A Multicenter Analysis of the Ophthalmic Knowledge Assessment Program and American Board of Ophthalmology Written Qualifying Examination Performance
A Multicenter Analysis of the Ophthalmic Knowledge Assessment Program and American Board of Ophthalmology Written Qualifying Examination Performance
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DOI：
10.1016/j.ophtha.2012.06.010
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发表时间：
2012-10-01
期刊：
影响因子：
13.7
通讯作者：
Zimmerman, M. Bridget
中科院分区：
文献类型：
--
作者：
Lee, Andrew G.;Oetting, Thomas A.;Zimmerman, M. Bridget
目的：比较美国眼科医师资格考试委员会(WQE)与美国执业医师考试(USMLE)和眼科知识评估计划(OKAP)第一步考试的成绩。设计：病例系列比较。这些数据是从2009年美国眼科委员会对每个参与项目的5年报告中提取的，包括2003年至2007年的住院医师毕业班。如果有USMLE、眼科1至3岁的OKAP检查和WQE评分的数据，则包括居民。方法：采用双样本t检验、Logistic回归分析和受试者操作特征(ROC)曲线检验不同测验(USMLE、OKAP考试第一年、OKAP考试第二年、OKAP考试第三年和最高OKAP考试分数)之间的相关性，作为WQE及格或不及格的预测因子。主要观察指标：本研究的主要结果指标是WQE的首次通过率。结果：运用ROC分析，眼科住院医师第三年进行的OKAP考试对WQE的预测成绩最佳。在居住的第三年参加的OKAP考试，35分或更高的通过WQE的概率至少为80%，72分或更高的至少95%。结论：OKAP考试，特别是居住第三年的OKAP考试，可以帮助居民预测在高风险的WQE考试中成功的可能性。财务披露(S)：作者(S)对本文讨论的任何材料没有所有权或商业利益。眼科2012；119：1949-1953(C)2012，由美国眼科学会颁发。
Objective: To compare the performance on the American Board of Ophthalmology Written Qualifying Examination (WQE) with the performance on step 1 of the United States Medical Licensing Examination (USMLE) and the Ophthalmic Knowledge Assessment Program (OKAP) examination for residents in multiple residency programs.Design: Comparative case series.Participants: Fifteen residency programs with 339 total residents participated in this study. The data were extracted from the 5-year American Board of Ophthalmology report to each participating program in 2009 and included residency graduating classes from 2003 through 2007. Residents were included if data were available for the USMLE, OKAP examination in ophthalmology years 1 through 3, and the WQE score. Residents were excluded if one or more of the test scores were not available.Methods: Two-sample t tests, logistic regression analysis, and receiver operating characteristic (ROC) curves were used to examine the association of the various tests (USMLE, OKAP examination year 1, OKAP examination year 2, OKAP examination year 3, and maximum OKAP examination score) as a predictor for a passing or failing grade on the WQE.Main Outcome Measures: The primary outcome measure of this study was first time pass rate for the WQE.Results: Using ROC analysis, the OKAP examination taken at the third year of ophthalmology residency best predicted performance on the WQE. For the OKAP examination taken during the third year of residency, the probability of passing the WQE was at least 80% for a score of 35 or higher and at least 95% for a score of 72 or higher.Conclusions: The OKAP examination, especially in the third year of residency, can be useful to residents to predict the likelihood of success on the high-stakes WQE examination.Financial Disclosure(s): The author(s) have no proprietary or commercial interest in any materials discussed in this article. Ophthalmology 2012;119:1949-1953 (C) 2012 by the American Academy of Ophthalmology.