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.
Interventional modeling of final grades.
University-based medical school.
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.
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.
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
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0044921
Code Inist : 002B30A09. Création : 31/05/1999.