在资格考试中表现下降:在紧急医疗中建模潜在的拐点
Suzanne R White1, Michael Gottlieb2,3, Felix K Ankel4
1Department of Emergency Medicine, Wayne State University, Detroit, Michigan, USA.
Journal of the American College of Emergency Physicians open
|February 23, 2026
概括
美国紧急医疗委员会 (ABEM) 资格考试 (QE) 的通过率显示了三个拐点,从2022年开始显著下降. 医生的特点,如医学学位和COVID时代培训,影响了这些趋势.
科学领域:
- 医学教育 医学教育
- 紧急医疗 紧急医疗
- 董事会认证考试 委员会认证考试
背景情况:
- 美国紧急医疗委员会 (ABEM) 资格考试 (QE) 是紧急医疗医生的关键评估.
- 量化宽松表现的长度趋势和影响合格率的因素尚未完全理解.
- 最近在2022年观察到的通过率下降值得调查.
研究的目的:
- 分析ABEM QE表现的长期趋势.
- 为了确定考试通过率的重大转折点.
- 为了确定与最近通过率下降相关的医生特征.
主要方法:
- 追溯观察性研究分析了从1980年到2024年的83,254次ABEM QE尝试.
- 分段回归和贝叶斯因子分析以确定变化点.
- 多级非线性零碎增长模型,以评估与2022年变化点附近的合格率相关的因素.
主要成果:
- 确定了三个重要的变化点:1988,2003年和2022年.
- 通过率在1988年和2003年增加,但在2022年后急剧下降 (斜率变化从-0.17到-0.67).
- 在COVID-19大流行期间接受培训的MD毕业生和医生表现下降较小.
结论:
- 自1980年以来,ABEM QE通过率经历了三个主要的拐点,从2022年开始显著下降.
- 医生特征,包括医学院学位类型和COVID时代培训,与这些绩效趋势有很大关系.
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