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Abstract
Discussion Forum (0)
Introduction: Multiple tools including American Council for Graduate Medical Education (ACGME) Milestones and Counsel on Resident Education in Obstetrics and Gynecology in-service exams (CREOG) are used to assess resident performance yet little is known regarding the validation of these tools in predicting American Board of OB/GYN (ABOG) written board passage.

Methods: This retrospective study examined graduates of the Wayne State University OB/GYN residency program who attempted the ABOG written exam over the five-year period ending July 2018. Individual milestone and CREOG scores were collected for n=45 residents, with IRB approval. Statistical analysis was performed with SPSS with significance set at p < 0.05.

Results: Board passage was associated with the average CREOG score over the four years (p=0.01) and milestones (p=0.008). Board failure was most strongly correlated with: USMLE1 < 217 (PPV=96%), CREOGs < 197 (PPV=100%) and milestones < 3.25 (PPV=100%). Of these milestones, practice-based learning and systems-based practice were the most predictive of failure. Regression analysis using a combination of these two milestones correctly predicted board passage with a PPV=86%.

Conclusion/Implications: This is the first study to our knowledge that validates milestones and incorporates a predictive model for written board passage. Residents at risk of board failure can be identified early and offered appropriate intervention.

Introduction: Multiple tools including American Council for Graduate Medical Education (ACGME) Milestones and Counsel on Resident Education in Obstetrics and Gynecology in-service exams (CREOG) are used to assess resident performance yet little is known regarding the validation of these tools in predicting American Board of OB/GYN (ABOG) written board passage.

Methods: This retrospective study examined graduates of the Wayne State University OB/GYN residency program who attempted the ABOG written exam over the five-year period ending July 2018. Individual milestone and CREOG scores were collected for n=45 residents, with IRB approval. Statistical analysis was performed with SPSS with significance set at p < 0.05.

Results: Board passage was associated with the average CREOG score over the four years (p=0.01) and milestones (p=0.008). Board failure was most strongly correlated with: USMLE1 < 217 (PPV=96%), CREOGs < 197 (PPV=100%) and milestones < 3.25 (PPV=100%). Of these milestones, practice-based learning and systems-based practice were the most predictive of failure. Regression analysis using a combination of these two milestones correctly predicted board passage with a PPV=86%.

Conclusion/Implications: This is the first study to our knowledge that validates milestones and incorporates a predictive model for written board passage. Residents at risk of board failure can be identified early and offered appropriate intervention.

CREOG Scores and ACGME Milestones May Help Identify Residents at Risk of Failing the ABOG Qualifying Examination
Jasmeen Visla
Jasmeen Visla
ACOG ePoster. Visla J. 04/03/2021; 318788; 2254
user
Jasmeen Visla
Abstract
Discussion Forum (0)
Introduction: Multiple tools including American Council for Graduate Medical Education (ACGME) Milestones and Counsel on Resident Education in Obstetrics and Gynecology in-service exams (CREOG) are used to assess resident performance yet little is known regarding the validation of these tools in predicting American Board of OB/GYN (ABOG) written board passage.

Methods: This retrospective study examined graduates of the Wayne State University OB/GYN residency program who attempted the ABOG written exam over the five-year period ending July 2018. Individual milestone and CREOG scores were collected for n=45 residents, with IRB approval. Statistical analysis was performed with SPSS with significance set at p < 0.05.

Results: Board passage was associated with the average CREOG score over the four years (p=0.01) and milestones (p=0.008). Board failure was most strongly correlated with: USMLE1 < 217 (PPV=96%), CREOGs < 197 (PPV=100%) and milestones < 3.25 (PPV=100%). Of these milestones, practice-based learning and systems-based practice were the most predictive of failure. Regression analysis using a combination of these two milestones correctly predicted board passage with a PPV=86%.

Conclusion/Implications: This is the first study to our knowledge that validates milestones and incorporates a predictive model for written board passage. Residents at risk of board failure can be identified early and offered appropriate intervention.

Introduction: Multiple tools including American Council for Graduate Medical Education (ACGME) Milestones and Counsel on Resident Education in Obstetrics and Gynecology in-service exams (CREOG) are used to assess resident performance yet little is known regarding the validation of these tools in predicting American Board of OB/GYN (ABOG) written board passage.

Methods: This retrospective study examined graduates of the Wayne State University OB/GYN residency program who attempted the ABOG written exam over the five-year period ending July 2018. Individual milestone and CREOG scores were collected for n=45 residents, with IRB approval. Statistical analysis was performed with SPSS with significance set at p < 0.05.

Results: Board passage was associated with the average CREOG score over the four years (p=0.01) and milestones (p=0.008). Board failure was most strongly correlated with: USMLE1 < 217 (PPV=96%), CREOGs < 197 (PPV=100%) and milestones < 3.25 (PPV=100%). Of these milestones, practice-based learning and systems-based practice were the most predictive of failure. Regression analysis using a combination of these two milestones correctly predicted board passage with a PPV=86%.

Conclusion/Implications: This is the first study to our knowledge that validates milestones and incorporates a predictive model for written board passage. Residents at risk of board failure can be identified early and offered appropriate intervention.

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