Hudson Kimberly M, Feinberg Gail, Hempstead Laura, Zipp Christopher, Gimpel John R, Wang Yi
J Grad Med Educ. 2018 Oct;10(5):543-547. doi: 10.4300/JGME-D-17-00997.1.
The primary goal of residency programs is to select and educate qualified candidates to become competent physicians. Program directors often use performance on licensure examinations to evaluate the ability of candidates during the resident application process. The American College of Osteopathic Family Physicians (ACOFP) administers an in-service examination (ISE) to residents annually. There are few prior studies of the relationship between the Comprehensive Osteopathic Medical Licensing Examination of the United States of America (COMLEX-USA) series and formative assessments of residents in training.
We explored the relationship between performance on COMLEX-USA and the ACOFP in-service examination to offer support on the use of licensing examinations in resident selection.
In 2016, performance data from the COMLEX-USA and the ISE were matched for 3 resident cohorts (2011-2013, inclusive; N = 1384). Correlations were calculated to examine the relationship between COMLEX-USA and ISE scores. Multiple linear regression models were used to determine if performance on COMLEX-USA significantly predicted third-year ISE (ISE-3) scores.
Findings indicated that correlations among performance on COMLEX-USA and ISE were statistically significant (all < .001), and there was strong intercorrelation between COMLEX-USA Level 3 and ISE-1 performance (r = 0.57, < .001). Performance on the COMLEX-USA Levels 1 and 2-Cognitive Examination significantly predicted performance on the ISE-3 (F(2,1381) = 228.8, < .001).
The results support using COMLEX-USA as a part of resident selection in family medicine. Additionally, program directors may use performance on COMLEX-USA to predict success on the ISE-3.
住院医师培训项目的主要目标是选拔和培养合格的候选人，使其成为称职的医生。在住院医师申请过程中，项目主任经常利用执照考试成绩来评估候选人的能力。美国整骨疗法家庭医师学会（ACOFP）每年为住院医师组织一次在职考试（ISE）。此前很少有关于美国整骨疗法综合医学执照考试（COMLEX-USA）系列与住院医师培训期间形成性评估之间关系的研究。
我们探讨了COMLEX-USA考试成绩与ACOFP在职考试成绩之间的关系，为在住院医师选拔中使用执照考试提供支持。
2016年，对3个住院医师队列（2011 - 2013年，含2011年和2013年；N = 1384）的COMLEX-USA考试成绩和ISE成绩数据进行了匹配。计算相关性以检验COMLEX-USA考试成绩与ISE成绩之间的关系。使用多元线性回归模型来确定COMLEX-USA考试成绩是否能显著预测三年级ISE（ISE-3）成绩。
研究结果表明，COMLEX-USA考试成绩与ISE成绩之间的相关性具有统计学意义（均P <.001），且COMLEX-USA 3级成绩与ISE-1成绩之间存在很强的相互关联（r = 0.57，P <.001）。COMLEX-USA 1级和2级认知考试成绩能显著预测ISE-3成绩（F(2,1381) = 228.8，P <.001）。
研究结果支持将COMLEX-USA考试作为家庭医学住院医师选拔的一部分。此外，项目主任可以利用COMLEX-USA考试成绩来预测ISE-3考试的成绩。
