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The Association Between Performance on the Emergency Medical Services In-Training Exam and Passing the Emergency
Brian M Clemency1, Susan J Burnett1, Johanna C Innes1
1Department of Emergency Medicine, Jacobs School of Medicine and Biomedical Sciences University at Buffalo Buffalo New York USA.
AEM Education and Training
|September 2, 2025
Summary
Performance on the Emergency Medical Services In-Training Exam (EMSITE) correlates with success on the Emergency Medical Services Certifying Exam (EMSCE). Higher EMSITE scores predict a greater likelihood of passing the EMSCE.
Area of Science:
- Emergency Medicine
- Medical Education
- Physician Training
Background:
- Prior studies show in-training exam performance predicts certifying exam success in various specialties.
- The relationship between the Emergency Medical Services In-Training Exam (EMSITE) and the Emergency Medical Services Certifying Exam (EMSCE) success is unknown.
- EMSITE reports offer percentile rankings but not a criterion score for EMSCE success prediction.
Purpose of the Study:
- To determine if a statistically significant association exists between Emergency Medical Services In-Training Exam (EMSITE) scores and success on the Emergency Medical Services Certifying Exam (EMSCE).
Main Methods:
- Retrospective data review linking EMSITE and EMSCE records from 2020-2021.
- Compared 2020-2021 EMSITE performance (overall and by content area) with 2021 EMSCE pass/fail results.
- Used univariate logistic regression to calculate odds ratios (OR) and 95% confidence intervals (CI).
Main Results:
- An association was found between overall EMSITE score and passing the EMSCE (OR 1.17, 95% CI: 1.05-1.30).
- Significant associations were observed in Medical Oversight of EMS (OR 1.14, 95% CI 1.05-1.23) and Quality Management and Research (OR 1.06, 95% CI 1.01-1.10).
- No significant association was found for Clinical Aspects of EMS Medicine or Special Operations content areas.
Conclusions:
- Performance on the EMSITE is associated with success on the EMSCE.
- The EMSITE can serve as a predictor of performance on the certifying examination.
- This finding supports the utility of the EMSITE in assessing readiness for board certification in Emergency Medical Services.
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