Iglar Karl, Leung Fok-Han, Moineddin Rahim, Herold Jodi
Department of Family and Community Medicine, University of Toronto.
Fam Med. 2017 May;49(5):369-373.
The objective of our study was to assess the correlation between a locally developed In-Training Examination (ITE) and the certification examination in family medicine in Canada.
The ITE was taken twice yearly, which corresponded for most residents to the fifth, ninth, 17th, and 21st month of training. The results for the ITE were correlated to the CFPC certification examination taken in the 23rd month of residency.
The scores on each of the four iterations of the ITE correlated moderately well with performance relating to problem solving skills and knowledge on the certification examination. The ITE showed a trend to an increased correlation with duration in the training program with a Spearman correlation coefficient increasing from 0.45 on the first test to 0.54 on the fourth test. The correlation of the ITE with performance on the component assessing the doctor- patient relationship on the certification examination was poor (r=0.26 on the last test).
Our in-training examination is a useful predictor of performance in problem solving and knowledge domains of the family medicine expert role on the certification examination.
我们研究的目的是评估本地开发的住院医师培训考核（ITE）与加拿大家庭医学认证考试之间的相关性。
ITE每年进行两次，这与大多数住院医师培训的第五、第九、第十七和第二十一个月相对应。ITE的结果与住院医师培训第23个月时参加的加拿大皇家内科医师与外科医师学院（CFPC）认证考试的结果相关。
ITE的四次考核成绩与认证考试中解决问题的技能和知识掌握情况的表现有适度的相关性。ITE与培训项目时长的相关性呈上升趋势，斯皮尔曼相关系数从第一次考试的0.45增至第四次考试的0.54。ITE与认证考试中评估医患关系部分的表现相关性较差（最后一次考试的r = 0.26）。
我们的住院医师培训考核是认证考试中家庭医学专家角色在解决问题和知识领域表现的有用预测指标。
