Department of Emergency Medicine, Alameda County Medical Center, Oakland, CA, USA.
Acad Emerg Med. 2009 Dec;16 Suppl 2:S63-6. doi: 10.1111/j.1553-2712.2009.00596.x.
The residency review committee for emergency medicine (EM) requires residents to have greater than 70% attendance of educational conferences during residency training, but it is unknown whether attendance improves clinical competence or scores on the American Board of Emergency Medicine (ABEM) in-training examination (ITE). This study examined the relationship between conference attendance and ITE scores. The hypothesis was that greater attendance would correlate to a higher examination score.
This was a multi-center retrospective cohort study using conference attendance data and examination results from residents in four large county EM residency training programs. Longitudinal multi-level models, adjusting for training site, U.S. Medical Licensing Examination (USMLE) Step 1 score, and sex were used to explore the relationship between conference attendance and in-training examination scores according to year of training. Each year of training was studied, as well as the overall effect of mean attendance as it related to examination score.
Four training sites reported data on 405 residents during 2002 to 2008; 386 residents had sufficient data to analyze. In the multi-level longitudinal models, attendance at conference was not a significant predictor of in-training percentile score (coefficient = 0.005, 95% confidence interval [CI] = -0.053 to 0.063, p = 0.87). Score on the USMLE Step 1 examination was a strong predictor of ITE score (coefficient = 0.186, 95% CI = 0.155 to 0.217; p < 0.001), as was female sex (coefficient = 2.117, 95% CI = 0.987 to 3.25; p < 0.001).
Greater conference attendance does not correlate with performance on an individual's ITE scores. Conference attendance may represent an important part of EM residency training but perhaps not of ITE performance.
急诊医学住院医师评审委员会（EM）要求住院医师在住院医师培训期间出席教育会议的比例超过 70%，但尚不清楚出席会议是否能提高临床能力或美国急诊医师学会（ABEM）在培考试（ITE）的分数。本研究调查了会议出席率与 ITE 分数之间的关系。假设是出席率越高，考试分数越高。
这是一项多中心回顾性队列研究，使用来自四个大型县级急诊医学住院医师培训项目的会议出席数据和住院医师考试成绩。使用纵向多级模型，根据培训地点、美国医师执照考试（USMLE）第 1 步成绩和性别调整，以探索会议出席率与培训期间考试成绩之间的关系，按培训年限进行研究。研究了每一年的培训，以及与考试成绩相关的平均出席率的总体效果。
四个培训地点在 2002 年至 2008 年报告了 405 名住院医师的数据；386 名住院医师有足够的数据进行分析。在多级纵向模型中，会议出席率并不是培训期间百分位成绩的显著预测因素（系数=0.005，95%置信区间[CI]=-0.053 至 0.063，p=0.87）。USMLE 第 1 步考试成绩是 ITE 成绩的有力预测因素（系数=0.186，95%CI=0.155 至 0.217；p<0.001），女性性别也是如此（系数=2.117，95%CI=0.987 至 3.25；p<0.001）。
更多的会议出席率与个人的 ITE 分数的表现没有相关性。会议出席率可能是急诊医学住院医师培训的一个重要组成部分，但可能不是 ITE 表现的一个重要组成部分。
