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{
    "pk": 61779,
    "title": "USMLE Scores Do Not Predict the Clinical Performance of Emergency Medicine Residents",
    "subtitle": null,
    "abstract": "Background: \nScores on “high-stakes” multiple choice exams such as the United States Medical Licensing Examination® (USMLE) are important screening and applicant ranking criteria used by residencies.\nObjective: \nWe tested the hypothesis that USMLE scores do not predict overall clinical performance of emergency medicine (EM) residents.\nMethods: \nAll graduates from our University-based EM residency between the years 2008 and 2015 were included. Residents who had incomplete USMLE records were terminated, transferred out of the program, or did not graduate within this timeframe were excluded from the analysis. Clinical performance was defined as a gestalt of the residency program’s leadership and was classified into three sets: top, average, and lowest clinical performer. Dissimilarities of the initial blind rankings were adjudicated during a consensus conference.\nResults: \nDuring the eight years of the study period, there were a total of 115 graduating residents: 73 men (63%) and 42 women. Nearly all of them (109; 95%) had allopathic medical degrees; the remainder had osteopathic degrees. There was not a statistically significant correlation between our ranking of clinical performance and the Step 2 Clinical Knowledge score. There was a non-significant correlation between clinical performance and the Step 1 score.\nConclusion: \nNeither USMLE Step 1 nor Step 2 Clinical Knowledge were good predictors of the actual clinical performance of residents during their training. We feel that their scores are overemphasized in the resident selec­tion process.",
    "language": "en",
    "license": {
        "name": "Creative Commons Attribution 4.0",
        "short_name": "CC BY 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by/4.0"
    },
    "keywords": [
        {
            "word": "emergency medicine education, USMLE scores, resident clinical performance, emergency medicine training, residency recruitment, residency selection criteria"
        }
    ],
    "section": "Original Research",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/96w1f3vk",
    "frozenauthors": [
        {
            "first_name": "Karima",
            "middle_name": "",
            "last_name": "Sajadi-Ernazarova",
            "name_suffix": "",
            "institution": "Drexel University College of Medicine",
            "department": ""
        },
        {
            "first_name": "Edward",
            "middle_name": "A",
            "last_name": "Ramoska",
            "name_suffix": "",
            "institution": "Drexel University College of Medicine",
            "department": ""
        },
        {
            "first_name": "Mark",
            "middle_name": "A",
            "last_name": "Saks",
            "name_suffix": "",
            "institution": "Crozer-Chester Medical Center",
            "department": ""
        }
    ],
    "date_submitted": "2019-11-17T22:34:45Z",
    "date_accepted": "2019-11-17T22:34:45Z",
    "date_published": "2020-01-01T00:00:00Z",
    "render_galley": null,
    "galleys": [
        {
            "label": "",
            "type": "pdf",
            "path": "https://journalpub.escholarship.org/uciem_medjem/article/61779/galley/47665/download/"
        }
    ]
}