Jaber Jamil, Keric Natasha, Kang Paul, Feinstein Ara J
University of Arizona College of Medicine Phoenix.
Surg Open Sci. 2019 Aug 17;1(2):86-89. doi: 10.1016/j.sopen.2019.07.002. eCollection 2019 Oct.
The National Board of Medical Examiners surgery shelf is a well-established terminal measure of student medical knowledge. No study has explored the correlation between intraclerkship quizzes and shelf exam performance.
Weekly quiz and National Board of Medical Examiners scores were collected from 156 third-year students who participated in a 12-week surgical clerkship from 2015 to 2017. Kruskal-Wallis, Wilcoxon rank sum, and linear regression analysis was completed.
Trauma/Burns, Esophagus/Anorectal, and Wound/Intensive Care Unit quiz content corresponded with increased National Board of Medical Examiners performance with β-coefficients of 1.57 (P < .001), 1.42 (P < .001), 1.38 (P < .001), respectively. Wound/Intensive Care Unit and Cardio/Vascular content corresponded with decreased likelihood of scoring < 70 points on the National Board of Medical Examiners (OR: 0.75 (P = .03), and 0.68 (P = .02)). Aggregate quiz scores stratified by academic block were 67 (IQR 64-69.5), 77 (IQR 74.5-80), 76.5 (IQR of 67-89.5), 83 (IQR of 76-85) corresponding to academic blocks 1, 2, 3, and 4, respectively (P < .001).
Modeling National Board of Medical Examiners outcomes as a function of weekly quizzes taken during a 12-week surgery clerkship is a viable concept.
美国医学考试委员会外科结业考试是衡量医学生医学知识的一项成熟的终结性测评。尚无研究探讨实习期间随堂测验与结业考试成绩之间的相关性。
收集了2015年至2017年参加为期12周外科实习的156名三年级学生的每周测验成绩和美国医学考试委员会的成绩。完成了克鲁斯卡尔-沃利斯检验、威尔科克森秩和检验及线性回归分析。
创伤/烧伤、食管/肛肠以及伤口/重症监护病房的测验内容与美国医学考试委员会成绩的提高相关，β系数分别为1.57（P <.001）、1.42（P <.001）、1.38（P <.001）。伤口/重症监护病房和心血管方面的内容与美国医学考试委员会得分低于70分的可能性降低相关（比值比：0.75（P = 0.03）和0.68（P = 0.02））。按学习阶段分层的综合测验成绩分别为67分（四分位距64 - 69.5）、77分（四分位距74.5 - 80）、76.5分（四分位距67 - 89.5）、83分（四分位距76 - 85），分别对应第1、2、3和4个学习阶段（P <.001）。
将美国医学考试委员会的考试结果建模为12周外科实习期间每周测验成绩的函数是一个可行的概念。
