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Medical licensure examinations

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
Fiona Patterson, Alec Knight, Liam McKnight, Thomas C Booth
BACKGROUND: This study evaluated whether two selection tests previously validated for primary care General Practice (GP) trainee selection could provide a valid shortlisting selection method for entry into specialty training for the secondary care specialty of radiology. METHODS: We conducted a retrospective analysis of data from radiology applicants who also applied to UK GP specialty training or Core Medical Training. The psychometric properties of the two selection tests, a clinical problem solving (CPS) test and situational judgement test (SJT), were analysed to evaluate their reliability...
2016: BMC Medical Education
Elizabeth F Wenghofer, Thomas R Henzel, Stephen H Miller, William Norcross, Peter Boal
INTRODUCTION: Problems with a physician's performance may arise at any point during their career. As such, there is a need for effective, valid tools and processes to accurately assess and identify deficiencies in competence or performance. Although scores on multiple-choice questions have been shown to be predictive of some aspects of physician performance in practicing physicians, their relationship to overall clinical competence is somewhat uncertain particularly after the first 10 years of practice...
2016: Journal of Continuing Education in the Health Professions
Jamie Boydstun, Jeralynn S Cossman
INTRODUCTION: Physician shortages in the USA, an issue that has been particularly challenging in Mississippi, have been a concern among health scholars and policy makers for several decades. Physician shortages hinder residents from easily obtaining routine care, potentially magnifying health disparities. This study examines physician career life expectancy, or how long physicians typically practice, in Mississippi. METHODS: Data on Mississippi's physician population actively involved between 2007 and 2011 were obtained from the Mississippi State Board of Medical Licensure...
April 2016: Rural and Remote Health
Simon Gregory, Fiona Patterson, Helen Baron, Alec Knight, Kieran Walsh, Bill Irish, Sally Thomas
CONTEXT: Increasing pressure is being placed on external accountability and cost efficiency in medical education and training internationally. We present an illustrative data analysis of the value-added of postgraduate medical education. METHOD: We analysed historical selection (entry) and licensure (exit) examination results for trainees sitting the UK Membership of the Royal College of General Practitioners (MRCGP) licensing examination (N = 2291). Selection data comprised: a clinical problem solving test (CPST); a situational judgement test (SJT); and a selection centre (SC)...
April 13, 2016: Medical Teacher
Anh T Nguyen, Kate E Trout, Li-Wu Chen, Lynda Madison, Katherine L Watkins, Shinobu Watanabe-Galloway
INTRODUCTION: Specific attention is needed to improve mental health outcomes in rural communities. Rural communities continue to have higher unmet mental health needs than their urban counterparts. Quantifying workforce supply and shortages can aid in identifying areas in need of the recruitment, training, licensure, and retention of behavioral health professionals. However, workforce analyses have presented a challenge as comprehensive workforce data are limited. This study examines the geographic distribution of behavioral healthcare professionals and the relationship between supply and county characteristics in Nebraska in 2012...
April 2016: Rural and Remote Health
Douglas L Myhre, Sameer Bajaj, Wayne Woloschuk
INTRODUCTION: Longitudinal integrated clerkships (LICs) have been introduced as an innovative model to impart medical education. In Canada, most LIC experiences are situated in rural communities. Studies have reported equivalence in graduates from rural LICs and traditional rotation-based clerkships (RBCs) in their performance in residency, as well as in national medical licensure examinations. We sought to determine the impact of rural LICs in terms of practice location of graduates...
2016: Canadian Journal of Rural Medicine
Kathleen L Linaker
OBJECTIVE: The purpose of this study was to examine literature on radiological student evaluation and outcome assessments including national board examinations. METHODS: A review of the literature was performed using relevant key words. Articles were retrieved through December 2012 using PubMed, ScienceDirect, ERIC, Proquest, and ICL databases along with a manual review of references. RESULTS: Of the 4716 unique abstracts reviewed by the author, 54 were found to be relevant to the purpose of this study...
December 2015: Journal of Chiropractic Humanities
Andrew I Friedson, Jing Li
This paper examines the extent to which agglomeration of the hospital service industry enhances the productivity of producing health care. Specifically, we use a large set of private insurance claims from the FAIR Health database to show that an increasing spatial concentration of hospital services results in a decreased cost of obtaining intermediate medical services. We explicitly test whether the reduced cost at concentrated locations arises from the ability to share intermediate service providers. The identification relies on state variation in medical lab technician licensure requirements, which influence the cost of intermediate services only through the cost of running a lab...
December 2015: Health Economics Review
Yvonne M Mowery
Physician training and standards for medical licensure differ widely across the globe. The medical education process in the United States (US) typically involves a minimum of 11 years of formal training and multiple standardized examinations between graduating from secondary school and becoming an attending physician with full medical licensure. Students in the US traditionally enter a 4-year medical school after completing an undergraduate bachelor's degree, in contrast to most other countries where medical training begins after graduation from high school...
October 2015: Journal of Thoracic Disease
Yvonne M Mowery
Physician training and standards for medical licensure differ widely across the globe. The medical education process in the United States (US) typically involves a minimum of 11 years of formal training and multiple standardized examinations between graduating from secondary school and becoming an attending physician with full medical licensure. Students in the US traditionally enter a 4-year medical school after completing an undergraduate bachelor's degree, in contrast to most other countries where medical training begins after graduation from high school...
