Kennedy W B, Kelley P R, Saffran M
J Med Educ. 1981 Mar;56(3):167-73. doi: 10.1097/00001888-198103000-00002.
About 10 years ago results of the National Board of Medical Examiners (NBME) "Minitest," comprised of samples of questions from NBME Part I and Part II tests, indicated that the change in performance in the total basic science examinations would be minimal between the second and fourth years of medical school. By inserting samples of Part I basic science questions into Part II, large scale tests could be made of the change in performance. In two pilot projects, in a longitudinal study of the same students at a two-year interval, in a cross-sectional study of two groups of students at the same time, and in a comparison of performance of basic science questions in the Federation Licensing Examination (FLEX), the prediction of the minitest results was sustained. Overall performance on all basic science questions decreased only a little. However, the changes in the individual disciplines ranged from a consistent improvement in pathology to a substantial decrease in biochemistry. Pharmacology and behavioral sciences fluctuated between small increases and decreases. Physiology, microbiology, and anatomy decreased consistently, but not as much as biochemistry.
大约10年前，美国国家医学考试委员会（NBME）的“迷你测试”结果显示，医学院二、四年级的基础科学综合考试成绩变化极小。该测试由NBME第一部分和第二部分考试的试题样本组成。通过将第一部分基础科学试题样本插入第二部分，可对成绩变化进行大规模测试。在两个试点项目中，一个是对同一组学生每隔两年进行的纵向研究，一个是同时对两组学生进行的横断面研究，还有一个是对联邦执业医师资格考试（FLEX）基础科学试题成绩的比较，结果均证实了迷你测试的预测。所有基础科学试题的总体成绩仅略有下降。然而，各学科的成绩变化有所不同，病理学成绩持续提高，生物化学成绩大幅下降。药理学和行为科学成绩有小幅度的增减波动。生理学、微生物学和解剖学成绩持续下降，但降幅不及生物化学。
