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https://www.readbyqxmd.com/read/28261395/fourth-year-medical-school-course-load-and-success-as-a-medical-intern
#1
Christopher J Richards, Kenneth J Mukamal, Nikki DeMelo, C Christopher Smith
BACKGROUND : The fourth year of medical school has come under recent scrutiny for its lack of structure, cost- and time-effectiveness, and quality of education it provides. Some have advocated for increasing clinical burden in the fourth year, while others have suggested it be abolished. OBJECTIVE : To assess the relationship between fourth-year course load and success during internship. METHODS : We reviewed transcripts of 78 internal medicine interns from 2011-2013 and compared the number of intensive courses (defined as subinternships, intensive care, surgical clerkships, and emergency medicine rotations) with multi-source performance evaluations from the internship...
February 2017: Journal of Graduate Medical Education
https://www.readbyqxmd.com/read/28235753/testing-and-evaluation-the-present-and-future-of-the-assessment-of-medical-professionals
#2
REVIEW
Steven A Haist, Agata P Butler, Miguel A Paniagua
The aim of this review is to highlight recent and potential future enhancements to the United States Licensing Examination (USMLE) program. The USMLE program is co-owned by the National Board of Medical Examiners (NBME) and the Federation of State Medical Boards. The USMLE includes four examinations: Step 1, Step 2 Clinical Knowledge, Step 2 Clinical Skills, and Step 3; every graduate of Liaison Committee on Medical Education-accredited allopathic medical schools and all international medical graduates must pass this examination series to practice medicine in the United States...
March 1, 2017: Advances in Physiology Education
https://www.readbyqxmd.com/read/28127127/factors-associated-with-performance-in-an-internal-medicine-clerkship
#3
Colleen Colbert, Tresa McNeal, Maybelline Lezama, Martha Chandler, Lisa Forrester, Austin Metting, Curtis Mirkes, Holly Van Cleave, Sonny Win, John D Myers
The purpose of this retrospective study was to examine the relationship between demographic and educational variables and student performance on an internal medicine (IM) clerkship in order to target areas for educational intervention and potential early remediation. This study examined data associated with third-year medical student performance (N = 505) during the IM clerkship at Baylor Scott & White, Temple/Texas A&M Health Science Center College of Medicine from 2005 to 2011. Multiple regression analysis (N = 341) showed that a model containing the following variables was significantly associated with scores on the National Board of Medical Examiners (NBME) subject exam, accounting for 46...
January 2017: Proceedings of the Baylor University Medical Center
https://www.readbyqxmd.com/read/28116018/trends-in-nrmp-data-from-2007-2014-for-u-s-seniors-matching-into-emergency-medicine
#4
David E Manthey, Nicholas D Hartman, Aileen Newmyer, Jonah C Gunalda, Brian C Hiestand, Kim L Askew
INTRODUCTION: Since 1978, the National Residency Matching Program (NRMP) has published data demonstrating characteristics of applicants who have matched into their preferred specialty in the NRMP main residency match. These data have been published approximately every two years. There is limited information about trends within these published data for students matching into emergency medicine (EM). Our objective was to investigate and describe trends in NRMP data to include the following: the ratio of applicants to available EM positions; United State Medical Licensing Examination (USMLE) Step 1 and Step 2 scores (compared to the national means); number of programs ranked; and Alpha Omega Alpha Honor Medical Society (AOA) membership among U...
January 2017: Western Journal of Emergency Medicine
https://www.readbyqxmd.com/read/28033472/obesity-coverage-on-medical-licensing-examinations-in-the-united-states-what-is-being-tested
#5
Robert F Kushner, W Scott Butsch, Scott Kahan, Sriram Machineni, Stephen Cook, Louis J Aronne
Phenomenon. As one of the most common chronic disease affecting adults and children, obesity is a major contributor to noncommunicable diseases, both nationally and globally. Obesity adversely affects every organ system, and as such it is imperative that the United States Medical Licensing Examination (USMLE) adequately assesses students' knowledge about the science and practice of obesity management. The purpose of this study was to evaluate the coverage and distribution of obesity-related items on the three USMLE Step examinations...
