The in-training examination in internal medicine: An analysis of resident performance over time
The in-training examination in internal medicine: An analysis of resident performance over time
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DOI：
10.7326/0003-4819-137-6-200209170-00011
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发表时间：
2002-09-17
影响因子：
39.2
通讯作者：
Waxman, H
中科院分区：
文献类型：
--
作者：
Garibaldi, RA;Subhiyah, R;Waxman, H
背景：自 1988 年以来，美国住院医师培训项目的所有学员每年都会参加内科培训考试 (IM-ITE)。其目的是为住院医师和项目负责人提供对每位住院医师在书面多项选择考试中的个人表现以及住院医师项目与同行相比的表现的客观评估。目标：分析该项目管理的前 12 年中考生的人口特征和分数趋势检查。设计：随着时间的推移进行描述性分析。背景：美国内科住院医师计划，1988-2000 年。参与者：美国和加拿大接受过分类、初级保健和医学儿科计划各级培训的住院医师。考生人数从 1988 年的 7500 人增加到 2000 年的近 18 000 人。测量：在校准每次考试的分数后，对 12 年以上的选定住院医师队列的测试结果进行比较和分析。结果：超过 80% 的医学培训项目住院医师参加 IM-ITE，大多数在整个培训期间每年参加一次。每年的训练测试成绩都会以可预测的速度提高。自1995年以来，国际医学院毕业生的表现持续优于美国医学院毕业生。测试结果受到检查时间、完成检查的时间以及每次检查前住院医师实际接受内科培训的时间的影响。结论：IM-ITE 分数总体上随着检查前内科培训的培训时间和允许完成检查的时间的增加而提高。这些观察结果证明 IM-ITE 是衡量内科培训期间获得的知识的有效方法。
Background: The In-Training Examination in Internal Medicine (IM-ITE) has been offered annually to all trainees in U.S. medical residency programs since 1988. Its purpose is to provide residents and program directors with an objective assessment of each resident's personal performance on a written, multiple-choice examination and the performance of the residency program compared with that of its peers.Objective: To analyze trends in the demographic characteristics and scores of examinees during the first 12 years of administration of this examination.Design: Descriptive analysis over time.Setting: U.S. residency programs in internal medicine, 1988-2000.Participants: Residents at all levels of training in categorical, primary care, and medicine-pediatrics programs in the United States and Canada. The number of examinees increased from 7500 in 1988 to almost 18 000 in 2000.Measurements: After calibration of the scores for each examination, test results were compared and analyzed for selected cohorts of residents over 12 years.Results: More than 80% of residents in medicine training programs participate in the IM-ITE, most on an annual basis throughout their period of training. Test performance improves at a predictable rate with each year of training. Since 1995, international medical school graduates have persistently outperformed graduates of U.S. medical schools. Test results were affected by the timing of the examination, the time that was available to complete the examination, and the actual time that residents spent in internal medicine training before each examination.Conclusions: The IM-ITE scores generally improve with year of training time spent in internal medicine training before the examination and time permitted to complete the examination. These observations provide evidence that the IM-ITE is a valid measure of knowledge acquired during internal medicine training.