Hasty Robert T, Snyder Samuel, Suciu Gabriel P, Moskow Jaclynn M
Department of Internal Medicine, Nova Southeastern University College of Osteopathic Medicine, Fort Lauderdale, FL 33328-2018, USA.
J Am Osteopath Assoc. 2012 Feb;112(2):83-9.
Osteopathic medical students have a choice to take the United States Medical Licensing Examination (USMLE) in addition to the Comprehensive Osteopathic Medical Licensing Examination-USA (COMLEX-USA). However, taking the USMLE requires additional commitments of time, effort, and expense, often for uncertain return. No data are available about the attitudes of graduating osteopathic medical students toward their options regarding the USMLE and how they decide whether to take this examination.
To uncover attitudes among graduating osteopathic medical students on taking the USMLE.
Using an Internet-based questionnaire, the authors surveyed graduating osteopathic medical students about their experiences with deciding whether to take the USMLE and whether they would advise other students to take the examination.
Nineteen osteopathic medical colleges agreed to participate in the survey. Of the 2744 graduating students at those schools, 978 (35.7%) completed the survey. Students in higher quintiles (ie, top 40%) of class rank were more likely to take the USMLE than those in lower quintiles (ie, bottom 40%) (P<.001). The most common reason cited by students for taking the USMLE was to "keep [their] options open" for residencies (233 of 507 respondents [46%]). Of the 474 students who did not take the USMLE, 171 respondents (36.1%) reported experiencing discrimination for not taking the examination. Four hundred seventy of 981 respondents (47.9%) reported finding residency programs that specifically require the USMLE, and 689 of 981 respondents (70.2%) recommended that future students take at least 1 step of the USMLE.
The majority of graduating osteopathic medical students polled in the present study believed that osteopathic medical students should take the USMLE.
除了参加美国综合整骨医学执照考试（COMLEX-USA）外，整骨医学专业的学生还可以选择参加美国医学执照考试（USMLE）。然而，参加USMLE需要投入额外的时间、精力和费用，而且回报往往不确定。目前尚无关于即将毕业的整骨医学专业学生对参加USMLE的态度以及他们如何决定是否参加该考试的数据。
了解即将毕业的整骨医学专业学生对参加USMLE的态度。
作者通过基于互联网的问卷，对即将毕业的整骨医学专业学生进行了调查，了解他们在决定是否参加USMLE方面的经历以及是否会建议其他学生参加该考试。
19所整骨医学院同意参与调查。在这些学校的2744名即将毕业的学生中，978人（35.7%）完成了调查。班级排名处于较高五分位数（即前40%）的学生比处于较低五分位数（即后40%）的学生更有可能参加USMLE（P<0.001）。学生参加USMLE最常见的原因是为住院医师培训“保留选择机会”（507名受访者中有233人[46%]）。在474名未参加USMLE的学生中，171名受访者（36.1%）表示因未参加考试而受到歧视。981名受访者中有470人（47.9%）报告发现有住院医师培训项目明确要求参加USMLE，981名受访者中有689人（70.2%）建议未来的学生至少参加USMLE的一个阶段考试。
在本研究中接受调查的大多数即将毕业的整骨医学专业学生认为整骨医学专业学生应该参加USMLE。
