Relationship of residency program characteristics with pass rate of the American Board of Internal Medicine certifying exam

Atsawarungruangkit, Amporn

doi:10.3402/meo.v20.28631

Cited by 24 publications

(35 citation statements)

References 29 publications

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“…Passing in ABIM-CE is of utmost importance to residents [27], and their residency training programs as well. ACGME requires a first-attempt examinee pass rate of at least 80% for continued accreditation of a residency program.…”

Section: Usmle Scores (Mean (Sd))mentioning

confidence: 99%

Do USMLE steps, and ITE score predict the American Board of Internal Medicine Certifying Exam results?

et al. 2020

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Background: To evaluate if United States Medical Licensing Examination (USMLE) Step 1, USMLE Step 2 CK, USMLE Step 3, and residency third-year in-service training exam (ITE) scores predict the results of American Board of Internal Medicine Certifying Exam (ABIM-CE). Methods: We performed a retrospective review of USMLE Step 1, USMLE Step 2 CK, USMLE Step 3, third-year residency ITE scores and ABIM-CE results of IM residents at our residency program from 2004 through 2017. Statistical analysis was perfrormed using Pearson correlation coefficient, and logistic regression to assess the relationship between USMLE Step 1, USMLE Step 2CK, USMLE Step 3, 3rd year ITE scores and ABIM-CE results. We used Multivariate logistic regression to predict pass or fail results in ABIM-CE based on USMLE and third-year ITE test scores controlling for other covariates.Results: Among 114 Internal Medicine MD residents included in the study, 92% (n = 105) passed the ABIM-CE. The OR of passing ABIM-CE was 2.70 (95% CI = 1.38-5.29), 2.31 (95% CI = 1.33-4.01), and 1.63 (95% CI = 0.81-3.29) with a ten-point increase in USMLE Step 1, USMLE Step 2 CK and USMLE Step 3 scores respectively. The OR of ABIM-CE passing chance was 2.96 (95% CI = 0.95-9.20), with a ten-point increase in the average score of the above three exams. A 5 % increase in ITE percentage raised the likelihood of passing ABIM-CE (OR 2.92, 95% CI 1.15-7.38). All residents who failed ABIM-CE had Step 1 scores < 220. Among 31 residents with Step 2 CK score < 220, 20% (n = 6) failed ABIM. Similarly, 9% of residents with USMLE Step 3 score < 220 failed ABIM-CE; all residents who failed had scored < 220. The probability curve predicted that the chance of passing ABIM-CE was around 80% with USMLE scores greater than 200 and increased to almost 100% with USMLE scores of 250 or more. Conclusion: USMLE Step 1, USMLE Step 2 CK, and third-year ITE scores can predict the chances of passing ABIM-CE. The third-year ITE score has a higher preditive value compared to USMLE Step 1 and USMLE Step 2 scores. USMLE Step 1 scores more predictive of ABIM-CE results compared to USMLE Step 2CK scores. Thus, residency programs can identify internal medicine residents at risk of failing ABIM-CE and formulate interventions at an early stage during residency training. Measures such as enrolling them in question banks or board review courses can be helpful in improving their chances of passing ABIM-CE. Keywords: USMLE Step 1, USMLE Step 2CK, USMLE Step 3, 3rd year in-training exam results, American board of internal medicine certifying exam (ABIM-CE)

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Section: Usmle Scores (Mean (Sd))mentioning

confidence: 99%

Do USMLE steps, and ITE score predict the American Board of Internal Medicine Certifying Exam results?

et al. 2020

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“…Moreover, IM programs in this region had the highest average pass rate of the American Board of Internal Medicine [10]. Besides IM, both pediatric and family medicine residencies also witnessed outstanding performance in program board exams in this region [7,8].…”

Section: Discussionmentioning

confidence: 99%

“…Historically, the pass rates of many board exams in various specialties were found to be positively correlated with program size [6–9] and FTP [10–12]. However, in the multivariate level where program size and FTP were included as predictors, FTP was found to be a superior predictor [10,11].…”

