Evaluation and enhancement of medical knowledge competency by monthly tests: a single institution experience
Evaluation and enhancement of medical knowledge competency by monthly tests: a single institution experience
复制标题
DOI：
10.2147/amep.s89951
复制
发表时间：
2015-01-01
影响因子：
2
通讯作者：
Assaly, Ragheb
中科院分区：
文献类型：
--
作者：
Khan, Abdur Rahman;Siddiqui, Nauman Saleem;Assaly, Ragheb
背景资料：在培训考试（ITE）已被用作在美国内科医学委员会（ABIM）认证考试的性能预测。然而，ITE可能不是一个理想的模式，因为它每年举行一次，代表了与趋势相比的表现快照。我们制定了每月测试（MTs），不断评估学员的表现，在整个residence.Objective：为了确定ABIM性能的预测因素，并评估是否可以作为一种工具来预测通过ABIM examination.Methods：MTs，核心能力，ITE分数进行了分析，为一个队列的毕业生谁出现了ABIM考试从2010年到2013年。Logistic回归分析，以确定一个成功的性能在ABIM examination.Results的预测：51居民出现在2010年和2013年之间的ABIM考试的通过率为84%。第一年的MT评分（比值比[OR] = 1.302，CI = 1.004-1.687，P = 0.04）和第2年（OR = 1.125，CI = 1.004-1.261，P = 0.04）是ABIM表现沿着第二年ITE评分的独立预测因素OR = 1.248，CI = 1.096-1.420，P = 0.001。结论：MT是预测ABIM考试成绩的有效工具。它不仅有助于评估通过认证考试的可能性，还有助于识别那些在居住期间可能需要更多帮助的居民。它还可以突出项目课程的薄弱环节，指导课程的开发。
Background: In-training examination (ITE) has been used as a predictor of performance at the American Board of Internal Medicine (ABIM) certifying examination. ITE however may not be an ideal modality as it is held once a year and represents snapshots of performance as compared with a trend. We instituted monthly tests (MTs) to continually assess the performance of trainees throughout their residency.Objective: To determine the predictors of ABIM performance and to assess whether the MTs can be used as a tool to predict passing the ABIM examination.Methods: The MTs, core competencies, and ITE scores were analyzed for a cohort of graduates who appeared for the ABIM examination from 2010 to 2013. Logistic regression was performed to identify the predictors of a successful performance at the ABIM examination.Results: Fifty-one residents appeared for the ABIM examination between 2010 and 2013 with a pass rate of 84%. The MT score for the first year (odds ratio [OR] = 1.302, CI = 1.004-1.687, P = 0.04) and second year (OR = 1.125, CI = 1.004-1.261, P = 0.04) were independent predictors of ABIM performance along with the second-year ITE scores (OR = 1.248, CI = 1.096-1.420, P = 0.001).Conclusion: The MT is a valuable tool to predict the performance at the ABIM examination. Not only it helps in the assessment of likelihood of passing the certification examination, it also helps to identify those residents who may require more assistance earlier during their residency. It may also highlight the areas of weakness in program curriculum and guide curriculum development.