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首页> 外文期刊>The Ochsner Journal >Predicting American Board of Emergency Medicine Qualifying Examination Passage Using United States Medical Licensing Examination Step Scores
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Predicting American Board of Emergency Medicine Qualifying Examination Passage Using United States Medical Licensing Examination Step Scores

机译：使用美国医疗执照考试步骤分数预测美国急诊医学合格考试通道

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Background:The objective of the current study was to determine whether emergency medicine residents' United States Medical Licensing Examination (USMLE) scores are significantly associated with first-attempt passage of the American Board of Emergency Medicine (ABEM) qualifying (written) examination. We hypothesized that USMLE Step 2 Clinical Knowledge (CK) scores would be useful in predicting students who passed the ABEM qualifying examination on their first attempt.Methods:For this retrospective cohort study, we examined the data of residents who successfully completed training at two emergency medicine residency programs between the years 2002-2013. Because scores on the USMLE Step examinations varied greatly across years, we obtained means and standard deviations from the National Board of Medical Examiners. We subtracted the mean score for the year each resident took the examination from the resident's examination score, creating centered Step 1 and centered Step 2 CK scores.Results:A multivariate logistic regression analysis indicated that centered Step 2 CK scores could be used to predict the odds of passing the ABEM qualifying examination (odds ratio = 1.05 [95% confidence interval 1.02 to 1.08, P < 0.001]). Using a Step 2 CK score cutoff of 7 points lower than the mean yielded 64% sensitivity and 81% specificity for predicting passage of the ABEM written examination on the first attempt.Conclusion:Program directors and selection committees may wish to consider whether applicants' Step 2 CK scores are near the national average when making ranking decisions, as this variable is highly predictive of passing the ABEM qualifying examination on the initial attempt.
机译：背景：本研究的目的是确定急诊医学居民的美国医学许可考试（USMLE）分数是否与美国急诊医学委员会（ABEM）资格（书面）考试的初次通过显着相关。我们假设USMLE第2步临床知识（CK）分数将有助于预测首次通过ABEM资格考试的学生。方法：对于这项回顾性队列研究，我们研究了在两次紧急情况下成功完成培训的居民的数据。 2002年至2013年之间的医疗居住计划。由于USMLE步骤考试的分数多年来变化很大，因此我们从美国国家医疗检查委员会获得了均值和标准差。我们从居民的考试分数中减去每个居民参加考试的年份的平均分数，从而创建居中的步骤1和居中的步骤CK得分。结果：多因素Logistic回归分析表明居中的步骤2 CK得分可用于预测通过ABEM资格考试的几率（赔率= 1.05 [95％置信区间1.02至1.08，P <0.001]）。使用步骤2的CK得分比均值低7个点可得出64％的敏感性和81％的特异性来预测首次尝试ABEM笔试通过。结论：计划主任和selection选委员会可能希望考虑申请人的步骤2个CK分数在做出排名决定时接近全国平均水平，因为该变量在首次尝试时可以很好地预测通过ABEM资格考试。

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