Murphy Kevin P, Raddatz Mikaela M, Robinson Lawrence R
Sanford Health System, Bismarck, North Dakota, USA.
American Board of Physical Medicine and Rehabilitation, Rochester, Minnesota, USA.
PM R. 2023 Jan;15(1):87-93. doi: 10.1002/pmrj.12734. Epub 2022 Jan 11.
Over 60 million people in the United States live in a rural community making up approximately 20% of the population. Data are minimal about the physiatrists who serve this rural population, their performance on certification examinations and how the American Board of Physical Medicine and Rehabilitation (ABPM&R) serves their ongoing educational, assessment, and practice needs.
To compare the performance of rural and urban physicians on the Part I, Part II, and maintenance of certification (MOC) examinations along with subspecialty preference and continuance of primary certification.
Retrospective cross-sectional study.
Board-eligible PM&R physicians and certified diplomates of the ABPM&R.
Physicians who participated in an initial certification or maintenance of certification examination with the ABPM&R between 2010 and 2019.
Comparisons of physician pass rates, mean scaled scores (aggregates), and program pass rates on ABPM&R certifying examinations were completed. Cross-reference to national database and ABPM&R practice site zip codes provided sociogeographic linkage.
Not applicable MAIN OUTCOME MEASURES: Physician mean scaled scores, pass rates, subspecialty preferences, and primary certification status.
There were no meaningful differences in performance on the ABPM&R Part I, II, and MOC examinations between rural and urban physiatrists. Most common subspecialty is the pain medicine certification whose diplomates most frequently drop their primary certification. Pediatric rehabilitation medicine certification is rare in rural localities and a health care disparity.
The study found no meaningful differences in the performance of rural and urban physicians on the ABPM&R certifying examinations.
美国有超过6000万人生活在农村社区，约占总人口的20%。关于为农村人口服务的物理医学与康复医师、他们在认证考试中的表现以及美国物理医学与康复委员会（ABPM&R）如何满足他们持续的教育、评估和实践需求的数据极少。
比较农村和城市医师在第一部分、第二部分以及认证维持（MOC）考试中的表现，以及亚专业偏好和初级认证的持续情况。
回顾性横断面研究。
符合委员会要求的物理医学与康复医师以及ABPM&R的认证文凭持有者。
2010年至2019年间参加ABPM&R初始认证或认证维持考试的医师。
完成了医师通过率、平均量表分数（汇总）以及ABPM&R认证考试中项目通过率的比较。与国家数据库和ABPM&R执业地点邮政编码的交叉引用提供了社会地理联系。
不适用
医师平均量表分数、通过率、亚专业偏好和初级认证状态。
农村和城市物理医学与康复医师在ABPM&R第一部分、第二部分和MOC考试中的表现没有显著差异。最常见的亚专业是疼痛医学认证，其文凭持有者最常放弃初级认证。儿科康复医学认证在农村地区很少见，是一种医疗保健差异。
该研究发现农村和城市医师在ABPM&R认证考试中的表现没有显著差异。
