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Tytuł pozycji:

Identifying Students at Risk of Failing the USMLE Step 2 Clinical Skills Examination.

Tytuł :
Identifying Students at Risk of Failing the USMLE Step 2 Clinical Skills Examination.
Autorzy :
Rosenthal S; Office of Student Affairs and Career Counseling, Sidney Kimmel Medical College at Thomas Jefferson University, Philadelphia, PA.
Russo S; Rector Clinical Skills Simulation Center, Sidney Kimmel Medical College at Thomas Jefferson University, Philadelphia, PA.
Berg K; Rector Clinical Skills Simulation Center, Sidney Kimmel Medical College at Thomas Jefferson University, Philadelphia, PA.
Majdan J; Rector Clinical Skills Simulation Center, Sidney Kimmel Medical College at Thomas Jefferson University, Philadelphia, PA.
Wilson J; Center for Teaching and Learning, Sidney Kimmel Medical College at Thomas Jefferson University, Philadelphia, PA.
Grinberg C; Mount Auburn Hospital, Cambridge, MA.
Veloski J; Center for Research in Medical Education and Healthcare, Sidney Kimmel Medical College at Thomas Jefferson University, Philadelphia, PA.
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Źródło :
Family Medicine [Fam Med] 2019 Jun; Vol. 51 (6), pp. 483-499.
Typ publikacji :
Journal Article
Język :
English
Journal Info :
Publisher: Society of Teachers of Family Medicine Country of Publication: United States NLM ID: 8306464 Publication Model: Print Cited Medium: Internet ISSN: 1938-3800 (Electronic) Linking ISSN: 07423225 NLM ISO Abbreviation: Fam Med Subsets: MEDLINE
Imprint Name(s) :
Publication: Shawnee Mission, KS : Society of Teachers of Family Medicine
Original Publication: Kansas City, Mo. : Society of Teachers of Family Medicine.
MeSH Terms :
Educational Measurement*/standards
Educational Measurement*/statistics & numerical data
Clinical Clerkship/*standards
Clinical Competence/*standards
Licensure, Medical/*standards
Students, Medical/*statistics & numerical data
Education, Medical, Undergraduate/standards ; Humans ; School Admission Criteria ; United States
Entry Date(s) :
Date Created: 20190612 Date Completed: 20200106 Latest Revision: 20200106
Update Code :
20200107
DOI :
10.22454/FamMed.2019.429968
PMID :
31184761
Czasopismo naukowe
Background and Objectives: New standards announced in 2017 could increase the failure rate for Step 2 Clinical Skills (CS). The purpose of this study was to identify student performance metrics associated with risk of failing.
Methods: Data for 1,041 graduates of one medical school from 2014 through 2017 were analyzed, including 30 (2.9%) failures. Metrics included Medical College Admission Test, United States Medical Licensing Examination Step 1, and clerkship National Board of Medical Examiners (NBME) Subject Examination scores; faculty ratings in six clerkships; and scores on an objective structured clinical examination (OSCE). Bivariate statistics and regression were used to estimate risk of failing.
Results: Those failing had lower Step 1 scores, NBME scores, faculty ratings, and OSCE scores (P<.02). Students with four or more low ratings were more likely to fail compared to those with fewer low ratings (relative risk [RR], 12.76, P<.0001). Logistic regression revealed other risks: low surgery NBME scores (RR 3.75, P=.02), low pediatrics NBME scores (RR 3.67, P=.02), low ratings in internal medicine (RR 3.42, P=.004), and low OSCE Communication/Interpersonal Skills (RR 2.55, P=.02).
Conclusions: Certain medical student performance metrics are associated with risk of failing Step 2 CS. It is important to clarify these and advise students accordingly.

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