董事会考试通过率紧急医疗住院培训计划:与创立年,教学地位,长度和医院所有权相关的协会
Carlisle E W Topping1, Arjun K Venkatesh2,3, Craig Rothenberg2
1Yale School of Medicine New Haven CT USA.
AEM education and training
|March 9, 2026
概括
较新的紧急医疗 (EM) 住院计划和没有教学医院理事会 (COTH) 指定的项目显示较低的董事会认证合格率. 计划的附属性和创立年对EM居民在董事会考试中的成功产生重大影响.
科学领域:
- 医学教育 医学教育
- 住院培训 培训 住院培训
- 紧急医疗 紧急医疗
背景情况:
- 紧急医疗 (EM) 董事会认证通过率正在下降.
- 新的EM住院项目有所增加,许多与营利性医院关联或缺乏教学医院委员会 (COTH) 指定.
- 该研究考察了影响委员会考试成绩的因素.
研究的目的:
- 调查EM住院计划特征与董事会考试通过率之间的关系.
- 为了确定成立年,COTH地位,课程长度或医院所有权是否会影响董事会的表现.
- 确定与居民成功相关的机构因素.
主要方法:
- 对234个EM住院计划进行了观测横截面分析.
- 利用了美国紧急医疗委员会,研究生医学教育认证委员会和美国医院协会的数据.
- 通过线性回归,研究了程序特征 (创立年,COTH状态,程序长度,医院所有权) 与首次资格考试 (QE) 和口头认证考试 (OCE) 中位数 (2021-2023) 的中位数之间的关联.
主要成果:
- 最近成立的课程 (2015年以后) 的合格率明显较低 (QE: -11%,OCE: -2.6%).
- 与COTH医院关联的项目通过率更高 (QE: +6.1%,OCE: +1.6%).
- 与营利性相比,非营利性和政府关联的QE通过率不显著地高;与政府关联的OCE通过率显著高.
结论:
- 课程特点显著影响EM居民董事会考试结果.
- 最近成立的项目,那些缺乏COTH指标的项目,或与营利性医院关联的项目,可能对最佳培训的资源较少.
- 支持机构因素对于增强居民学习环境和成功至关重要.
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