The Impact of Postgraduate Training on USMLE® Step 3® and its Computer-Based Case Simulation Component

Does Step 3 of the United States Medical Licensing Exam Measure Clinical Competence? A Predictive Validity Study

“…These patterns of results provide evidence for the validity of Step 3 as a measure of clinical skills [5]. In a more recent sample (n = 40,588 between 2007 and 2009), Feinberg et al [6] found a similar pattern of results on Step 3 for broadly focused (variety of patients under a variety of conditions) versus narrowly focused (limited exposure to a variety of patients and conditions) residencies. They also concluded that these results provide support for the validity of Step 3 as a measure of clinical skills.…”

“…We adopted the categorization scheme of Fienberg et al [6] to classify residency programs as broadly focused (combined medicine-pediatrics, emergency medicine, family medicine, internal medicine, pediatrics) and narrowly focused (anesthesiology, obstetrics-gynecology, pathology, psychiatry, radiology, surgery, surgery subspecialties).…”

Screen-Based Simulation, Virtual Reality, and Haptic Simulators

“…VPs use a rendering of a single patient to replicate a physician-patient encounter, often to teach and assess diagnostic skills. This method is favored by primary care specialties like pediatrics, and pediatric subspecialties such as hospital pediatrics or pediatric emergency medicine, as it emphasizes data gathering skills and interaction with the patient or family [4]. Pediatric VPs are particularly useful in demonstrating rare or subtle findings and pathologies that are otherwise difficult or unethical to convey in MBS or in real patients.…”

Place de la simulation aux examens de réanimation

“…De la même manière, il n'existe aucune concurrence entre les patients virtuels complexes et les QCM. Il a bien été démontré dans le cadre de l'examen américain USMLE 3 que les QCM et les patients virtuels évaluaient des champs de compétences différents [33,34].…”

“…Même si la reproductibilité inter-cas cliniques n'est pas bien établie, la reproductibilité interobservateurs et la validité de l'évaluation par les patients virtuels sont satisfaisantes [32][33][34][35]. L'expérience américaine de l'utilisation de cas cliniques assistés par ordinateur pour une évaluation sanctionnante à grande échelle dans le cadre de l'USMLE 3 est unique en son genre.…”