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手术和非手术项目主任对第一步评分变化的看法和期望:系统性审查和元分析

Nitin Srinivasan¹, Jamil S Samaan², Agnes Premkumar³

¹Division of Upper GI and General Surgery, Keck School of Medicine of USC, Los Angeles, CA, USA.

The American surgeon

|February 2, 2024

概括

外科项目主任比非外科主任更多地不同意USMLE第一步的通过/失败变化. 两组预计申请人评估难度增加,并更重视第二步的分数.

科学领域:

医学教育研究医学教育研究
研究生医学教育研究生医学教育
医生培训医生培训医生培训

背景情况:

美国医疗执照考试 (USMLE) 第一阶段过渡到通过/失败评分系统.
这一变化对医学院毕业生居住计划主任 (PD) 的评估产生了重大影响.
手术和非手术专业之间的PD感知差异仍然没有被研究.

研究的目的:

系统地审查和评估有关USMLE第一步得分变化的PD观点的研究.
为了比较手术和非手术PDs之间关于通过/失败变化的影响的看法.
分析居住申请审查过程中预期的变化.

主要方法:

系统性审查于2023年5月进行,搜索了PubMed,Scopus,科学网和PSYCInfo.
包括研究研究PD的观点在USMLE第一步的得分变化.
进行随机效应元分析,以比较手术和非手术PD组.

主要成果:

手术PD报告了与非手术PD相比 (76.8%) 与第一步得分变化 (76.8%) 的不同意显著更高 (65.1%).
手术PD更频繁地同意,变化增加了申请人的比较难度 (88.1%),而非手术PD (81.0%).
两组都预计将更多地强调第二步,并注意到异质性,特别是在外科 PD 之间.

结论:

关于USMLE第一步的通过/失败变化存在重大分歧,外科PD表示更大的反对.
开发人员预计客观评估申请者将面临挑战,并预计将更多地关注第二步的成绩.
文献中的异质性凸显了需要基于证据的指导方针,以优化居留申请过程.

关键词:

美国医疗执照考试第一步美国医疗执照考试第二步失败失败失败失败失败失败失败失败失败失败失败失败通过通过通过积分变化积分变化

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