PMID- 18950974
OWN - NLM
STAT- MEDLINE
DCOM- 20100421
LR  - 20221025
IS  - 0736-4679 (Print)
IS  - 0736-4679 (Linking)
VI  - 38
IP  - 1
DP  - 2010 Jan
TI  - Do United States Medical Licensing Examination (USMLE) scores predict in-training 
      test performance for emergency medicine residents?
PG  - 65-9
LID - 10.1016/j.jemermed.2008.04.010 [doi]
AB  - BACKGROUND: Residency selection committees commonly utilize USMLE scores as 
      criteria to screen residency applicants. OBJECTIVES: The purpose of this study is 
      to evaluate the relationship between United States Medical Licensing Examination 
      (USMLE) and American Board of Emergency Medicine (ABEM) in-training examination 
      scores (ITEs). METHODS: In an Accreditation Council for Graduate Medical 
      Education-accredited emergency medicine residency program, data were collected 
      for this retrospective cohort study for the classes of 2002-2006. USMLE Step 1 
      and 2 scores and the ABEM ITEs were recorded for each post-graduate year (PGY) 
      within the aforementioned time frame. Step 1 and 2 scores were compared to 
      consecutive PGY ABEM ITEs to evaluate for an association. RESULTS: There were 51 
      USMLE Step 1 and 39 Step 2 scores available for comparison with 153 ABEM ITEs. 
      The mean USMLE Step 1 and Step 2 scores were 228.9 (range 197-252) and 228.4 
      (range 168-259), respectively. The mean in-training percentiles for the PGY 1, 2, 
      and 3 years were 40.4, 68.3, and 81.7, respectively. The R-squared values for the 
      Step 1 scores compared to the PGY 1, 2, and 3 years' ITEs were 0.25, 0.18, and 
      0.16, respectively. The R-squared values for Step 2 scores as compared to the 
      ABEM ITEs for the PGY 1, 2, and 3 years were 0.43, 0.44, and 0.38, respectively. 
      Residents who scored below 200 on either USMLE Step 1 or Step 2 had significantly 
      lower mean ABEM ITEs than residents who scored above 200 (p < 0.05) and were 
      10-fold more likely than residents who scored above 220 to score below the 70th 
      percentile in their PGY3 ABEM ITE. CONCLUSIONS: USMLE Step 1 scores are mildly 
      correlated and Step 2 scores are moderately correlated with ABEM ITEs. Scoring 
      below 200 on either test is associated with significantly lower ABEM ITEs.
CI  - Copyright 2010 Elsevier Inc. All rights reserved.
FAU - Thundiyil, Josef G
AU  - Thundiyil JG
AD  - Department of Emergency Medicine, Orlando Regional Medical Center, Orlando, 
      Florida 32806, USA.
FAU - Modica, Renee F
AU  - Modica RF
FAU - Silvestri, Salvatore
AU  - Silvestri S
FAU - Papa, Linda
AU  - Papa L
LA  - eng
PT  - Journal Article
DEP - 20081031
PL  - United States
TA  - J Emerg Med
JT  - The Journal of emergency medicine
JID - 8412174
SB  - IM
MH  - Certification
MH  - *Educational Measurement
MH  - Emergency Medicine/*education
MH  - Humans
MH  - *Internship and Residency
MH  - *Licensure, Medical
MH  - Retrospective Studies
MH  - School Admission Criteria
MH  - United States
EDAT- 2008/10/28 09:00
MHDA- 2010/04/22 06:00
CRDT- 2008/10/28 09:00
PHST- 2007/11/12 00:00 [received]
PHST- 2008/03/11 00:00 [revised]
PHST- 2008/04/06 00:00 [accepted]
PHST- 2008/10/28 09:00 [pubmed]
PHST- 2010/04/22 06:00 [medline]
PHST- 2008/10/28 09:00 [entrez]
AID - S0736-4679(08)00461-7 [pii]
AID - 10.1016/j.jemermed.2008.04.010 [doi]
PST - ppublish
SO  - J Emerg Med. 2010 Jan;38(1):65-9. doi: 10.1016/j.jemermed.2008.04.010. Epub 2008 
      Oct 31.