Aeder Lita, Fogel Joshua, Schaeffer Henry
Department of Pediatrics, Maimonides Infants and Children's Hospital of Brooklyn, Brooklyn, NY 11219, USA,
Clin Pediatr (Phila). 2010 May;49(5):450-6. doi: 10.1177/0009922809352679. Epub 2010 Jan 28.
There is a correlation between American Board of Pediatrics In-Training and General Pediatrics Certifying Examination scores. A course targeted mainly for residents "at-risk" based on in-training scores may improve the outcome of the certification exam. The objective of the study was to evaluate the impact of a board review course on pediatric board certification scores, particularly for residents at-risk.
Residents "at-risk" taking the course (Yes) were compared to residents not taking the course who were not at-risk (No) as well as to a cohort of residents predating the onset of the course with mixed risk (Comparison). Analyses compared board exam scores and passing rates in the three groups and in the subcategory of residents who scored </=300 on the in-training exam in each group.
Standard scores and pass rates were higher for the residents not at risk, middle for residents of mixed risk and lowest for residents at risk. When analyzing the subset of scores for those with in-training score of <300, the scores were higher for the residents in the course than those who never took it. Also, residents with in-training score of <300 achieved higher average point score gains when comparing the certification exam to their last in-training score. Linear regression analysis showed that not delaying board certification, third year in-training scores and taking the board review course were significantly associated with higher board certification scores.
Pediatric residents at risk for not passing their Pediatric board certification exams benefited from a board review course.
美国儿科学会住院医师培训考试与儿科学普通认证考试成绩之间存在相关性。基于培训考试成绩针对“有风险”的住院医师开设的课程可能会提高认证考试的成绩。本研究的目的是评估考前复习课程对儿科学认证考试成绩的影响，特别是对有风险的住院医师的影响。
将参加该课程的“有风险”住院医师（是）与未参加该课程的无风险住院医师（否）以及在该课程开设之前一批风险各异的住院医师（对照组）进行比较。分析比较了三组以及每组中培训考试成绩≤300分的住院医师亚组的认证考试成绩和通过率。
无风险住院医师的标准分数和通过率最高，风险各异的住院医师居中，有风险的住院医师最低。在分析培训考试成绩<300分者的分数子集时，参加课程的住院医师的分数高于未参加课程的住院医师。此外，将认证考试成绩与其上次培训考试成绩进行比较时，培训考试成绩<300分的住院医师平均得分提高幅度更大。线性回归分析表明，不推迟认证考试、培训第三年的成绩以及参加考前复习课程与更高的认证考试成绩显著相关。
有无法通过儿科学认证考试风险的儿科住院医师从考前复习课程中受益。
