A national cohort study of U.S. medical school students who initially failed Step 1 of the United States Medical Licensing Examination.
A national cohort study of U.S. medical school students who initially failed Step 1 of the United States Medical Licensing Examination.
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DOI：
10.1097/acm.0b013e318248dd9c
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发表时间：
2012-04
期刊：
影响因子：
--
通讯作者：
Jeffe DB
中科院分区：
文献类型：
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作者：
Andriole DA;Jeffe DB
为了描述最初未通过美国医学执照考试第1步的美国医学生的全国队列的教育结果，作者分析了1993-2000年美国医学院录取学生队列的去识别化、个性化记录，这些学生最初未通过第1步，并且截至2009年3月2日不再在医学院就读。使用多变量逻辑回归来识别与尝试并最初通过第2步临床知识（CK）相关的因素。在6,594名第一步不及格的学生中，5,985名（90.8%）参加了第二步CK。女性和亚洲/太平洋岛民学生更有可能尝试步骤2CK;最近的录取和学生与较低的失败步骤1分数的可能性较小。在5，985名尝试步骤2CK的学生中，4，168名（69.6%）最初通过。女性、医学院入学考试成绩较高的学生和最近的学生更有可能通过第二步CK;亚洲/太平洋岛民学生、代表性不足的少数民族学生、年龄较大的学生和第一步成绩较低的学生不太可能通过。研究样本中90%的学生（5，952/6，594）最终从医学院毕业，包括99.5%（4，148/4，168）最初通过的人，96.7%（1，757/1，817）最初失败的人，以及7.7%（47/609）从未尝试过步骤2CK的人。作者确定了与第一步失败的学生的教育成果相关的变量。这些发现可以为医学院制定量身定制的干预措施提供信息，以最大限度地提高学生参加第二步CK并在第一次尝试时通过的可能性。
To describe educational outcomes for a national cohort of U.S. medical students who initially failed Step 1 of the United States Medical Licensing Examination The authors analyzed de-identified, individualized records for the 1993–2000 cohort of U.S. medical school matriculants who both initially failed Step l and were no longer in medical school as of March 2, 2009, using multivariable logistic regression to identify factors associated with attempting, and initially passing, Step 2 Clinical Knowledge (CK). Of 6,594 students who failed Step l, 5,985 (90.8%) took Step 2CK. Women and Asian/Pacific Islander students were more likely to attempt Step 2CK; more recent matriculants and students with lower failing Step 1 scores were less likely. Of the 5,985 students who attempted Step 2CK, 4,168 (69.6%) initially passed. Women, students with higher Medical College Admission Test scores, and more recent matriculants were more likely to pass Step 2CK; Asian/Pacific Islander students, underrepresented minority students, older students, and students with lower failing Step 1 scores were less likely. Ninety percent of students in the study sample (5,952/6,594) ultimately graduated from medical school, including 99.5% (4,148/4,168) of those who initially passed, 96.7% (1,757/1,817) of those who initially failed, and 7.7% (47/609) of those who never attempted Step 2CK. The authors identified variables associated with educational outcomes among students who failed Step l. These findings can inform medical schools’ efforts to develop tailored interventions to maximize the likelihood that students will take Step 2CK and pass it on the first attempt.