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In-service training examination performance as a predictor of performance on the pulmonary and critical care board certification examinations.


Kempainen RR. — University of Minnesota School of Medicine

Hess BJ. — Hess Consulting

Addrizzo-Harris DJ. — New York University School of Medicine

Schaad DC, Scott CS. —University of Washington

Carlin B. — Drexel University

Lipner RS. — American Board of Internal Medicine

Presented: Association of Test Publishers, March 2015

Backround: Most trainees in United States combined Pulmonary and Critical Care fellowship programs complete an in-training examination (ITE) offered by the Association of Pulmonary and Critical Care Medicine Program Directors to prepare for subsequent American Board of Internal Medicine (ABIM) subspecialty board certification examinations (SBCE). Whether performance on the ITE predicts performance on ABIM certification examinations is unknown. .

Purpose: To determine extent ITE scores predict performance on SBCE compared to other potential predictors of SBCE performance including trainee demographics, clinical experiences during fellowship, and prior assessments of medical knowledge.

Methods: First and Second year fellows enrolled in the study immediately prior to taking the ITE from 2008 through 2012, with 82.4% of fellows enrolling. Fellows completed a questionnaire encompassing demographics and characteristics of their fellowship training. These data, along with scores on the ITE, were matched to fellows’ subsequent scores on ABIM Pulmonary Disease and Critical Care Medicine SBCEs and previous ABIM Internal Medicine Certification Examination scores. ITE scores were equated to allow for comparison across years, using 2008 as the reference year. Multiple linear regression and logistic regression were used to identify independent predictors of SBCE scores, and of passing SBCEs, respectively.

Results: ITE score independently predicts scores on, and passing of, subsequent ABIM Pulmonary Disease and Critical Care Medicine Certification Examinations.

For more information about this presentation, please contact Research@abim.org.