Driscoll Sherilyn W, Geis Carolyn C, Raddatz Mikaela M, Kinney Carolyn L, Robinson Lawrence R
Mayo Clinic, 200 First Street SW, Rochester, MN 55905(∗).
Halifax/Brooks Rehabilitation(†).
PM R. 2018 Dec;10(12):1361-1365. doi: 10.1016/j.pmrj.2018.06.009. Epub 2018 Jun 30.
Maintenance of certification (MOC) in Physical Medicine and Rehabilitation is a process of lifelong learning that begins after successfully completing an Accreditation Council for Graduate Medical Education (ACGME)-accredited residency and passing the American Board of Physical Medicine and Rehabilitation (ABPMR) Part I and Part II Examinations. We seek to identify factors predictive of successful MOC Examination performance.
To identify characteristics predictive of successful completion on the ABPMR MOC Examination.
Retrospective review.
American Board of Physical Medicine and Rehabilitation database review.
4,545 diplomates who completed the MOC Examination between January 2006 and December 2017.
MOC Examination performance was the primary outcome variable. Performance on Part I and Part II Examinations were independent variables. Additional potential predictors evaluated included year of MOC cycle in which examination was taken, years of practice since residency completion, age, and subspecialty certification.
Performance on MOC Examination.
Age at time of MOC Examination was inversely correlated with examination score (r = -0.14, P < .001). Similarly, as time since completion of residency training increased, MOC scores declined. Passing the Part I Examination on first attempt predicted a 98% MOC pass rate, compared to 90% for those who failed initially. MOC performance was highly correlated with Part I performance (r = 0.59, P < .001) and Part II performance (r = 0.32, P < .001). Although MOC performance was similar for those taking the examination in years 7 - 10 of their cycle (97% pass rate), those taking the examination after more than 10 years of the cycle had a significantly lower performance (85% pass rate, P < .01).
Better performance on the MOC Examination is associated with better performance on Part I and Part II Examinations, taking the examination earlier in the 10 year cycle, younger age, and less time since completion of training. Diplomates who are at higher risk for failing the examination may need to prepare differently for MOC Exam than those who are more likely to pass.
III.
物理医学与康复专业的继续认证（MOC）是一个终身学习过程，始于成功完成毕业后医学教育认证委员会（ACGME）认可的住院医师培训，并通过美国物理医学与康复委员会（ABPMR）的第一部分和第二部分考试。我们试图确定预测MOC考试成功的因素。
确定ABPMR MOC考试成功完成的预测特征。
回顾性研究。
美国物理医学与康复委员会数据库回顾。
2006年1月至2017年12月期间完成MOC考试的4545名专科医师。
MOC考试成绩是主要结果变量。第一部分和第二部分考试成绩是自变量。评估的其他潜在预测因素包括参加考试的MOC周期年份、完成住院医师培训后的执业年限、年龄和亚专业认证。
MOC考试成绩。
MOC考试时的年龄与考试成绩呈负相关（r = -0.14，P <.001）。同样，随着完成住院医师培训后的时间增加，MOC成绩下降。首次通过第一部分考试预测MOC通过率为98%，而最初未通过的人通过率为90%。MOC成绩与第一部分成绩（r = 0.59，P <.001）和第二部分成绩（r = 0.32，P <.001）高度相关。尽管在周期的第7 - 10年参加考试的人的MOC成绩相似（通过率97%），但在周期超过10年后参加考试的人的成绩明显较低（通过率85%，P <.01）。
MOC考试成绩更好与第一部分和第二部分考试成绩更好、在10年周期中更早参加考试、年龄更小以及完成培训后的时间更短有关。考试失败风险较高的专科医师可能需要与更有可能通过考试的人采用不同的方式准备MOC考试。
III级。
