Berner E S, Brooks C M, Erdmann J B
University of Alabama School of Medicine, Office of Educational Development, Birmingham 35294-2041.
Acad Med. 1993 Oct;68(10):753-9. doi: 10.1097/00001888-199310000-00005.
Many studies have examined the relationships between students' performances on the National Board of Medical Examiners (NBME) Part I and Part II examinations and their postgraduate clinical performances. Most studies have found a positive relationship between students' NBME examination scores and the ratings of residents' clinical performances and/or scores on specialty board certification examinations. Surveys of residency directors have also shown that NBME scores are used as part of the process for selecting residents, although other data and other selection criteria are considered more useful than the NBME scores. One area of continued concern is that a large body of data on the United States Medical Licensing Examination (USMLE) is not yet available. However, the predictive validity of the NBME scores supports the use of USMLE scores as part of the review process to screen potential residents. Residency directors should continue to use a variety of criteria in their final selection decisions and are encouraged to use their own program-specific data to establish and monitor particular cutoff scores for screening applicants.
许多研究探讨了学生在美国国家医学考试委员会（NBME）第一部分和第二部分考试中的表现与他们研究生阶段临床能力之间的关系。大多数研究发现，学生的NBME考试成绩与住院医师临床能力评分和/或专科委员会认证考试成绩之间存在正相关关系。对住院医师培训项目主任的调查也表明，NBME成绩被用作选拔住院医师过程的一部分，尽管其他数据和其他选拔标准被认为比NBME成绩更有用。一个持续令人担忧的领域是，关于美国医师执照考试（USMLE）的大量数据尚未可得。然而，NBME成绩的预测效度支持将USMLE成绩作为筛选潜在住院医师的审核过程的一部分。住院医师培训项目主任在最终选拔决策中应继续使用多种标准，并鼓励他们利用自己项目特定的数据来设定和监控筛选申请人的特定分数线。
