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September 7, 1994, Vol 272, No. 9 >
ARTICLE | September 7, 1994

Examining the Examinations for Licensure and Certification in Medicine FREE

John J. Norcini, PhD
[+] Author Affiliations

This Editorial does not necessarily reflect the views or opinions of the American Board of Internal Medicine.

Reprint requests to American Board of Internal Medicine, 3624 Market St, Philadelphia, PA 19104 (Dr Norcini).


JAMA. 1994;272(9):713-714. doi:10.1001/jama.1994.03520090077023
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References

In this issue of The Journal, Dawson and colleagues1 report results of a study of the performance of men and women of various racial and ethnic backgrounds on the National Board of Medical Examiners (NBME) Part I examination. Differences among all groups were largely explained by education and performance before medical school. However, these factors did not account fully for the NBME Part I performance of women and Asian/Pacific Islander men. If confirmed by further research, the findings imply that the examination either unintentionally assessed aspects of performance unrelated to biomedical science or women and Asian/Pacific Islander men were deficient in the content tested.

See also p 674.

Dawson et al are appropriately cautious in interpreting their results. Despite attempts to control for differences in standardized test performance by using scores on the Medical College Admission Test as well as undergraduate major, science and nonscience hours, grade point averages,

REFERENCES

1 +
Dawson B, Iwamoto CK, Ross LP, Nungester RJ, Swanson DB, Volle RL.  Performance on the National Board of Medical Examiners Part I examination by men and women of different race and ethnicity. JAMA . 1994;;272:674-679.
2 +
Weinberg E, Rooney JF.  The academic performance of women students in medical school. J Med Educ . 1973;;48:240-247.
3 +
Case SM, Becker DF, Swanson DB.  Performance of men and women on NBME Part I and Part II: the more things change.... Acad Med . 1993;;68( (suppl) ):S25-S27.
4 +
Norcini JJ, Fletcher SW, Quimby BB, Shea JA.  Performance of women candidates on the American Board of Internal Medicine certifying examination, 1973-1982. Ann Intern Med . 1985;;102:115-118.
5 +
Case SM, Swanson DB.  Validity of NBME Part I and Part II scores for selection of residents in orthopaedic surgery, dermatology, and preventive medicine. Acad Med . 1993;;68( (suppl) ):S51-S56.
6 +
Norcini JJ, Swanson DB, Grosso LJ, Shea JA, Webster GD.  A comparison of knowledge, synthesis, and clinical judgment multiple choice questions in the assessment of physician competence. Eval Health Prof . 1984;;7:485-499.
7 +
Norcini JJ, Day SC, Popp RL, et al.  The relevance to clinical practice of the certifying examination in internal medicine. J Gen Intern Med . 1993;;8:82-85.
8 +
Swanson DB, Case SM, Kelley PR, et al.  Phase-in of the NBME Comprehensive Part I examination. Acad Med . 1991;;66:443-444.
9 +
van der Vleuten CPM, Swanson DB.  Assessment of clinical skills with standardized patients: state of the art. Teach Learn Med . 1990;;2:58-76.
10 +
Ramsey PG, Carline JD, Inui TS, Larson EB, LoGerfo JP, Wenrich MD.  Predictive validity of certification by the American Board of Internal Medicine. Ann Intern Med . 1989;;110:719-726.
11 +
Steel K, Norcini JJ, Brummel-Smith K, Erwin D, Markson L.  The first certifying examination in geriatric medicine. J Am Geriatr Soc . 1989;;37:1188-1191.
12 +
Norcini JJ, Lipner RS, Benson JA Jr, Webster GD.  An analysis of the knowledge base of practicing internists as measured by the 1980 recertification examination. Ann Intern Med . 1985;;102:385-389.
13 +
Volle RL.  Using National Board of Medical Examiners scores in selection of residents. JAMA . 1988;;259:266.

Figures

Tables

Interactive Graphics

Video

Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal

1 +
Dawson B, Iwamoto CK, Ross LP, Nungester RJ, Swanson DB, Volle RL.  Performance on the National Board of Medical Examiners Part I examination by men and women of different race and ethnicity. JAMA . 1994;;272:674-679.
2 +
Weinberg E, Rooney JF.  The academic performance of women students in medical school. J Med Educ . 1973;;48:240-247.
3 +
Case SM, Becker DF, Swanson DB.  Performance of men and women on NBME Part I and Part II: the more things change.... Acad Med . 1993;;68( (suppl) ):S25-S27.
4 +
Norcini JJ, Fletcher SW, Quimby BB, Shea JA.  Performance of women candidates on the American Board of Internal Medicine certifying examination, 1973-1982. Ann Intern Med . 1985;;102:115-118.
5 +
Case SM, Swanson DB.  Validity of NBME Part I and Part II scores for selection of residents in orthopaedic surgery, dermatology, and preventive medicine. Acad Med . 1993;;68( (suppl) ):S51-S56.
6 +
Norcini JJ, Swanson DB, Grosso LJ, Shea JA, Webster GD.  A comparison of knowledge, synthesis, and clinical judgment multiple choice questions in the assessment of physician competence. Eval Health Prof . 1984;;7:485-499.
7 +
Norcini JJ, Day SC, Popp RL, et al.  The relevance to clinical practice of the certifying examination in internal medicine. J Gen Intern Med . 1993;;8:82-85.
8 +
Swanson DB, Case SM, Kelley PR, et al.  Phase-in of the NBME Comprehensive Part I examination. Acad Med . 1991;;66:443-444.
9 +
van der Vleuten CPM, Swanson DB.  Assessment of clinical skills with standardized patients: state of the art. Teach Learn Med . 1990;;2:58-76.
10 +
Ramsey PG, Carline JD, Inui TS, Larson EB, LoGerfo JP, Wenrich MD.  Predictive validity of certification by the American Board of Internal Medicine. Ann Intern Med . 1989;;110:719-726.
11 +
Steel K, Norcini JJ, Brummel-Smith K, Erwin D, Markson L.  The first certifying examination in geriatric medicine. J Am Geriatr Soc . 1989;;37:1188-1191.
12 +
Norcini JJ, Lipner RS, Benson JA Jr, Webster GD.  An analysis of the knowledge base of practicing internists as measured by the 1980 recertification examination. Ann Intern Med . 1985;;102:385-389.
13 +
Volle RL.  Using National Board of Medical Examiners scores in selection of residents. JAMA . 1988;;259:266.

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