Section: Discussionmentioning

confidence: 99%

“…Depending on the study design and types of residency programs considered, program characteristics that affect the pass rate of a board exam include: program size [6–9], location [7–9], accreditation cycle length [9], opportunities for international experiences [9], training in alternative medicine [9], ratio of full-time equivalent paid faculty to fellowship positions (FTP) [10–12], proportion of trainees based on type of medical school [10,11], formal mentoring program [10], on-site child care [10], and average hours per week of regularly scheduled lectures or conferences [11]. A thorough literature search shows no similar studies in medical subspecialties, which may be a consequence of pass rates for subspecialty levels being unavailable.…”

Section: Introductionmentioning

confidence: 99%

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Association between proportion of US medical graduates and program characteristics in gastroenterology fellowships

Atsawarungruangkit

2017

Medical Education Online

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Background: Gastroenterology is one of the most competitive internal medicine fellowship. However, factors that associated with program competitiveness have not been documented. Objective: The objective of this study was to evaluate associations between characteristics of gastroenterology fellowship programs and their competitiveness through the proportion of US medical graduates for the academic year 2016/17. Design: This study used a retrospective, cross-sectional design with data obtained from the American Medical Association. The proportion of US medical graduates in gastroenterology fellowships was used as an indicator of program competitiveness. Using both univariate and multivariate linear regression analyses, we analyzed the association between the proportion of medical graduates in each program and 27 program characteristics based on a significance level of 0.05. Results: In total, 153 out of 171 gastroenterology fellowship programs satisfied the inclusion criteria. A multivariate analysis revealed that a higher proportion of US medical graduates was significantly associated with five program characteristics: that it was a university-based program (p < 0.001), the ratio of full-time paid faculty to fellow positions (p < 0.001), the proportion of females in the program (p = 0.002), location in the Pacific region (p = 0.039), and a non-smoker hiring policy (p = 0.042). Conclusions: Among the five significant factors, being university based, located in the Pacific, and having a non-smoker hiring policy were likely to remain unchanged over a long period. However, program directors and candidates should pay attention to equivalence between full-time paid faculty and fellowship positions, and the proportion of women in the program. The former indicates the level of supervision while the latter has become increasingly important owing to the higher proportion of women in medicine.

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“…Board certification has also been linked to improved knowledge of current medical standards through continuous learning and generally providing better patient care (Lipner, Hess and Phillips, 2013). Additionally, failing and needing to retake board certification examinations can impact a physician's career (Atsawarungruangkit, 2015). As such, board certification examinations are high-stakes examinations.…”

Section: Introductionmentioning

confidence: 99%

An Exploratory Study of a Novel Adaptive e-Learning Board Review Product Helping Candidates Prepare for Certification Examinations

Healy¹,

Axelsson²,

Wongsirimeteekul³

et al. 2018

MedEdPublish

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Objectives: Online board-review products are widely used to prepare for high-stakes examinations; however, it is unclear if these products are truly helpful and which features are most useful. This study examined the user ratings of an e-learning examination-preparation product and its impact on first-time American Board of Internal Medicine Certifying Examination (ABIM-CE) test takers.Methods: 4,400 users were anonymously surveyed between 2015 and 2017 to determine their level of satisfaction with the NEJM Knowledge+ Internal Medicine Board Review (NEJM Knowledge+) product and their board-exam passage rate. Results:The responding users' (n=836) average ratings of NEJM Knowledge+'s content, relevance, components, and features were high. Similarly, a subgroup of responding users from the United States who primarily used NEJM Knowledge+ to prepare for an initial ABIM-CE between 2014 and 2016 (n=153) rated the content, relevance, components, and features high, with practice exams, adaptive delivery of questions, and reports on progress, performance, and metacognition as the most valuable features. Importantly, this subgroup of users passed the ABIM-CE on their first attempt at a significantly higher rate than the national average (95% vs 89%, z=2.6397, p=0.0083). Conclusion:An e-learning examination-preparation product that features adaptive delivery of questions, offers detailed feedback, and analyzes overall metacognition may be an effective tool for first-time test takers preparing for

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Relationship of residency program characteristics with pass rate of the American Board of Internal Medicine certifying exam

Cited by 24 publications

References 29 publications

Do USMLE steps, and ITE score predict the American Board of Internal Medicine Certifying Exam results?

Do USMLE steps, and ITE score predict the American Board of Internal Medicine Certifying Exam results?

Association between proportion of US medical graduates and program characteristics in gastroenterology fellowships

An Exploratory Study of a Novel Adaptive e-Learning Board Review Product Helping Candidates Prepare for Certification Examinations

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