Correlation Between Radiology ACGME Case Logs Values and ABR Core Exam Pass Rate
Correlation Between Radiology ACGME Case Logs Values and ABR Core Exam Pass Rate
复制标题
DOI：
10.1016/j.acra.2019.10.004
复制
发表时间：
2020-02-01
影响因子：
4.8
通讯作者：
Jackson, Valerie P.
中科院分区：
文献类型：
--
作者：
Nickerson, Joshua P.;Koski, Chris;Jackson, Valerie P.
基本原理和目标：美国放射学委员会（ABR）和许多放射学实习生在准备ABR核心考试的最适当方法方面存在不一致。虽然ABR建议，参与常规临床检查解释最好的准备实习生的测试，居民的实际材料，许多项目主任认为，时间远离临床服务的学习和复习课程是必要的。本研究探讨了研究之间的关系，解释在前三年的居住在认证理事会研究生医学教育的情况下日志和性能的ABR Core Examination.Materials和方法：认证理事会研究生医学教育的情况下日志数据被匿名为一个单一的一年队列的居民在所有认可的放射学住院医师。然后将其提供给ABR，并与核心考试的表现相匹配。一个随机效应的逻辑回归模型被用来评估的核心Exam.Results的通过/失败的状态之间的关系的数量的考试读取和建模使用线性和二次项产生的情况下日志值和核心考试性能之间的显着关系。有一个正相关，直到拐点约11,000考试，在这一点上的负相关development.Conclusion：数据支持，积极参与临床职责与ABR核心考试更好的表现，与警告，似乎有一个点，在服务超过教育价值。除此之外，考试成绩下降。
Rationale and Objectives: There is discordance between the American Board of Radiology (ABR) and many radiology trainees with respect to the most appropriate means to prepare for the ABR Core Examination. Whereas the ABR suggests that participation in routine clinical examination interpretation best prepares a trainee for the practical material of the test, residents, and many program directors feel that time away from clinical service for study and review courses are necessary. This study examines the relationship between studies interpreted in the first three years of residency as reported in the Accreditation Council for Graduate Medical Education case logs and performance of first-time test takers on the ABR Core Examination.Materials and Methods: Accreditation Council for Graduate Medical Education case log data was anonymized for a single year cohort of residents in all accredited radiology residencies. This was then provided to the ABR and matched with performance on the Core Examination. A random effects logistic regression model was used to evaluate for a relationship between the number of examinations read and the pass/fail status of the Core Exam.Results: Modeling using a linear and a quadratic term yields a significant relationship between case log values and Core Exam performance. There is a positive correlation until an inflection point of approximately 11,000 examinations, at which point a negative correlation develops.Conclusion: The data supports that active engagement in clinical duties is associated with better performance on the ABR Core Examination, with the caveat that there appears to be a point at which service outweighs educational value. Beyond this, performance on the examination declines.