McNeil Kevin, Mashhouri Vahid, Christensen Payton, Wang Han, Zhong Qing
Medical School, Rocky Vista University College of Osteopathic Medicine, Ivins, USA.
Medical School, Rocky Vista University College of Osteopathic Medicine, Parker, USA.
Cureus. 2022 Jun 14;14(6):e25939. doi: 10.7759/cureus.25939. eCollection 2022 Jun.
The Comprehensive Osteopathic Medical Licensing Examination of the United States (COMLEX-USA) Level 2-Cognitive Evaluation (CE) is a board examination that medical students usually take in the third or fourth year of medical school. A few researchers have investigated the prediction of COMLEX Level 2-CE scores based on the performance in third-year clerkships. However, given how close the clerkships are to the board exam, this type of prediction is too late for students to have adequate time to get assistance to prepare for COMLEX Level 2-CE. We aimed to investigate the predictive value of each organ system course during the first two years in predicting COMLEX Level 2-CE performance. Our findings will help students at risk focus on important basic and clinical sciences much earlier before preparing for COMLEX Level 2-CE.
Academic data from students enrolled at Rocky Vista University College of Osteopathic Medicine from 2011 to 2017 were retrieved. Data included the Medical College Admission Test (MCAT) scores, course grades in the first two years of medical school, COMLEX Level 1 scores, and COMLEX Level 2-CE scores. Pearson correlation coefficients, a multiple linear regression model, and a backward stepwise regression model were generated for analysis.
The highest correlation with COMLEX Level 2-CE scores was the COMLEX Level 1 score, followed by the performances in the third-semester Cardiovascular System II (CV II) and Renal System II (REN II) courses. Multiple linear regression and backward stepwise regression predictive models found that scores on third-semester CV II and Principles of Clinical Medicine III (PCM III) were the most significant predictors of performance on Level 2-CE. Both models explained 46% of the variance in COMLEX Level 2-CE scores.
Performances in third-semester courses are the most important predictors of COMLEX Level 2-CE scores.
美国综合整骨医学执照考试（COMLEX-USA）2级认知评估（CE）是医学生通常在医学院第三年或第四年参加的一项委员会考试。一些研究人员基于三年级临床实习的表现对COMLEX 2级CE分数的预测进行了调查。然而，鉴于临床实习与委员会考试时间如此接近，这种预测对学生来说为时已晚，他们没有足够的时间获得帮助来准备COMLEX 2级CE。我们旨在研究前两年各器官系统课程在预测COMLEX 2级CE表现方面的预测价值。我们的研究结果将帮助有风险的学生在准备COMLEX 2级CE之前更早地专注于重要的基础和临床科学。
检索了2011年至2017年在落基山大学整骨医学院就读的学生的学术数据。数据包括医学院入学考试（MCAT）分数、医学院前两年的课程成绩、COMLEX 1级分数和COMLEX 2级CE分数。生成了Pearson相关系数、多元线性回归模型和向后逐步回归模型进行分析。
与COMLEX 2级CE分数相关性最高的是COMLEX 1级分数，其次是第三学期心血管系统II（CV II）和肾脏系统II（REN II）课程的表现。多元线性回归和向后逐步回归预测模型发现，第三学期CV II和临床医学原理III（PCM III）的分数是2级CE表现的最显著预测因素。两个模型都解释了COMLEX 2级CE分数中46%的方差。
第三学期课程的表现是COMLEX 2级CE分数最重要预测因素。
