Baumgartner B R, Peterman S B
Department of Radiology, Emory University School of Medicine, Atlanta, GA, USA.
Acad Radiol. 1996 Oct;3(10):873-8. doi: 10.1016/s1076-6332(96)80281-9.
To retrospectively evaluate the association between resident performance on the American College of Radiology in-training examination and performance on the American Board of Radiology written examination.
Percentile scores from the in-training examination (low score, < 20th percentile) and written board examination (low score, < 25 percentile) were collected for 58 residents in a large, university-based program during a 6-year period. Mean in-training examination scores were compared for the high score and low score written board groups. In-training examination scores were correlated with the written board scores, and odds ratios were calculated for the association between in-training examination and written board scores. Adjusted in-training examination and written board odds ratios were calculated for Alpha Omega Alpha status and prior clinical training.
The mean in-training examination scores were statistically significantly higher in the high score written board group (P = .0001). There was significant correlation between the in-training examination and the written board scores (P = .05). There was a significant association between a resident's average in-training examination score and written board score. Alpha Omega Alpha status was associated with high written board scores, and prior clinical training was associated with low written board scores (not significant).
The resident's average in-training examination score was a strong predictor of the written board score. The resident with a low in-training examination score is at risk for poor performance on the written board examination and may benefit from remedial training.
回顾性评估美国放射学会住院医师培训考试成绩与美国放射学委员会笔试成绩之间的关联。
收集了一所大型大学附属医院项目中58名住院医师在6年期间的培训考试百分制成绩（低分：<第20百分位）和笔试百分制成绩（低分：<第25百分位）。比较了笔试高分组和低分组成员的培训考试平均成绩。将培训考试成绩与笔试成绩进行相关性分析，并计算培训考试成绩与笔试成绩之间关联的比值比。针对美国医学优等生协会（Alpha Omega Alpha）会员身份和既往临床培训情况，计算调整后的培训考试成绩与笔试成绩的比值比。
笔试高分组的培训考试平均成绩在统计学上显著更高（P = .0001）。培训考试成绩与笔试成绩之间存在显著相关性（P = .05）。住院医师的培训考试平均成绩与笔试成绩之间存在显著关联。美国医学优等生协会会员身份与笔试高分相关，既往临床培训与笔试低分相关（无统计学意义）。
住院医师的培训考试平均成绩是笔试成绩的有力预测指标。培训考试成绩低的住院医师在笔试中表现不佳的风险较高，可能会从补救培训中受益。