December 29, 2016: Teaching and Learning in Medicine
https://www.readbyqxmd.com/read/28032557/emotional-intelligence-in-surgery-is-associated-with-resident-job-satisfaction
#6
Robert H Hollis, Lauren M Theiss, Allison A Gullick, Joshua S Richman, Melanie S Morris, Jayleen M Grams, John R Porterfield, Daniel I Chu
BACKGROUND: Emotional intelligence (EI) has been associated with improved work performance and job satisfaction in several industries. We evaluated whether EI was associated with higher measures of work performance and job satisfaction in surgical residents. METHODS: We distributed the validated Trait EI Questionnaire and job satisfaction survey to all general surgery residents at a single institution in 2015. EI and job satisfaction scores were compared with resident performance using faculty evaluations of clinical competency-based surgical milestones and standardized test scores including the United States Medical Licensing Examination (USMLE) and American Board of Surgery In-Training Examination (ABSITE)...
October 20, 2016: Journal of Surgical Research
https://www.readbyqxmd.com/read/27890766/united-states-medical-licensing-examination-step-1-scores-directly-correlate-with-american-board-of-neurological-surgery-scores-a-single-institution-experience
#7
Daniel T Nagasawa, Joel S Beckett, Carlito Lagman, Lawrance K Chung, Benjamin Schmidt, Michael Safaee, Marvin Bergsneider, Neil Martin, Bilwaj Gaonkar, Luke Macyszyn, Isaac Yang
BACKGROUND: Neurosurgery residency is becoming an increasingly competitive match. The process of screening and ranking applicants is a multifactorial process that lacks uniformity across residency programs. A significant factor is the applicant's performance on the United States Medical Licensing Examination (USMLE) Step 1. USMLE Step 1 scores are often used to project future success in residency and performance on specialty boards like the American Board of Neurological Surgery (ABNS) examination...
February 2017: World Neurosurgery
https://www.readbyqxmd.com/read/27866725/common-attributes-of-high-low-performing-general-surgery-programs-as-they-relate-to-qe-ce-pass-rates
#8
Brittany Bankhead-Kendall, Eliza Slama, Michael S Truitt
PURPOSE: This comparative study aims to identify the differences between high and low performing programs as defined by their ABS board pass rates. METHODS: We identified programs in the top 5% (TP) and lower 5% (LP) for 1st time QE/CE pass rates during the study period with resident and program related variables. All data was pooled and analyzed. RESULTS: TP had more U.S. graduates, higher average USMLE Step 1/2 scores, and all residents took the exam within a year of graduation...
December 2016: American Journal of Surgery
https://www.readbyqxmd.com/read/27738569/a-predictive-model-for-usmle-step-1-scores
#9
Christin Giordano, David Hutchinson, Richard Peppler
PURPOSE: The United States Medical Licensing Examination (USMLE) Step 1 plays a pivotal role in one's residency application. While prior literature has investigated which factors influence performance on the examination, the authors sought to include factors such as performance on a well-used question bank and financial need to develop a predictive model. METHOD : After obtaining institutional review board approval, the authors surveyed two consecutive second-year medical school classes and correlated the data to the students' Step 1 and National Board of Medical Examiners (NBME) Comprehensive Basic Science Examination (CBSE) scores...
September 7, 2016: Curēus
https://www.readbyqxmd.com/read/27413438/the-use-of-comlex-usa-and-usmle-for-residency-applicant-selection
#10
Jeanne M Sandella, John R Gimpel, Larissa L Smith, John R Boulet
BACKGROUND: The Comprehensive Osteopathic Medical Licensing Examination (COMLEX-USA) and the United States Medical Licensing Examination (USMLE) are recognized by all state medical licensing boards in the United States, and the Federation of State Medical Boards has supported the validity of both examinations for medical licensure. Many osteopathic medical students take both examinations. OBJECTIVE: The purpose of this study was to investigate performance on COMLEX-USA Level 1 and USMLE Step 1 of students from colleges of osteopathic medicine where the majority of students took both examinations...
