O'Neill Thomas R, Li Zijia, Peabody Michael R, Lybarger Melanie, Royal Kenneth, Puffer James C
American Board of Family Medicine, Lexington, KY.
Fam Med. 2015 May;47(5):349-56.
Our objective was to examine the predictive validity of the American Board of Family Medicine's (ABFM) In-Training Examination (ITE) with regard to predicting outcomes on the ABFM certification examination.
This study used a repeated measures design across three levels of medical training (PGY1--PGY2, PGY2--PGY3, and PGY3--initial certification) with three different cohorts (2010--2011, 2011--2012, and 2012--2013) to examine: (1) how well the residents' ITE scores correlated with their test scores in the following year, (2) what the typical score increase was across training years, and (3) what was the sensitivity, specificity, positive predictive value, and negative predictive value of the PGY3 scores with regard to predicting future results on the MC-FP Examination.
ITE scores generally correlate at about .7 with the following year's ITE or with the following year's certification examination. The mean growth from PGY1 to PGY2 was 52 points, from PGY2 to PGY3 was 34 points, and from PGY3 to initial certification was 27 points. The sensitivity, specificity, positive predictive value, and negative predictive value were .91, .47, .96, and .27, respectively.
The ITE is a useful predictor of future ITE and initial certification examination performance.
我们的目标是检验美国家庭医学委员会（ABFM）的住院医师培训期间考试（ITE）在预测ABFM认证考试结果方面的预测效度。
本研究采用重复测量设计，涉及三个医学培训水平（PGY1 - PGY2、PGY2 - PGY3和PGY3 - 初始认证）以及三个不同队列（2010 - 2011、2011 - 2012和2012 - 2013），以检验：（1）住院医师的ITE分数与次年考试分数的关联程度；（2）各培训年份的典型分数增长情况；（3）PGY3分数在预测MC - FP考试未来结果方面的敏感性、特异性、阳性预测值和阴性预测值。
ITE分数与次年的ITE或次年的认证考试分数通常相关性约为0.7。从PGY1到PGY2的平均增长为52分，从PGY2到PGY3为34分，从PGY3到初始认证为27分。敏感性、特异性、阳性预测值和阴性预测值分别为0.91、0.47、0.96和0.27。
ITE是未来ITE和初始认证考试表现的有用预测指标。
