Nomura Osamu, Onishi Hirotaka, Park Yoon Soo, Michihata Nobuaki, Kobayashi Tohru, Kaneko Kazunari, Yoshikawa Tetsushi, Ishiguro Akira
Department of Emergency and Disaster Medicine, Hirosaki University, 5 Zaifu, Hirosaki, Aomori, 036-8216, Japan.
Center for Postgraduate Education and Training, National Center for Child Health and Development, 2-10-1 Okura, Setagaya-ku, Tokyo, Japan.
BMC Med Educ. 2021 Feb 22;21(1):122. doi: 10.1186/s12909-021-02515-z.
Examining the predictors of summative assessment performance is important for improving educational programs and structuring appropriate learning environments for trainees. However, predictors of certification examination performance in pediatric postgraduate education have not been comprehensively investigated in Japan.
The Pediatric Board Examination database in Japan, which includes 1578 postgraduate trainees from 2015 to 2016, was analyzed. The examinations included multiple-choice questions (MCQs), case summary reports, and an interview, and the predictors for each of these components were investigated by multiple regression analysis.
The number of examination attempts and the training duration were significant negative predictors of the scores for the MCQ, case summary, and interview. Employment at a community hospital or private university hospital were negative predictors of the MCQ and case summary score, respectively. Female sex and the number of academic presentations positively predicted the case summary and interview scores. The number of research publications was a positive predictor of the MCQ score, and employment at a community hospital was a positive predictor of the case summary score.
This study found that delayed and repeated examination taking were negative predictors, while the scholarly activity of trainees was a positive predictor, of pediatric board certification examination performance.
研究总结性评估表现的预测因素对于改进教育项目和为学员构建合适的学习环境很重要。然而,日本尚未全面调查儿科研究生教育中认证考试表现的预测因素。
分析了日本儿科委员会考试数据库,该数据库包含2015年至2016年的1578名研究生学员。考试包括多项选择题(MCQ)、病例总结报告和面试,并通过多元回归分析研究这些组成部分各自的预测因素。
考试次数和培训时长是MCQ、病例总结和面试分数的显著负向预测因素。在社区医院或私立大学医院工作分别是MCQ和病例总结分数的负向预测因素。女性性别和学术报告数量对病例总结和面试分数有正向预测作用。研究出版物数量是MCQ分数的正向预测因素,在社区医院工作是病例总结分数的正向预测因素。
本研究发现,延迟和重复参加考试是儿科委员会认证考试表现的负向预测因素,而学员的学术活动是正向预测因素。