The Impact of Internal Medicine Clerkship Characteristics and NBME Subject Exams on USMLE Step 2 Clinical Knowledge Exam Performance

被引：0

作者：

Fitz, Matthew ^{[1
]}

Adams, William ^{[2
]}

Heincelman, Marc ^{[3
]}

Haist, Steve ^{[4
]}

Whelan, Karina ^{[5
]}

Cox, LeeAnn ^{[6
]}

Cao, Uyen-Thi ^{[7
]}

Hingle, Susan ^{[8
]}

Raff, Amanda ^{[9
]}

Houghton, Bruce ^{[10
]}

Fitzpatrick, Janet ^{[11
]}

Nall, Ryan ^{[12
]}

Foster, Jennifer ^{[13
]}

Appelbaum, Jonathan ^{[14
]}

Grum, Cyril ^{[15
]}

Donovan, Anna ^{[16
]}

Kiken, Stuart ^{[17
]}

Abraham, Reeni ^{[18
]}

Hlafka, Marti ^{[8
]}

Miller, Chad ^{[19
]}

Bansal, Saurabh ^{[20
]}

Paauw, Douglas ^{[21
]}

Lai, Cindy J. ^{[22
]}

Pincavage, Amber ^{[23
]}

Agarwal, Gauri ^{[24
]}

Burns, Cynthia ^{[25
]}

Holzer, Horatio ^{[26
]}

Lappe, Katie ^{[27
]}

John, Viju ^{[28
]}

Barker, Blake ^{[29
]}

Mingioni, Nina ^{[30
]}

Rao, Deepti ^{[31
]}

Zakowski, Laura ^{[32
]}

Chakraborti, Chayan ^{[33
]}

Williams, Winter ^{[34
]}

Kelly, William ^{[35
]}

机构：

[1] Loyola Univ, Stritch Sch Med, Dept Med, Bldg 102,Room 7614, Maywood, IL 60153 USA

