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  1. Correcting the bias of clerkship timing on academic performance.

    Article - En anglais

    Objectives 

    To document the time-of-year bias in National Board of Medical Examiners subject examination (NBME) scores in a third-year pediatrics clerkship and to develop a grading method that neutralizes the bias.

    Design 

    Interventional modeling of final grades.

    Setting 

    University-based medical school.

    Subjects and Methods 

    During each of the past 3 academic years, we conducted six 2-month pediatric clerkships for third-year students.

    To counter the time-of-year bias, NBME scores, clinical evaluations, and departmental examination scores for the current rotation were pooled with those from the rotations from the same time of year during the previous 2 years.

    Final grades for the current rotation were determined by cutoff points derived from that entire 3-year pool.

    We analyzed this approach by testing the time-of-year effects on NBME scores, clinical evaluations, and final grades while maintaining step 1 of the US Medical Licensing Examination as a preclinical baseline control.

    Results 

    The scores for step 1 of the US Medical Licensing Examination did not differ significantly by time of year.

    Clinical evaluations and NBME scores showed significant upward trends as the academic year progressed.

    By contrast, according to design, final grades showed no significant time-of-year trend.

    Conclusions 

    Our results support previous reports of significant improvements in NBME scores across the academic year. (...)

    Mots-clés Pascal : Evaluation performance, Etudiant, Médecine, Pédiatrie, Biais méthodologique, Résultat, Temps, Amélioration, Méthode, Etats Unis, Amérique du Nord, Amérique

    Mots-clés Pascal anglais : Performance evaluation, Student, Medicine, Pediatrics, Methodological bias, Result, Time, Improvement, Method, United States, North America, America

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 99-0044921

    Code Inist : 002B30A09. Création : 31/05/1999.