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When to take the primary certification examination: sooner or later?
Gary W Procop1, Tyler J Sandersfeld1, Mario Levesque1
1American Board of Pathology, Tampa, FL, USA.
Academic Pathology
|April 1, 2024
Summary
Pathology residents have higher pass rates on certification exams when taken in the Spring compared to the Fall. Delaying Anatomic Pathology and Clinical Pathology exams past residency graduation increases failure rates.
Area of Science:
- Medical Education
- Pathology Certification
Background:
- Pathology residents typically take certification exams in Spring or Fall.
- Exam timing can impact initial certification success.
Purpose of the Study:
- Compare pass rates for Spring vs. Fall exam administrations.
- Analyze the impact of delaying exams beyond residency graduation.
- Identify reasons for choosing specific exam timings.
Main Methods:
- Retrospective analysis of certification exam pass rates.
- Comparison of same-year graduates vs. delayed exam takers.
- Survey of residents regarding exam timing choices.
Main Results:
- Higher pass rates observed for Spring administration compared to Fall (p=0.0026 AP; p=0.0004 CP).
- Delaying exams beyond graduation year significantly increased failure rates (p<0.0001).
- Residents cited fellowship, training completion, and program expectations as reasons for timing.
Conclusions:
- Taking certification exams closer to residency completion improves pass rates.
- Pathology program directors should encourage timely exam administration for eligible residents.
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