exam (ITE) scores, and biannual Basic Science Examination (BSE) scores. Predictors that correlated significantly with the dependent variable were entered into stepwise linear regression analyses. Results:In our analyses, only the USMLE Step 2 score was a significant pre-residency predictor (B=0.169; SE=0.031, p<0.001). Scores on ITEs were significant predictors at every time point. In the final regression model using all available measures during residency, the most recent ITE (B = 0.627; SE=0.090; p<0.001) and BSE (B=0.096; SE = 0.047; p=0.046) scores were significant predictors. The model accounted for 52% of the variance in the outcome variable, with 50% of the variance explained by ITE score alone. The model had a specificity of 0.83 and a sensitivity of 0.82 for predicting passing the ABA Part 1 exam. Conclusions: First-attempt scores on the USMLE Step 2 examination and the CA-2 ITE are moderately strong predictors of anesthesiology board examination performance, and may help target residents who are at risk of failing.

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“…Step 1 scores have been shown to correlate with intraining examination scores in Internal Medicine (Perez and Greer 2009), Emergency Medicine (Thundiyil et al 2010), Orthopedic Surgery (Carmichael et al 2005), and Obstetrics and Gynecology (Armstrong et al 2007). There also was reportedly a low correlation between Step 1 and in-training exams in orthopedic surgery (Klein et al 2004;Carmichael et al 2005), several studies showing a correlation between Step 1 and intraining examination scores reported stronger in-training examination correlations with…”

Section: Introductionmentioning

confidence: 99%

“…Step 2CK (clinical knowledge) than with Step 1 scores (Perez and Greer 2009;Thundiyil et al 2010;Black et al 2006).…”

Section: Introductionmentioning

confidence: 99%

Academic and professional career outcomes of medical school graduates who failed USMLE Step 1 on the first attempt

McDougle

Mavis

Jeffe

et al. 2012

Adv in Health Sci Educ

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This study sought to determine the academic and professional outcomes of medical school graduates who failed the United States Licensing Examination Step 1 on the first attempt. This retrospective cohort study was based on pooled data from 2,003 graduates of six Midwestern medical schools in the classes of 1997-2002. Demographic, academic, and career characteristics of graduates who failed Step 1 on the first attempt were compared to graduates who initially passed. Fifty medical school graduates (2.5 %) initially failed Step 1. Compared to graduates who initially passed Step 1, a higher proportion of graduates who initially failed Step 1 became primary care physicians (26/49 [53 %] vs. 766/1,870 [40.9 %]), were more likely at graduation to report intent to practice in underserved areas (28/50 [56 %] vs. 419/1,939 [ 21.6 %]), and more likely to take 5 or more years to graduate (11/50 [22.0 %] vs. 79/1,953 [4.0 %]). The relative risk of first attempt Step 1 failure for medical school graduates was 13.4 for African Americans, 7.4 for Latinos, 3.6 for matriculants >22 years of age, 3.2 for women, and 2.3 for first generation college graduates. The relative risk of not being specialty board certified for those graduates who initially failed Step 1 was 2.2. Our observations regarding characteristics of graduates in our study cohort who initially failed Step 1 can inform efforts by medical schools to identify and assist students who are at particular risk of failing Step 1.

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Correlation of United States Medical Licensing Examination and Internal Medicine In-Training Examination performance

Cited by 57 publications

References 10 publications

UK medical selection: lottery or meritocracy?

UK medical selection: lottery or meritocracy?

Predictors of success on the written anesthesiology board certification examination

Academic and professional career outcomes of medical school graduates who failed USMLE Step 1 on the first attempt

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