July 2016: Journal of Graduate Medical Education
https://www.readbyqxmd.com/read/27175403/enhancement-of-anesthesiology-in-training-exam-performance-with-institution-of-an-academic-improvement-policy
#11
Julie A Joseph, Chris M Terry, Eva J Waller, Andrey V Bortsov, David A Zvara, David C Mayer, Susan M Martinelli
BACKGROUND: Anesthesiology resident physicians across the United States complete an annual in-training examination (ITE). The ITE evaluates resident knowledge and provides personalized feedback to guide future study in low scoring sections(1). Performance on the ITE correlates with outcomes on the American Board of Anesthesiology (ABA) written board examination(2). Over the last several years, declining ITE scores were observed at the University of North Carolina (UNC). In response to this decline, our department reprioritized the ITE by instituting an academic improvement policy (AIP)...
January 2014: Journal of Education in Perioperative Medicine: JEPM
https://www.readbyqxmd.com/read/27121276/predictors-of-medical-school-clerkship-performance-a-multispecialty-longitudinal-analysis-of-standardized-examination-scores-and-clinical-assessments
#12
Petra M Casey, Brian A Palmer, Geoffrey B Thompson, Torrey A Laack, Matthew R Thomas, Martha F Hartz, Jani R Jensen, Benjamin J Sandefur, Julie E Hammack, Jerry W Swanson, Robert D Sheeler, Joseph P Grande
BACKGROUND: Evidence suggests that poor performance on standardized tests before and early in medical school is associated with poor performance on standardized tests later in medical school and beyond. This study aimed to explore relationships between standardized examination scores (before and during medical school) with test and clinical performance across all core clinical clerkships. METHODS: We evaluated characteristics of 435 students at Mayo Medical School (MMS) who matriculated 2000-2009 and for whom undergraduate grade point average, medical college aptitude test (MCAT), medical school standardized tests (United States Medical Licensing Examination [USMLE] 1 and 2; National Board of Medical Examiners [NBME] subject examination), and faculty assessments were available...
April 27, 2016: BMC Medical Education
https://www.readbyqxmd.com/read/27087016/family-centered-rounds-and-medical-student-performance-on-the-nbme-pediatrics-subject-shelf-examination-a-retrospective-cohort-study
#13
Tiffany N Kimbrough, Victor Heh, N Romesh Wijesooriya, Michael S Ryan
OBJECTIVE: To determine the association between family-centered rounds (FCR) and medical student knowledge acquisition as assessed by the National Board of Medical Examiners (NBME) pediatric subject (shelf) exam. METHODS: A retrospective cohort study was conducted of third-year medical students who graduated from Virginia Commonwealth University School of Medicine between 2009 and 2014. This timeframe represented the transition from 'traditional' rounds to FCR on the pediatric inpatient unit...
2016: Medical Education Online
https://www.readbyqxmd.com/read/26897634/medical-knowledge-assessment-by-hematology-and-medical-oncology-in-training-examinations-are-better-than-program-director-assessments-at-predicting-subspecialty-certification-examination-performance
#14
Frances A Collichio, Brian J Hess, Elaine A Muchmore, Lauren Duhigg, Rebecca S Lipner, Steven Haist, Janine L Hawley, Carol A Morrison, Charles P Clayton, Marilyn J Raymond, Karen M Kayoumi, Scott D Gitlin
The Accreditation Council for Graduate Medical Education's Next Accreditation System requires training programs to demonstrate that fellows are achieving competence in medical knowledge (MK), as part of a global assessment of clinical competency. Passing American Board of Internal Medicine (ABIM) certification examinations is recognized as a metric of MK competency. This study examines several in-training MK assessment approaches and their ability to predict performance on the ABIM Hematology or Medical Oncology Certification Examinations...
February 20, 2016: Journal of Cancer Education: the Official Journal of the American Association for Cancer Education
https://www.readbyqxmd.com/read/26594299/correlation-of-the-national-board-of-medical-examiners-emergency-medicine-advanced-clinical-examination-given-in-july-to-intern-american-board-of-emergency-medicine-in-training-examination-scores-a-predictor-of-performance
#15
MULTICENTER STUDY
Katherine Hiller, Doug Franzen, Corey Heitz, Matthew Emery, Stacy Poznanski
INTRODUCTION: There is great variation in the knowledge base of Emergency Medicine (EM) interns in July. The first objective knowledge assessment during residency does not occur until eight months later, in February, when the American Board of EM (ABEM) administers the in-training examination (ITE). In 2013, the National Board of Medical Examiners (NBME) released the EM Advanced Clinical Examination (EM-ACE), an assessment intended for fourth-year medical students. Administration of the EM-ACE to interns at the start of residency may provide an earlier opportunity to assess the new EM residents' knowledge base...
