美国国家医学考试委员会的外科分测验是否营造了公平竞争的环境？
Does the National Board of Medical Examiners' Surgery Subtest level the playing field?
作者信息
Hermanson Brooke, Firpo Matthew, Cochran Amalia, Neumayer Leigh
机构信息
Surgical Services, George E. Wahlen VA Medical Center, Salt Lake City, UT, USA.
出版信息
Am J Surg. 2004 Nov;188(5):520-1. doi: 10.1016/j.amjsurg.2004.07.036.
BACKGROUND
We sought to determine if scores on the National Board of Medical Examiners' Surgery Subject Examination (NBME-SS) correlated with ward assessment of Fund of Knowledge and how the NBME-SS scores impacted surgery clerkship grade.
METHODS
Student evaluations from 4 academic years (1999-2003) were analyzed. Scores from the Fund of Knowledge subsection were compared with scores on the NBME-SS. Student final grades were calculated with (at a weight of 10%) and without NBME-SS score.
RESULTS
Data were available for all 399 students who rotated on surgery during the study period. Fund of Knowledge score and NBME-SS scores correlated minimally (Pearson's r = 0.108, P = 0.031). Performance on the NBME-SS helped 11% of students' grades, but 64% of students' grades were hurt. Fifteen percent of the students missed receiving honors because of their performance on the NBME-SS.
CONCLUSIONS
The NBME-SS negatively influenced the grades of a large proportion of students and correlated only minimally with Fund of Knowledge scores as assessed on ward evaluations.
背景
我们试图确定美国国家医学考试委员会外科科目考试（NBME - SS）的成绩是否与知识储备的病房评估相关，以及NBME - SS成绩如何影响外科实习成绩。
方法
分析了4个学年（1999 - 2003年）的学生评估。将知识储备部分的成绩与NBME - SS的成绩进行比较。计算学生最终成绩时，分别考虑了（权重为10%）和未考虑NBME - SS成绩的情况。
结果
在研究期间，所有399名参加外科轮转的学生的数据均可用。知识储备成绩与NBME - SS成绩的相关性极小（皮尔逊r = 0.108，P = 0.031）。NBME - SS的成绩对11%的学生成绩有帮助，但对64%的学生成绩有不利影响。15%的学生因NBME - SS的成绩而未能获得荣誉。
结论
NBME - SS对很大一部分学生的成绩有负面影响，并且与病房评估中所评估的知识储备成绩仅存在极小的相关性。
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