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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.
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.
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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