| Does US Medical Licensing Examination Step l score really matter in surgical residency match outcomes (and should it)? | |
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MedLine Citation:
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PMID: 18308226 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: The relationship between US Medical Licensing Examination Step 1 scores and core surgical-specialty match outcomes has not been well defined. STUDY DESIGN: With IRB approval, we measured associations between aggregate Step 1 scores and other specialty-specific, match-process variables for 3 surgical-specialty matches. Chi-square tests measured differences between proportions of US students and independent applicants (ie, all non-US allopathic student applicants) who matched. Independent samples t-tests compared differences in Step 1 scores between matched- and unmatched-applicant groups. Pearson correlations measured the magnitude and direction of associations between matched-applicants' Step 1 scores and other variables of interest and between Step 1 scores for all match participants and percentage of positions filled by US students (two-tailed p values). RESULTS: Step 1 scores were lower for unmatched- than matched-applicant groups for each specialty examined (each p < 0.0001). Matched-applicant groups' Step 1 scores positively correlated with each unmatched-applicant groups' Step 1 scores (r =.82, p < 0.0001), Step 1 gap between matched- and unmatched-applicant groups' scores (r = .40, p = 0.035), percentage of positions filled by US students (r = .62, p < 0.0001), and mean number of applications filed/applicant (r = .50, p < 0.0001). Step 1 scores for all match participants correlated with percentage of positions filled by US students (r = .61, p = 0.0006). CONCLUSIONS: Step 1 scores were closely related to match process outcomes and match participation itself, with increasing Step 1 scores among both matched- and unmatched-applicant groups as specialty selectivity increased. |
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Authors:
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Dorothy A Andriole; Yan Yan; Donna B Jeffe |
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Publication Detail:
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Type: Journal Article Date: 2007-11-26 |
Journal Detail:
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Title: Journal of the American College of Surgeons Volume: 206 ISSN: 1879-1190 ISO Abbreviation: J. Am. Coll. Surg. Publication Date: 2008 Mar |
Date Detail:
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Created Date: 2008-02-29 Completed Date: 2008-03-27 Revised Date: 2009-05-21 |
Medline Journal Info:
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Nlm Unique ID: 9431305 Medline TA: J Am Coll Surg Country: United States |
Other Details:
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Languages: eng Pagination: 533-9 Citation Subset: AIM; IM |
Affiliation:
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Department of Surgery, Washington University School of Medicine, St Louis, MO 63110, USA. andrioled@wustl.edu |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Career Choice Case-Control Studies Humans Internship and Residency / organization & administration* Licensure, Medical* Predictive Value of Tests School Admission Criteria* Specialties, Surgical / education* United States |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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