[2] Loyola Univ, Stritch Sch Med, Maywood, IL 60153 USA

[3] Med Univ South Carolina, Charleston, SC 29425 USA

[4] Univ Kentucky, Coll Med, Northern Kentucky Campus, Highland Hts, KY USA

[5] Univ N Carolina, Sch Med, Chapel Hill, NC 27515 USA

[6] Indiana Univ Sch Med, Indianapolis, IN 46202 USA

[7] Texas A&M Hlth Sci Ctr, Coll Med, Bryan, TX USA

[8] Southern Illinois Sch Med, Springfield, IL USA

[9] Albert Einstein Coll Med, Bronx, NY 10467 USA

[10] Creighton Univ, Sch Med, Omaha, NE USA

[11] Drexel Univ, Coll Med, Philadelphia, PA 19104 USA

[12] Univ Florida, Coll Med, Gainesville, FL USA

[13] Florida Atlantic Univ, Charles E Schmidt Coll Med, Boca Raton, FL 33431 USA

[14] Florida State Univ, Coll Med, Tallahassee, FL 32306 USA

[15] Univ Michigan, Med Sch, Ann Arbor, MI 48109 USA

[16] Univ Pittsburgh, Sch Med, Pittsburgh, PA USA

[17] Rosalind Franklin Univ Med & Sci, N Chicago, IL USA

[18] Univ Texas Southwestern Med Sch, Dallas, TX USA

[19] Tulane Univ, Sch Med, 1430 Tulane Ave, New Orleans, LA 70112 USA

[20] Univ Illinois, Coll Med, Peoria, IL 61656 USA

[21] Univ Washington, Sch Med, Seattle, WA USA

[22] Univ Calif San Francisco, Sch Med, San Francisco, CA 94143 USA

[23] Univ Chicago, Pritzker Sch Med, Chicago, IL 60637 USA

[24] Univ Miami, Miller Sch Med, Miami, FL 33136 USA

[25] Wake Forest Sch Med, Winston Salem, NC 27101 USA

[26] Icahn Sch Med Mt Sinai, New York, NY 10029 USA

[27] Univ Utah, Sch Med, Utsalt Lake City, UT USA

[28] Rush Med Coll, Chicago, IL 60612 USA

[29] Univ Texas Southwestern Med Sch, Dallas, TX USA

[30] Thomas Jefferson Univ, Sidney Kimmel Med Coll, Philadelphia, PA 19107 USA

[31] Univ New Mexico, Sch Med, Albuquerque, NM 87131 USA

[32] Univ Wisconsin, Sch Publ Hlth, Madison, WI USA

[33] Tulane Univ, Sch Med, 1430 Tulane Ave, New Orleans, LA 70112 USA

[34] UAB Heersink Sch Med, Birmingham, AL USA

[35] Uniformed Serv Univ Hlth Sci, Bethesda, MD USA

来源：

JOURNAL OF GENERAL INTERNAL MEDICINE | 2022年 / 37卷 / 09期

关键词：

CAMBRIDGE INTEGRATED CLERKSHIP; STUDENTS; OUTCOMES;

D O I：

10.1007/s11606-022-07520-6

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

BACKGROUND: Residency program directors will likely emphasize the United States Medical Licensing Exam (USMLE) Step 2 clinical knowledge (CK) exam more during residency application given the recent USMLE Step 1 transition to pass/fail scoring. We examined how internal medicine clerkship characteristics and NBME subject exam scores affect USMLE Step 2 CK performance. DESIGN: The authors used univariable and multivariable generalized estimating equations to determine associations between Step 2 CK performance and internal medicine clerkship characteristics and NBME subject exams. The sample had 21,280 examinees' first Step 2 CK scores for analysis. RESULTS: On multivariable analysis, Step 1 performance (standardized beta = 0.45, p < .001) and NBME medicine subject exam performance (standardized beta = 0.40, p < .001) accounted for approximately 60% of the variance in Step 2 CK performance. Students who completed the internal medicine clerkship last in the academic year scored lower on Step 2 CK (M-diff = -3.17 p < .001). Students who had a criterion score for passing the NBME medicine subject exam scored higher on Step 2 CK (M-diff = 1.10, p = .03). There was no association between Step 2 CK performance and other internal medicine clerkship characteristics (all p > 0.05) nor with the total NBME subject exams completed (beta=0.05, p = .78). CONCLUSION: Despite similarities between NBME subject exams and Step 2 CK, the authors did not identify improved Step 2 CK performance for students who had more NBME subject exams. The lack of association of Step 2 CK performance with many internal medicine clerkship characteristics and more NBME subject exams has implications for future clerkship structure and summative assessment. The improved Step 2 CK performance in students that completed their internal medicine clerkship earlier warrants further study given the anticipated increase in emphasis on Step 2 CK.

引用

页码：2208 / 2216

页数：9

共 23 条

[1] The Impact of Internal Medicine Clerkship Characteristics and NBME Subject Exams on USMLE Step 2 Clinical Knowledge Exam Performance
Matthew Fitz
William Adams
Marc Heincelman
Steve Haist
Karina Whelan
LeeAnn Cox
Uyen-Thi Cao
Susan Hingle
Amanda Raff
Bruce Houghton
Janet Fitzpatrick
Ryan Nall
Jennifer Foster
Jonathan Appelbaum
Cyril Grum
Anna Donovan
Stuart Kiken
Reeni Abraham
Marti Hlafka
Chad Miller
Saurabh Bansal
Douglas Paauw
Cindy J Lai
Amber Pincavage
Gauri Agarwal
Cynthia Burns
Horatio Holzer
Katie Lappé
Viju John
Blake Barker
Nina Mingioni
Deepti Rao
Laura Zakowski
Chayan Chakraborti
Winter Williams
William Kelly
[J]. Journal of General Internal Medicine, 2022, 37 : 2208 - 2216
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