Osteopathic Neuro Musculoskeletal Medicine and Osteopathic Family Medicine, Morristown Medical Center Family Medicine, Morristown, NJ.
American Osteopathic Association Board of Family Physicians, Chicago, IL.
Fam Med. 2022 Sep;54(8):615-620. doi: 10.22454/FamMed.2022.156954.
Board certification is acknowledged as the mainstay for ensuring quality physician-delivered health care within medical specialties. The American College of Osteopathic Family Physicians (ACOFP) administers the American Osteopathic Board of Family Physicians' (AOBFP) In-Service Examination (ISE) to provide residents and program directors with a formative examination to assess competency and preparation for successful completion of the AOBFP certifying examination (CE). Unique assessment processes are integral to monitoring development of the osteopathic family physician throughout training and into practice, and to verify their competency for the safety and protection of the public. This study sought to investigate whether performance on the AOBFP ISE predicted performance on the AOBFP CE, and thereby successfully equipped residents to safely enter medical practice.
In 2020, data from 1,893 PGY-1 through PGY-3 residents (2016-2018), whose ISE scores could be matched with scores on the AOBFP initial board CE, were analyzed for this study.
Correlations among ISE administrations across 3 years of postgraduate medical education were in the mid-to-high .6 range; the ISE scores correlated with CE scores in the mid .4 to high .5 range. Less reliable measures of positive predictive value were 0.99, and sensitivity was 0.91.
Results suggest that ISE administrations during residency training are effective in developing remediation strategies for subsequent successful CE performance. The inclusion of osteopathic principles in the AOBFP CE necessitates inclusion of osteopathic content in resident training exams like ISE.
专科医师认证被认为是确保医疗专业人员提供高质量医疗服务的主要手段。美国骨疗家庭医师学院(ACOFP)管理着美国骨疗家庭医师委员会的在职考试(ISE),为住院医师和项目主任提供形成性考试,以评估他们的能力并为成功完成骨疗家庭医师委员会认证考试(CE)做好准备。独特的评估过程是监测骨疗家庭医生在培训期间和进入实践中的发展,并验证他们为公众安全和保护而具备的能力的重要组成部分。本研究旨在探讨 AOBFP ISE 的表现是否预测 AOBFP CE 的表现,从而使住院医师能够安全地进入医疗实践。
在 2020 年,对 1893 名 PGY-1 至 PGY-3 住院医师(2016-2018 年)的数据进行了分析,这些住院医师的 ISE 分数可以与 AOBFP 初始委员会 CE 的分数相匹配。
在 3 年的住院医师教育期间,ISE 的管理之间的相关性在中等到高的.6 范围内;ISE 分数与 CE 分数的相关性在中到高.4 到.5 范围内。阳性预测值的可靠测量值较低,为 0.99,而敏感性为 0.91。
结果表明,住院医师培训期间的 ISE 管理在制定后续 CE 成功表现的补救策略方面是有效的。在 AOBFP CE 中包含骨疗原则需要在像 ISE 这样的住院医师培训考试中包含骨疗内容。