Norcini J J, Kimball H R, Grosso L J, Day S C, Baranowski R A, Horne M W
American Board of Internal Medicine, Philadelphia, PA 19104.
J Gen Intern Med. 1994 Jul;9(7):361-5. doi: 10.1007/BF02629514.
To determine whether changes in the demographic/educational mix of those entering internal medicine from 1986 to 1989 were associated with differences among them at the time of certification.
Included in the study were all candidates for the 1989 to 1992 American Board of Internal Medicine certifying examinations in internal medicine.
Demographic information and medical school, residency training, and examination experience were available for each candidate. Data defining quality, size, and number of subspecialties were available for internal medicine training programs.
From 1990 to 1992, the total number of men and women candidates increased as did the numbers of foreign-citizen non-U.S. medical school graduates and osteopathic medical school graduates; the number of U.S. medical school graduates remained nearly constant and the number of U.S.-citizen graduates of non-U.S. medical schools declined. The pass rates for all groups of first-time examination takers decreased, while the ratings of program directors remained relatively constant. Program quality, size, and number of subspecialty programs had modest positive relationships with examination performance.
Changes in the characteristics of those entering internal medicine from 1986 to 1989 were associated with declines in performance at the time of certification. These declines occurred in all content areas of the test and were apparent regardless of program quality. These data identify some of the challenges internal medicine faces in the years ahead.
确定1986年至1989年进入内科的人员在人口统计学/教育构成方面的变化是否与他们获得认证时的差异相关。
该研究纳入了1989年至1992年参加美国内科医学委员会内科认证考试的所有考生。
可获取每位考生的人口统计学信息、医学院校、住院医师培训及考试经历。可获取内科培训项目中定义亚专业质量、规模和数量的数据。
1990年至1992年，男女考生总数增加，外国公民非美国医学院校毕业生及整骨医学院校毕业生数量也增加；美国医学院校毕业生数量几乎保持不变，非美国医学院校的美国公民毕业生数量下降。所有首次参加考试的考生组的通过率下降，而项目主任的评分相对保持不变。项目质量、规模和亚专业项目数量与考试成绩呈适度正相关。
1986年至1989年进入内科的人员特征变化与获得认证时的成绩下降相关。这些下降出现在考试的所有内容领域，且无论项目质量如何均很明显。这些数据揭示了内科在未来几年面临的一些挑战。
