Hechel H, Bowles L T
J Med Educ. 1979 Feb;54(2):69-74.
The pass/fail results of 44 North American medical specialty certification examinations are compared and analyzed. A calculated annual failure rate was used to equate one- and two-part examinations. Failure rates on American boards generally varied between 8 and 61 percent. Foreign medical graduates (FMGs) had failure rates two to three times higher than those of North American graduates in almost all specialties. Failure rates for comparable North American and FMG candidates tended to be higher on Royal College of Physicians and Surgeons of Canada specialty certification examinations than on equivalent American specialty board examinations. The place of specialty certification in the continuum of American graduate medical education is delineated. Questions are raised concerning the standards required for specialty certification.
对44项北美医学专业认证考试的及格/不及格结果进行了比较和分析。使用计算得出的年不及格率来统一单部分和双部分考试。美国委员会的不及格率一般在8%至61%之间。外国医学毕业生（FMG）在几乎所有专业中的不及格率比北美毕业生高出两到三倍。在加拿大皇家内科医师和外科医师学院专业认证考试中，北美和FMG同等考生的不及格率往往高于同等的美国专业委员会考试。阐述了专业认证在美国研究生医学教育连续过程中的地位。针对专业认证所需的标准提出了问题。
