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Performance on the Nephrology In-Training Examination and ABIM Nephrology Certification Examination Outcomes.

Daniel Jurich1, Lauren M Duhigg2, Troy J Plumb3

  • 1Department of Professional Services, National Board of Medical Examiners, Philadelphia, Pennsylvania.

Clinical Journal of the American Society of Nephrology : CJASN
|March 2, 2018
PubMed
Summary

Performance on the American Society of Nephrology In-Training Examination strongly predicts success on the Nephrology Certification Examination. Higher In-Training Examination scores correlate with better board certification outcomes for nephrology fellows.

Keywords:
American Board of Internal MedicineBoard Certification ExaminationCertificationCohort StudiesConfidence IntervalsFeedbackFellowship ProgramsFellowships and ScholarshipsIn-Training ExaminationRegression AnalysisSchools, Medicalnephrology

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Area of Science:

  • Medical Education
  • Nephrology Fellowship Training
  • Board Certification Examinations

Background:

  • Medical subspecialty programs use in-training exams for fellow knowledge assessment.
  • These exams provide feedback for fellows preparing for board certification.

Purpose of the Study:

  • To evaluate the association between the American Society of Nephrology In-Training Examination and the American Board of Internal Medicine Nephrology Certification Examination.
  • To determine the predictive value of the In-Training Examination for certification scores and passing status.

Main Methods:

  • Analysis of data from 1684 nephrology fellows (2009-2014).
  • Regression analysis to assess the correlation between In-Training Examination scores and first-time Nephrology Certification Examination outcomes.
  • Examined association with scores and passing status.

Main Results:

  • In-Training Examination scores explained approximately 50% of the variance in Certification Examination scores.
  • Each SD increase in In-Training Examination scores correlated with a 30 U increase in certification scores.
  • In-Training Examination scores were significantly associated with first-time passing status (OR, 3.46).

Conclusions:

  • Performance on the American Society of Nephrology In-Training Examination is significantly linked to performance on the Nephrology Certification Examination.
  • The In-Training Examination is a valuable tool for predicting success in nephrology board certification.