Rahil Ali, Hamamyh Tahseen, Al-Mohammed Ahmed, Kamel Antoun, Abubeker Ibrahim, Abu-Raddad Laith, Dargham Soha, Suliman Shireen, Al Mohanadi Dabia, Al Khal Abdulatif
Hamad General Hospital, Doha, Qatar E-mail:
Biomathematics Research Core, Weill Cornell Medical College, Qatar.
Qatar Med J. 2021 Jun 21;2021(2):20. doi: 10.5339/qmj.2021.20. eCollection 2021.
Well-performing physician reflects the success of the residency program in selecting the best candidates for training. This study aimed to evaluate the selection criteria, mainly the United States Medical Licensing Examination (USMLE) Step 2 Clinical Knowledge (CK) results and applicants' status as international or locally trained applicants, used by the medical education department and the internal medicine residency program in Hamad Medical Corporation in Qatar to predict the residents' performance during their training.
A retrospective chart review was performed for three batches of graduates who started residency training in 2011, 2012, and 2013. Each group completed 4 years of training. The USMLE Step 2 CK status of the applicant, in-training exam (ITE) scores, formative evaluation scores, Arab Board written and clinical exams pass rate, and other indicators were analyzed. Statistical analysis included chi squares and independent t-test to identify associations. Multivariable analyses were conducted using logistic and linear regressions to test for adjusted associations.
The study included 118 (81 international/37 locally trained applicants) internal medicine residents. The ITE score correlated positively with the USMLE Step 2 CK score (r = 0.621, r = 0.587, r = 0.576, r = 0.571, < 0.001) over the 4 years of training and among the international compared with locally trained applicants ( < 0.001). The rate of passing part 1 and 2 written exam of the Arab Board was higher in international than in local applicants, whereas clinical Arab Board exam and formative evaluation were not associated with any criteria.
Higher USMLE Step 2 CK score correlated with better performance on ITE but not with other performance indicators, whereas international applicants did better in both ITE and Arab Board written exam than local applicants. These variables may provide reasonable predictors of well-performing physicians.
表现出色的医生反映了住院医师培训项目在选拔最佳培训候选人方面的成功。本研究旨在评估卡塔尔哈马德医疗公司医学教育部门和内科住院医师培训项目所使用的选拔标准，主要是美国医师执照考试（USMLE）第二步临床知识（CK）成绩以及申请人作为国际培训或本地培训申请人的身份，以预测住院医师培训期间的表现。
对2011年、2012年和2013年开始住院医师培训的三批毕业生进行回顾性病历审查。每组完成4年的培训。分析了申请人的USMLE第二步CK成绩、培训期间考试（ITE）分数、形成性评估分数、阿拉伯委员会笔试和临床考试通过率以及其他指标。统计分析包括卡方检验和独立t检验以确定关联。使用逻辑回归和线性回归进行多变量分析以检验调整后的关联。
该研究纳入了118名内科住院医师（81名国际培训申请人/37名本地培训申请人）。在4年的培训期间，ITE分数与USMLE第二步CK分数呈正相关（r = 0.621、r = 0.587、r = 0.576、r = 0.571，P < 0.001），并且在国际培训申请人与本地培训申请人之间也呈正相关（P < 0.001）。阿拉伯委员会第一部分和第二部分笔试的通过率国际申请人高于本地申请人，而阿拉伯委员会临床考试和形成性评估与任何标准均无关联。
较高的USMLE第二步CK分数与ITE表现较好相关，但与其他表现指标无关，而国际申请人在ITE和阿拉伯委员会笔试方面均比本地申请人表现更好。这些变量可能为表现出色的医生提供合理的预测指标。
