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Can American College of Radiology in-training examination scores be used to predict Canadian radiology licensing examination results? A retrospective study

机译:美国放射学院在职考试分数可以用来预测加拿大放射学许可考试结果吗?回顾性研究

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Background The purpose of this study is to evaluate the relationship between American College of Radiology (ACR) in-training examination scores and performance on the Royal College of Physicians and Surgeons of Canada (RCPSC) radiology licensing examination. Methods Percentile ACR examination scores for 67 residents were obtained from 1995 to 2011 for four years of training and compared with results of the RCPSC examination. Mean ACR scores of residents who passed and residents who failed their RCPSC examination were compared with a t-test. ACR scores and licensing examination results were correlated. Logistic regression was used to predict the probability of failure given an individual’s ACR score. Receiver Operating Characteristic (ROC) curves were developed in order to estimate a threshold ACR score at or above which the risk of failure was negligible. Results The ACR scores between residents who passed their licensing exam and those who failed were significantly different. There was moderate correlation between ACR scores and exam results. Using ROC curves for each year of training, the threshold ACR scores at or above which there was a negligible risk of exam failure were 32, 42, 63, and 47 for training years 1, 2, 3 and 4 respectively. Logistic regression curves, with 95% confidence intervals, were plotted for each year of training to predict RCPSC exam results based on an individual’s ACR score. Conclusions ACR exam scores are a strong predictor of RCPSC examination performance. Percentile ACR scores can be used to identify residents at risk for future examination failure.
机译:背景技术这项研究的目的是评估美国放射学院(ACR)培训中考试成绩与加拿大皇家内科医生与外科医生学院(RCPSC)放射学许可考试成绩之间的关系。方法对1995年至2011年接受四年培训的67名居民进行ACR评分,并与RCPSC考试结果进行比较。将通过和未通过RCPSC考试的居民的ACR平均得分与t检验进行比较。 ACR分数与许可检查结果相关。使用Logistic回归分析可根据个人的ACR分数预测失败的可能性。开发接收器工作特性(ROC)曲线是为了估计阈值ACR得分,在此阈值或更高时,故障风险可以忽略不计。结果通过许可考试的居民与未通过许可考试的居民之间的ACR得分存在显着差异。 ACR分数与考试成绩之间存在中等相关性。使用每年培训的ROC曲线,在培训的第1、2、3和4年,ACR阈值得分等于或高于该分数时,考试失败的风险可以忽略不计,分别为32、42、63和47。每年训练时绘制具有95%置信区间的Logistic回归曲线,以根据个人的ACR分数预测RCPSC考试结果。结论ACR考试成绩是RCPSC考试成绩的有力预测指标。百分位数ACR分数可用于识别有将来考试失败风险的居民。

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