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美国国家医学考试委员会妇产科实习期末考核成绩:标准化考试及人口统计学因素的预测价值

NBME Obstetrics and Gynecology clerkship final examination scores: predictive value of standardized tests and demographic factors.

作者信息

Ogunyemi Dotun, De Taylor-Harris Shawn

机构信息

Department of Obstetrics and Gynecology, Charles R Drew College of Medicine and Science, Los Angeles, California, USA.

出版信息

J Reprod Med. 2004 Dec;49(12):978-82.

Abstract

OBJECTIVE

To assess the predictive value of standardized tests and demographic factors on performance on the National Board of Medical Examiners (NBME) Obstetrics and Gynecology (OBGYN) examination.

STUDY DESIGN

The study included 171 students who rotated through obstetrics and gynecology from 1992 to 2001. Correlations between NBME OBGYN scores and United States Medical Licensing Examination (USMLE) step 1, MCAT and GPA scores, and temporal and demographic factors were analyzed.

RESULTS

The mean Medical College Admission Test (MCAT), NBME and USMLE step 1 scores were 24.03, 67.47 and 194.53, respectively. Significant correlations with NMBE OBGYN were USMLE step 1 scores (r = .517, p < 0.001), MCAT scores (r = .481, p < 0.001), faculty evaluation grade (r=.223, p <0.01), OBGYN residency interest (r= .179, p < 0.05) and female gender (r=.157, p< 0.05) with a significant negative correlation with clerkship duration (r = -.208, p < 0. 01). On logistic regression analysis, USMLE, MCAT, academic year and faculty evaluation grade were independently predictive of NBME OBGYN scores. All preclinical standardized tests showed positive correlation with progressive academic years and decreasing student age. and decreasing student age.

CONCLUSION

USMLE step 1, MCAT scores and faculty evaluation grades were predictive of NMBE OBGYN scores. They may be helpful in assessing third-year medical students in need of special supervision and assistance.

摘要

目的

评估标准化考试成绩及人口统计学因素对美国医学考试委员会(NBME)妇产科考试成绩的预测价值。

研究设计

该研究纳入了1992年至2001年间轮转妇产科的171名学生。分析了NBME妇产科考试成绩与美国医师执照考试(USMLE)第一步、医学院入学考试(MCAT)成绩、平均绩点(GPA)以及时间和人口统计学因素之间的相关性。

结果

医学院入学考试(MCAT)、NBME及USMLE第一步的平均成绩分别为24.03、67.47和194.53。与NBME妇产科考试成绩显著相关的因素有:USMLE第一步成绩(r = 0.517,p < 0.001)、MCAT成绩(r = 0.481,p < 0.001)、教师评价等级(r = 0.223,p < 0.01)、对妇产科住院医师培训的兴趣(r = 0.179,p < 0.05)以及女性性别(r = 0.157,p < 0.05),而与实习时间呈显著负相关(r = -0.208,p < 0.01)。逻辑回归分析显示,USMLE、MCAT、学年及教师评价等级可独立预测NBME妇产科考试成绩。所有临床前标准化考试成绩均与年级升高及学生年龄减小呈正相关。

结论

USMLE第一步、MCAT成绩及教师评价等级可预测NBME妇产科考试成绩。它们可能有助于评估需要特殊监督和帮助的三年级医学生。

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