在USMLE和NBME考试作者的专业代表性不平衡
Mary T Mahoney1, Lauren C Linkowski2, Michael D Mix3
1Department of Radiation Oncology, Fox Chase Cancer Center, 333 Cottman Avenue, Philadelphia, PA, USA. marymahoneymd02@gmail.com.
BMC medical education
|September 9, 2024
概括
在美国医学执照考试 (USMLE) 和国家医学检查委员会 (NBME) 的考试写作委员会中,医生专业的代表性与美国整体医生人口有很大的不同. 这种不平衡可能会影响医疗执照考试的公平性.
科学领域:
- 医学教育 医学教育
- 医生执照考试 医生执照考试 医生执照考试
- 医疗卫生工作人员分析
背景情况:
- 美国医学执照考试 (USMLE) 对于美国的全方位医生执照至关重要.
- 国家医学检查员委员会 (NBME) 开发和维护USMLE内容.
- USMLE和NBME考试作者的专业组成没有得到充分的记录.
研究的目的:
- 分析USMLE和NBME考试作者的专业组成.
- 为了比较测试写作者的专业分布与美国活跃的医生人口.
- 识别医疗执照考试内容开发中的代表性潜在的不平衡.
主要方法:
- 审查了2021年USMLE和NBME委员会文件,以确定考试作者及其主要专业.
- 从2020年美国医学院协会 (AAMC) 报告中收集了美国活跃医生的专业数据.
- 使用描述性统计和千平方分析来比较专业分布.
主要成果:
- 在USMLE/NBME测试作者的专业组成和美国活跃医生群体之间观察到显著的差异 (p < .001).
- 只有19个专业在USMLE考试作者的代表,内部医学被过度代表 (30%).
- 在NBME测试撰写者中,有两个专业代表,在USMLE中分娩和妇科医生有比例代表,但不是NBME.
结论:
- 与更广泛的医生劳动力相比,USMLE和NBME考试作者的专业代表存在显著的不平衡.
- 这些差异引发了人们对国家医疗执照考试中可能存在偏见或不准确内容的担忧.
- 建议进行进一步的研究,以探索这些发现的含义,并确保公平的审查内容.
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