Adusumilli S, Cohan R H, Korobkin M, Fitzgerald J T, Oh M S
Department of Radiology, University of Michigan Health System, Ann Arbor, USA.
Acad Radiol. 2000 Nov;7(11):920-6. doi: 10.1016/s1076-6332(00)80173-7.
The authors' purpose was to determine whether there is a relationship between subjective assessment of radiology resident performance on individual rotations and objective assessment of radiology resident performance on the American College of Radiology (ACR) in-training and American Board of Radiology (ABR) written examinations.
Records of 81 radiology residents completing their residency between 1991 and 2000 were reviewed. Mean scores from all rotation evaluation forms obtained during the study period were calculated for each residency year. The means of the overall raw scores and percentiles obtained on the annual ACR in-training examinations during the first 3 years of residency and of the written portion of the ABR examination taken during the 4th year of residency were also determined. Rotation evaluation scores were then compared to examination scores obtained during the same year of residency, and correlation coefficients were obtained.
In the 2nd, 3rd, and 4th years of radiology residency, there is positive correlation between rotation evaluation scores and overall scores from the corresponding ACR in-training examination and written portion of the ABR examination taken during the same year. In contrast, in the 1st year of residency, resident rotation evaluation scores do not correlate with ACR in-training examination scores.
Residents who are perceived as doing well on their rotations after the 1st year of residency are more likely to do well on standardized written examinations.
作者的目的是确定放射科住院医师在各轮次轮转中的主观表现评估与美国放射学会（ACR）住院医师培训考试及美国放射学委员会（ABR）笔试中放射科住院医师的客观表现评估之间是否存在关联。
回顾了1991年至2000年间完成住院医师培训的81名放射科住院医师的记录。计算了每个住院医师年度在研究期间获得的所有轮转评估表的平均分数。还确定了住院医师培训前三年年度ACR住院医师培训考试的总体原始分数均值和百分位数，以及住院医师第四年参加的ABR考试笔试部分的均值。然后将轮转评估分数与住院医师同一年获得的考试分数进行比较，并得出相关系数。
在放射科住院医师培训的第二年、第三年和第四年，轮转评估分数与同年相应的ACR住院医师培训考试总体分数及ABR考试笔试部分分数之间存在正相关。相比之下，在住院医师培训的第一年，住院医师轮转评估分数与ACR住院医师培训考试分数不相关。
在住院医师培训第一年之后，在轮转中被认为表现良好的住院医师在标准化笔试中更有可能取得好成绩。
