81 National Board of Medical Examiners' Development of an Advanced Clinical Examination in Emergency Medicine

Fisher, James C.; Wald, David A.; Orr, Nancy A.; Butler, Amanda; Morales, Alberto; Franzen, Douglas; Heitz, Corey; Hiller, Katherine M.; Loftipour, S.; Senecal, Emily L.

doi:10.1016/j.annemergmed.2012.07.105

Cited by 2 publications

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“…The NBME EM-ACE is a four-form, 100-question multiple-choice examination designed to assess the same curricular topics as the National EM M4 Examinations (10). The NBME EM-ACE is administered online and although the NBME provided use of this examination free of charge for the first year after release, the examination incurred a standard per-student pricing starting in 2014 (11).…”

Section: Discussionmentioning

confidence: 99%

The National Emergency Medicine Fourth-year Student (M4) Examinations: Updates and Performance

Heitz

Lawson

Beeson

et al. 2016

The Journal of Emergency Medicine

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Section: Discussionmentioning

confidence: 99%

The National Emergency Medicine Fourth-year Student (M4) Examinations: Updates and Performance

Heitz

Lawson

Beeson

et al. 2016

The Journal of Emergency Medicine

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“…The NBME released an EM subject exam in April 2013, after the release of the National EM M4 exam in 2011. 19 , 20 In an era of limited financial resources for medical education, decisions regarding test selection must consider not only the psychometric properties of the examination, but must take into consideration the financial implications for the institution. 21 The psychometric properties of this nationally standardized exam need further study, but our results demonstrate that its ongoing use with M4 medical students completing EM rotations remains a viable option for assessing medical knowledge, particularly for schools who may struggle to find resources to use other similar national exams.…”

Section: Discussionmentioning

confidence: 99%

Correlation of the National Emergency Medicine M4 Clerkship Examination with USMLE Examination Performance

Lawson¹,

Musick²,

Brewer³

2015

WestJEM

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IntroductionAssessment of medical students’ knowledge in clinical settings is complex yet essential to the learning process. Clinical clerkships use various types of written examinations to objectively test medical knowledge within a given discipline. Within emergency medicine (EM), a new national standardized exam was developed to test medical knowledge in this specialty. Evaluation of the psychometric properties of a new examination is an important issue to address during test development and use. Studies have shown that student performance on selected standardized exams will reveal students’ strengths and/or weaknesses, so that effective remedial efforts can be implemented. Our study sought to address these issues by examining the association of scores on the new EM national exam with other standardized exam scores.MethodsFrom August 2011 to April 2013, average National EM M4 examination scores of fourth-year medical students taken at the end of a required EM clerkship were compiled. We examined the correlation of the National EM M4 examination with the scores of initial attempts of the United States Medical Licensing Exam (USMLE) Step 1 and Step 2 Clinical Knowledge (CK) examinations. Correlation coefficients and 95% confidence intervals of correlation coefficients are reported. We also examined the association between the national EM M4 examination score, final grades for the EM rotation, and USMLE Step 1 and Step 2 CK scores.Results133 students were included in the study and achieved a mean score of 79.5 SD 8.0 on the National EM M4 exam compared to a national mean of 79.7 SD 3.89. The mean USMLE Step 1 score was 226.8 SD 19.3. The mean USMLE Step 2 CK score was 238.5 SD 18.9. National EM M4 examination scores showed moderate correlation with both USMLE Step 1 (mean score=226.8; correlation coefficient=0.50; 95% CI [0.28–0.67]) and USMLE Step 2 CK (mean score=238.5; correlation coefficient=0.47; 95% CI [0.25–0.65]). Students scoring below the median on the national EM M4 exam also scored well below their colleagues on USMLE exams.ConclusionThe moderate correlation of the national EM M4 examination and USMLE Step 1 and Step 2 CK scores provides support for the utilization of the CDEM National EM M4 examination as an effective means of assessing medical knowledge for fourth-year medical students. Identification of students scoring lower on standardized exams allows for effective remedial efforts to be undertaken throughout the medical education process.

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81 National Board of Medical Examiners' Development of an Advanced Clinical Examination in Emergency Medicine

Cited by 2 publications

References 0 publications

The National Emergency Medicine Fourth-year Student (M4) Examinations: Updates and Performance

The National Emergency Medicine Fourth-year Student (M4) Examinations: Updates and Performance

Correlation of the National Emergency Medicine M4 Clerkship Examination with USMLE Examination Performance

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