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Relationship between internal medicine program board examination pass rates, accreditation standards, and program
John L Falcone1, Jed D Gonzalo2
1Owensboro Health Regional Hospital, Owensboro Health Surgical Specialists, USA.
International Journal of Medical Education
|October 24, 2014
Summary
A majority of Internal Medicine residency programs meet the Accreditation Council for Graduate Medical Education 80% pass rate standard. However, program size shows a weak correlation with American Board of Internal Medicine Certifying Examination performance.
Area of Science:
- Medical Education
- Graduate Medical Education
- Internal Medicine
Background:
- The Accreditation Council for Graduate Medical Education mandates an 80% pass rate for Internal Medicine residency programs.
- Performance on the American Board of Internal Medicine Certifying Examination is a key metric for program evaluation.
Purpose of the Study:
- To assess Internal Medicine residency program compliance with the 80% pass-rate standard.
- To investigate the correlation between residency program size and performance on the American Board of Internal Medicine Certifying Examination.
Main Methods:
- Cross-sectional study utilizing 2010-2012 American Board of Internal Medicine Certifying Examination data.
- Comparison of program pass rates against the Accreditation Council for Graduate Medical Education standard.
- Spearman's rho and receiver operative characteristic (ROC) curve analysis to evaluate program size and performance correlation.
Main Results:
- 74% of 372 Internal Medicine residency programs met the 80% pass-rate standard.
- A weak positive correlation (p=0.19) exists between program size and pass rate.
- Programs with <12 examinees/year were less likely to meet the standard (ROC AUC=0.69).
Conclusions:
- While most programs comply, a significant quarter do not meet the Accreditation Council for Graduate Medical Education pass-rate benchmark.
- Program size is weakly associated with examination performance, indicating other factors influence outcomes.
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