November 2015: Western Journal of Emergency Medicine
https://www.readbyqxmd.com/read/26437219/selection-of-endocrinology-subspecialty-trainees-which-applicant-characteristics-are-associated-with-performance-during-fellowship-training
#16
Neena Natt, Alice Y Chang, Elie F Berbari, Kurt A Kennel, Ann E Kearns
OBJECTIVE: To determine which residency characteristics are associated with performance during endocrinology fellowship training as measured by competency-based faculty evaluation scores and faculty global ratings of trainee performance. METHODS: We performed a retrospective review of interview applications from endocrinology fellows who graduated from a single academic institution between 2006 and 2013. Performance measures included competency-based faculty evaluation scores and faculty global ratings...
January 2016: Endocrine Practice
https://www.readbyqxmd.com/read/26307371/validation-of-a-performance-assessment-instrument-in-problem-based-learning-tutorials-using-two-cohorts-of-medical-students
#17
Ming Lee, Paul F Wimmers
Although problem-based learning (PBL) has been widely used in medical schools, few studies have attended to the assessment of PBL processes using validated instruments. This study examined reliability and validity for an instrument assessing PBL performance in four domains: Problem Solving, Use of Information, Group Process, and Professionalism. Two cohorts of medical students (N = 310) participated in the study, with 2 years of PBL evaluation data extracted from archive rated by a total of 158 faculty raters...
May 2016: Advances in Health Sciences Education: Theory and Practice
https://www.readbyqxmd.com/read/26244259/a-plea-to-reassess-the-role-of-united-states-medical-licensing-examination-step-1-scores-in-residency-selection
#18
Charles G Prober, Joseph C Kolars, Lewis R First, Donald E Melnick
The three-step United States Medical Licensing Examination (USMLE) was developed by the National Board of Medical Examiners and the Federation of State Medical Boards to provide medical licensing authorities a uniform evaluation system on which to base licensure. The test results appear to be a good measure of content knowledge and a reasonable predictor of performance on subsequent in-training and certification exams. Nonetheless, it is disconcerting that the test preoccupies so much of students' attention with attendant substantial costs (in time and money) and mental and emotional anguish...
January 2016: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/26210707/improving-resident-performance-on-standardized-assessments-of-medical-knowledge-a-retrospective-analysis-of-interventions-correlated-to-american-board-of-surgery-in-service-training-examination-performance
#19
Elaine Jayne Buckley, Stephen Markwell, Debb Farr, Hilary Sanfey, John Mellinger
BACKGROUND: American Board of Surgery In-Service Training Examination (ABSITE) scores are used to assess individual progress and predict board pass rates. We reviewed strategies to enhance ABSITE performance and their impact within a surgery residency. METHODS: Several interventions were introduced from 2010 to 2014. A retrospective review was undertaken evaluating these and correlating them to ABSITE performance. Analyses of variance and linear trends were performed for ABSITE, United States Medical Licensing Examination (USMLEs), mock oral, and mock ABSITE scores followed by post hoc analyses if significant...
October 2015: American Journal of Surgery
https://www.readbyqxmd.com/read/26176352/reading-habits-of-general-surgery-residents-and-association-with-american-board-of-surgery-in-training-examination-performance
#20
Jerry J Kim, Dennis Y Kim, Amy H Kaji, Edward D Gifford, Christopher Reid, Richard A Sidwell, Mark E Reeves, Thomas H Hartranft, Kenji Inaba, Benjamin T Jarman, Chandrakanth Are, Joseph M Galante, Farin Amersi, Brian R Smith, Marc L Melcher, M Timothy Nelson, Timothy Donahue, Garth Jacobsen, Tracey D Arnell, Christian de Virgilio
IMPORTANCE: Few large-scale studies have quantified and characterized the study habits of surgery residents. However, studies have shown an association between American Board of Surgery In-Training Examination (ABSITE) scores and subsequent success on the American Board of Surgery Qualifying and Certifying examinations. OBJECTIVES: To identify the quantity of studying, the approach taken when studying, the role that ABSITE preparation plays in resident reading, and factors associated with ABSITE performance...
September 2015: JAMA Surgery
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