Smilen S W, Funai E F, Bianco A T
Department of Obstetrics and Gynecology, New York University School of Medicine, New York, USA.
Am J Obstet Gynecol. 2001 Feb;184(3):508-13. doi: 10.1067/mob.2001.109868.
The aim of this study was to determine the influence of advance knowledge of board scores on interviewers' assessments of residency applicants.
During a 2-year period we prospectively evaluated our residency selection process. In year 1 interviewers were provided with each candidate's entire application, whereas in year 2 the United States Medical Licensing Examination scores were not included. In each year interviewers were asked to provide numerical assessments of the applicants solely on the basis of their own impressions of the interviews. Analysis was performed only for evaluations by interviewers who participated during both study periods under review. Interview scores were compared with United States Medical Licensing Examination part I scores within each year by means of a scatter plot and correlation coefficients.
Applicant demographic characteristics were similar during years 1 and 2. Interview scores did not differ between year 1 (4.2 +/- 0.1) and year 2 (4.3 +/- 0.1; P > .05). During year 1 interview and board scores were significantly correlated (correlation coefficient, 0.64; slope of best-fit line, 13.9), whereas there was a negative correlation in year 2 (correlation coefficient, -0.06; slope, -1.3).
When they are available to interviewers, markers of academic achievement such as United States Medical Licensing Examination scores may bias the interview evaluation. The interview process when conducted in this manner may simply be a validation process for candidates already judged on the basis of the application alone. Knowledge of United States Medical Licensing Examination scores by the interviewers may therefore negate the interview as an independent means of evaluating candidates.
本研究旨在确定面试考官提前知晓笔试成绩对住院医师申请者评估的影响。
在为期两年的时间里，我们对住院医师选拔过程进行了前瞻性评估。在第一年，面试考官会收到每位候选人的完整申请材料，而在第二年，美国医师执照考试成绩未被纳入。每年，面试考官仅根据他们对面试的个人印象对申请者进行数字评分。仅对在两个研究期间都参与的面试考官的评估进行分析。通过散点图和相关系数，将每年的面试分数与美国医师执照考试第一部分的成绩进行比较。
第一年和第二年的申请者人口统计学特征相似。第一年（4.2±0.1）和第二年（4.3±0.1；P＞0.05）的面试分数没有差异。在第一年，面试分数和笔试成绩显著相关（相关系数为0.64；最佳拟合线斜率为13.9），而在第二年则呈负相关（相关系数为-0.06；斜率为-1.3）。
当面试考官能够获取美国医师执照考试成绩等学术成就指标时，这些指标可能会使面试评估产生偏差。以这种方式进行的面试过程可能仅仅是对仅根据申请材料就已被评判的候选人的一个验证过程。因此，面试考官知晓美国医师执照考试成绩可能会使面试失去作为评估候选人的独立手段的作用。
