PMID- 24677465
OWN - NLM
STAT- MEDLINE
DCOM- 20150413
LR  - 20140328
IS  - 1945-1997 (Electronic)
IS  - 0098-6151 (Linking)
VI  - 114
IP  - 4
DP  - 2014 Apr
TI  - Relationship between COMLEX-USA scores and performance on the American 
      Osteopathic Board of Emergency Medicine Part I certifying examination.
PG  - 260-6
LID - 10.7556/jaoa.2014.051 [doi]
AB  - CONTEXT: Few studies have investigated how well scores from the Comprehensive 
      Osteopathic Medical Licensing Examination-USA (COMLEX-USA) series predict 
      resident outcomes, such as performance on board certification examinations. 
      OBJECTIVES: To determine how well COMLEX-USA predicts performance on the American 
      Osteopathic Board of Emergency Medicine (AOBEM) Part I certification examination. 
      METHODS: The target study population was first-time examinees who took AOBEM Part 
      I in 2011 and 2012 with matched performances on COMLEX-USA Level 1, Level 
      2-Cognitive Evaluation (CE), and Level 3. Pearson correlations were computed 
      between AOBEM Part I first-attempt scores and COMLEX-USA performances to measure 
      the association between these examinations. Stepwise linear regression analysis 
      was conducted to predict AOBEM Part I scores by the 3 COMLEX-USA scores. An 
      independent t test was conducted to compare mean COMLEX-USA performances between 
      candidates who passed and who failed AOBEM Part I, and a stepwise logistic 
      regression analysis was used to predict the log-odds of passing AOBEM Part I on 
      the basis of COMLEX-USA scores. RESULTS: Scores from AOBEM Part I had the highest 
      correlation with COMLEX-USA Level 3 scores (.57) and slightly lower correlation 
      with COMLEX-USA Level 2-CE scores (.53). The lowest correlation was between AOBEM 
      Part I and COMLEX-USA Level 1 scores (.47). According to the stepwise regression 
      model, COMLEX-USA Level 1 and Level 2-CE scores, which residency programs often 
      use as selection criteria, together explained 30% of variance in AOBEM Part I 
      scores. Adding Level 3 scores explained 37% of variance. The independent t test 
      indicated that the 397 examinees passing AOBEM Part I performed significantly 
      better than the 54 examinees failing AOBEM Part I in all 3 COMLEX-USA levels 
      (P<.001 for all 3 levels). The logistic regression model showed that COMLEX-USA 
      Level 1 and Level 3 scores predicted the log-odds of passing AOBEM Part I (P=.03 
      and P<.001, respectively). CONCLUSION: The present study empirically supported 
      the predictive and discriminant validities of the COMLEX-USA series in relation 
      to the AOBEM Part I certification examination. Although residency programs may 
      use COMLEX-USA Level 1 and Level 2-CE scores as partial criteria in selecting 
      residents, Level 3 scores, though typically not available at the time of 
      application, are actually the most statistically related to performances on AOBEM 
      Part I.
FAU - Li, Feiming
AU  - Li F
AD  - National Board of Osteopathic Medical Examiners, 8765 W Higgins Rd, Suite 200, 
      Chicago, IL 60631-4174. fli@nbome.org.
FAU - Gimpel, John R
AU  - Gimpel JR
FAU - Arenson, Ethan
AU  - Arenson E
FAU - Song, Hao
AU  - Song H
FAU - Bates, Bruce P
AU  - Bates BP
FAU - Ludwin, Fredric
AU  - Ludwin F
LA  - eng
PT  - Journal Article
PL  - United States
TA  - J Am Osteopath Assoc
JT  - The Journal of the American Osteopathic Association
JID - 7503065
SB  - IM
MH  - *Clinical Competence
MH  - Educational Measurement/*methods
MH  - Emergency Medicine/*education
MH  - Female
MH  - Follow-Up Studies
MH  - Humans
MH  - Internship and Residency/standards
MH  - *Licensure, Medical
MH  - Male
MH  - Osteopathic Medicine/*education
MH  - Osteopathic Physicians/*education/*standards
MH  - Retrospective Studies
MH  - United States
EDAT- 2014/03/29 06:00
MHDA- 2015/04/14 06:00
CRDT- 2014/03/29 06:00
PHST- 2014/03/29 06:00 [entrez]
PHST- 2014/03/29 06:00 [pubmed]
PHST- 2015/04/14 06:00 [medline]
AID - 114/4/260 [pii]
AID - 10.7556/jaoa.2014.051 [doi]
PST - ppublish
SO  - J Am Osteopath Assoc. 2014 Apr;114(4):260-6. doi: 10.7556/jaoa.2014.051.