Wise S W, Mauger D T, Matthews A E, Hartman D S
Department of Radiology, Penn State University College of Medicine, Milton S. Hershey Medical Center, PA 17033, USA.
Acad Radiol. 2000 Sep;7(9):693-9. doi: 10.1016/s1076-6332(00)80525-5.
The purpose of this study was to assess resident scores on the American College of Radiology (ACR) In-Training Examination and on the written American Board of Radiology (ABR) Examination relative to attendance at and timing of the Armed Forces Institute of Pathology (AFIP) Radiologic Pathology Course.
A survey of 200 radiology residency program directors requested the type of residency program, whether the program sent residents to the AFIP course, dates of AFIP attendance for individual residents, percentile scores of residents on the ACR examination from 1995 through 1998, and ABR examination scores for 1997. Scores were analyzed before and after AFIP attendance and also temporally for examinations during or after AFIP attendance. Improvement in percentile scores for residents undergoing the ACR examination while attending the AFIP were compared with scores of matched residents from their programs who had not attended.
Thirty-six (18%) program directors responded, providing data on 619 residents who underwent the ACR examination, ABR examination, or both. No significant improvement was found between pre- and post-AFIP ACR Examination scores for residents at university or military programs. There were statistically significantly improved scores for residents at community programs (mean percentile improvement, 8.1 points; P = .0064). Residents who underwent the ACR examination during the AFIP course improved their scores by 10.7 percentile points compared with matched residents who had not attended the AFIP course (P = .041).
Residents undergoing the ACR examination while attending the AFIP improve their percentile scores more than residents who have not attended the AFIP.
本研究旨在评估住院医师在美国放射学会（ACR）住院医师培训考试和美国放射学会（ABR）笔试中的成绩，以及与参加武装部队病理研究所（AFIP）放射病理课程的情况和时间的相关性。
对200名放射科住院医师培训项目主任进行调查，询问住院医师培训项目的类型、该项目是否派住院医师参加AFIP课程、个别住院医师参加AFIP课程的日期、1995年至1998年住院医师在ACR考试中的百分位成绩以及1997年的ABR考试成绩。在住院医师参加AFIP课程之前和之后分析成绩，并在时间上分析AFIP课程期间或之后的考试成绩。将参加AFIP课程时参加ACR考试的住院医师的百分位成绩提高情况与来自其项目中未参加该课程的匹配住院医师的成绩进行比较。
36名（18%）项目主任回复，提供了619名参加ACR考试、ABR考试或两者皆参加的住院医师的数据。在大学或军事项目中，住院医师在参加AFIP课程前后的ACR考试成绩没有显著提高。社区项目中的住院医师成绩有统计学上的显著提高（平均百分位提高8.1分；P = .0064）。与未参加AFIP课程的匹配住院医师相比，在AFIP课程期间参加ACR考试的住院医师成绩提高了10.7个百分位（P = .041）。
在参加AFIP课程时参加ACR考试的住院医师，其百分位成绩的提高比未参加AFIP课程的住院医师更多。