October 2015: Annals of Translational Medicine
Bradley K Ackerson, Lina S Sy, Jeff Slezak, Chun R Chao, Rulin C Hechter, Harpreet S Takhar, Steven J Jacobsen
BACKGROUND: In observational vaccine safety studies, diagnosis codes assigned prior to or on the day of vaccination (Day 0) are often excluded from analysis of safety signals since they usually represent pre-existing conditions. The limitations of this approach have been described for autoimmune conditions but not for other chronic conditions. We draw on our experience in a post-licensure quadrivalent human papillomavirus vaccine (HPV4) safety study to examine the effectiveness of exclusion of pre-existing and Day 0 diagnoses of type 2 diabetes mellitus (T2DM) in excluding prevalent T2DM...
November 17, 2015: Vaccine
Yoon Soo Park, Eunbae B Yang
In response to views on public's right to know, there is growing attention to item disclosure - release of items, answer keys, and performance data to the public - in medical licensure examinations and their potential impact on the test's ability to measure competence and select qualified candidates. Recent debates on this issue have sparked legislative action internationally, including South Korea, with prior discussions among North American countries dating over three decades. The purpose of this study is to identify and analyze three issues associated with item disclosure in medical licensure examinations - 1) fairness and validity, 2) impact on passing levels, and 3) utility of item disclosure - by synthesizing existing literature in relation to standards in testing...
2015: Medical Education Online
Alison Tse Kawai, David Martin, Martin Kulldorff, Lingling Li, David V Cole, Cheryl N McMahill-Walraven, Nandini Selvam, Mano S Selvan, Grace M Lee
OBJECTIVES: In the Post-Licensure Rapid Immunization Safety Monitoring Program, we examined risk of febrile seizures (FS) after trivalent inactivated influenza vaccine (TIV) and 13-valent pneumococcal conjugate vaccine (PCV13) during the 2010-2011 influenza season, adjusted for concomitant diphtheria tetanus acellular pertussis-containing vaccines (DTaP). Assuming children would receive both vaccines, we examined whether same-day TIV and PCV13 vaccination was associated with greater FS risk when compared with separate-day vaccination...
October 2015: Pediatrics
Karen A Brown, JoAnn P Fenn, Vicki S Freeman, Patrick B Fisher, Jonathan R Genzen, Nancy Goodyear, Mary Lunz Houston, Mary Elizabeth O'Brien, Patricia A Tanabe
BACKGROUND: Research in several professional fields has demonstrated that delays (time lapse) in taking certification examinations may result in poorer performance by examinees. Thirteen states and/or territories require licensure for laboratory personnel. A core component of licensure is passing a certification exam. Also, many facilities in states that do not require licensure require certification for employment or preferentially hire certified individuals. OBJECTIVE: To analyze examinee performance on the American Society for Clinical Pathology (ASCP) Board of Certification (BOC) Medical Laboratory Scientist (MLS) and Medical Laboratory Technician (MLT) certification examinations to determine whether delays in taking the examination from the time of program completion are associated with poorer performance...
2015: Laboratory Medicine
David O Warner, Keith Berge, Huaping Sun, Ann Harman, Andrew Hanson, Darrell R Schroeder
BACKGROUND: The goal of this work is to evaluate selected risk factors and outcomes for substance use disorder (SUD) in physicians enrolled in anesthesiology residencies approved by the Accreditation Council for Graduate Medical Education. METHODS: For each of 384 individuals with evidence of SUD while in primary residency training in anesthesiology from 1975 to 2009, two controls (n = 768) who did not develop SUD were identified and matched for sex, age, primary residency program, and program start date...
October 2015: Anesthesiology
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
Maija Tervola, Anneli Pajunen, Seppo Vainio, Mari Honko, Kari Mattila
BACKGROUND: Physicians immigrating to Finland from countries outside the EU/EEA must pass a language test and three medical licensure examinations (MLE) in Finnish. Failing rates are high and remarkably variable. MATERIAL AND METHODS: MLE examination papers were analyzed with linguistic criteria: writing skills and word frequency. Results of the linguistic analyses were compared with the MLE scores. RESULTS: Better results in writing skills analysis correlate with higher scores in MLE...
2015: Duodecim; Lääketieteellinen Aikakauskirja
Jeffrey Jirsch, Maria Siddiqi, Penelope Smyth, Katerina Maximova
PURPOSE: To determine primary care physicians' counseling as well as patients' driving behaviors following seizure and non-seizure events impairing consciousness in the community. METHODS: Patients attending a rapid-referral first seizure clinic were entered into the study if they were deemed medically-unfit to drive according to national guidelines for driving licensure: had experienced a seizure or an unexplained episode of lost consciousness, and had a valid driver's license at the time of their index event...
August 2015: Seizure: the Journal of the British Epilepsy Association
S Beth Bierer, Elaine F Dannefer, John E Tetzlaff
BACKGROUND: Remediation in the era of competency-based assessment demands a model that empowers students to improve performance. AIM: To examine a remediation model where students, rather than faculty, develop remedial plans to improve performance. SETTING/PARTICIPANTS: Private medical school, 177 medical students. PROGRAM DESCRIPTION: A promotion committee uses student-generated portfolios and faculty referrals to identify struggling students, and has them develop formal remediation plans with personal reflections, improvement strategies, and performance evidence...
September 2015: Journal of General Internal Medicine
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