麻醉师居民人口统计和BASIC考试通过率
Huaping Sun1, Ann E Harman1, John D Mitchell2
1From the Assessment Services, The American Board of Anesthesiology, Raleigh, North Carolina.
Anesthesia and analgesia
|March 27, 2025
概括
女性和非白人麻醉医生在BASIC考试中第一次通过率较低. 然而,几乎所有的居民最终在三次尝试内通过了,这表明整个计划取得了成功.
科学领域:
- 麻醉学 麻醉学
- 医学教育 医学教育
- 健康 公平 卫生 公平
背景情况:
- 美国麻醉学会在2014年引入了BASIC检查.
- 进行了回顾性分析,以确定与首次通过率相关的因素.
研究的目的:
- 评估居民人口统计,课程特征和先前考试成绩与首次BASIC通过率之间的关联.
- 分析不同人口群体的首次和最终通过率.
主要方法:
- 包括麻醉学住院医生在2014年7月至2022年11月期间首次参加BASIC考试.
- 对人口分组的首次和最终通过率 (最多3次尝试) 的计算.
- 利用混合效应的后勤回归来基于人口统计和先前的临床基准年培训考试 (CBY ITE) 成绩来建模通过率.
主要成果:
- 对来自15789名居民的17286次试验的分析显示,第一次通过率存在差异.
- 与男性,非西班牙裔/拉丁裔和白人同行相比,女性,西班牙裔/拉丁裔和黑人/非洲裔美国居民的首次通过率较低.
- 虽然在控制CBY ITE分数后,BASIC考试的绩效差距减少了,但它们没有被消除.
结论:
- 在BASIC考试中,女性和非白人居民的第一次通过率较低.
- 所有的人口分组在三次尝试中都实现了超过99%的最终通过率.
- 需要进一步的研究,以了解这些差异的根本原因,并制定有针对性的改进策略.
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