Norcini J J, Lipner R S, Benson J A, Webster G D
Ann Intern Med. 1985 Mar;102(3):385-9. doi: 10.7326/0003-4819-102-3-385.
The performance of practicing internists on the American Board of Internal Medicine's 1980 Recertification Examination was examined in two studies. In the first study, a psychometric common-item equating technique was used to compare the performance of 1980 recertification candidates with that of 1979 certification candidates. Results showed that the knowledge base of practicing internists was similar to that of residents completing training. The second study analyzed the performance of 1980 recertification candidates to determine whether being certified or having an interest in a subspecialty affects a physician's performance on items in that area. The results showed that subspecialists do significantly better than general internists on items pertaining to their area of specialization. Similar outcomes were found for internists with a special interest in a subspecialty area. These findings establish the importance of continued periodic evaluation and support the development of an evaluation tool tailored to the physician's area of concentration.
两项研究考察了内科实习医生在美国内科医学委员会1980年再认证考试中的表现。在第一项研究中，采用心理测量学中的共同项目等值技术，将1980年再认证考生的表现与1979年认证考生的表现进行比较。结果显示，执业内科实习医生的知识基础与完成培训的住院医生相似。第二项研究分析了1980年再认证考生的表现，以确定获得认证或对某一亚专业感兴趣是否会影响医生在该领域项目上的表现。结果显示，在与其专业领域相关的项目上，亚专科医生的表现明显优于普通内科实习医生。在对某一亚专业领域有特殊兴趣的内科实习医生中也发现了类似的结果。这些发现确立了持续定期评估的重要性，并支持开发一种针对医生专注领域量身定制的评估工具。
