Nagasawa Daniel T, Beckett Joel S, Lagman Carlito, Chung Lawrance K, Schmidt Benjamin, Safaee Michael, Bergsneider Marvin, Martin Neil, Gaonkar Bilwaj, Macyszyn Luke, Yang Isaac
Department of Neurosurgery, University of California, Los Angeles, California, USA.
Department of Neurosurgery, University of California, San Francisco, California, USA.
World Neurosurg. 2017 Feb;98:427-431. doi: 10.1016/j.wneu.2016.11.091. Epub 2016 Nov 24.
Neurosurgery residency is becoming an increasingly competitive match. The process of screening and ranking applicants is a multifactorial process that lacks uniformity across residency programs. A significant factor is the applicant's performance on the United States Medical Licensing Examination (USMLE) Step 1. USMLE Step 1 scores are often used to project future success in residency and performance on specialty boards like the American Board of Neurological Surgery (ABNS) examination. The authors of this study investigate the strength of correlations between USMLE Step 1 and ABNS scores.
Data were extracted from records of graduating residents from the neurosurgery residency program at the University of California, Los Angeles, between 2003 and 2010. Twenty-one residents were selected. USMLE Step 1 scores were deidentified and paired with ABNS scores. Correlation and regression analyses were performed.
Higher USMLE Step 1 scores significantly correlated with higher ABNS scores (P = 0.01; Spearman correlation coefficient, 0.7).
USMLE Step 1 and ABNS scores are directly correlated. USMLE Step 1 scores will continue to be a valuable measure of projected success on ABNS written examinations, but more sophisticated measures are needed.
神经外科住院医师培训项目的竞争日益激烈。筛选和排名申请者的过程是一个多因素过程，各住院医师培训项目之间缺乏一致性。一个重要因素是申请者在美国医师执照考试（USMLE）第一步的成绩。USMLE第一步的分数常被用来预测住院医师培训未来的成功以及在美国神经外科委员会（ABNS）考试等专业委员会考试中的表现。本研究的作者调查了USMLE第一步成绩与ABNS分数之间的关联强度。
数据从2003年至2010年加利福尼亚大学洛杉矶分校神经外科住院医师培训项目毕业住院医师的记录中提取。选取了21名住院医师。对USMLE第一步成绩进行匿名处理，并与ABNS分数配对。进行了相关性和回归分析。
USMLE第一步成绩越高与ABNS分数越高显著相关（P = 0.01；斯皮尔曼相关系数为0.7）。
USMLE第一步成绩与ABNS分数直接相关。USMLE第一步成绩将继续是预测ABNS笔试成功的一项有价值指标，但还需要更复杂的指标。
