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Browsing by Author "Lai, Cindy J."
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Item Emerging from the Pandemic: AAIM Recommendations for Internal Medicine Residency and Fellowship Interview Standards(Elsevier, 2022) Luther, Vera P.; Wininger, David A.; Lai, Cindy J.; Dao, Anthony; Garcia, Maria M.; Harper, Whitney; Chow, Timothy M.; Correa, Ricardo; Gay, Lindsey J.; Fettig, Lyle; Dalal, Bhavin; Vassallo, Patricia; Barczi, Steven; Sweet, Michelle; Medicine, School of MedicinePerspectives Viewpoints: •New standards are needed moving forward to guide residency and fellowship interviews in response to Coalition for Physician Accountability recommendations and dramatic changes in the interview landscape over the past 2 years. •Processes should be based on principles of equity for applicants and programs while taking into consideration personal and public health and safety. •Ongoing evaluation of advantages and disadvantages of interview practices should continue with iterative adjustments in guidance based on available data.Item The Impact of Internal Medicine Clerkship Characteristics and NBME Subject Exams on USMLE Step 2 Clinical Knowledge Exam Performance(Springer, 2022) Fitz, Matthew; Adams, William; Heincelman, Marc; Haist, Steve; Whelan, Karina; Cox, LeeAnn; Cao, Uyen-Thi; Hingle, Susan; Raff, Amanda; Houghton, Bruce; Fitzpatrick, Janet; Nall, Ryan; Foster, Jennifer; Appelbaum, Jonathan; Grum, Cyril; Donovan, Anna; Kiken, Stuart; Abraham, Reeni; Hlafka, Marti; Miller, Chad; Bansal, Saurabh; Paauw, Douglas; Lai, Cindy J.; Pincavage, Amber; Agarwal, Gauri; Burns, Cynthia; Holzer, Horatio; Lappé, Katie; John, Viju; Barker, Blake; Mingioni, Nina; Rao, Deepti; Zakowski, Laura; Chakraborti, Chayan; Williams, Winter; Kelly, William; Medicine, School of MedicineBackground: Residency program directors will likely emphasize the United States Medical Licensing Exam (USMLE) Step 2 clinical knowledge (CK) exam more during residency application given the recent USMLE Step 1 transition to pass/fail scoring. We examined how internal medicine clerkship characteristics and NBME subject exam scores affect USMLE Step 2 CK performance. Design: The authors used univariable and multivariable generalized estimating equations to determine associations between Step 2 CK performance and internal medicine clerkship characteristics and NBME subject exams. The sample had 21,280 examinees’ first Step 2 CK scores for analysis. Results: On multivariable analysis, Step 1 performance (standardized β = 0.45, p < .001) and NBME medicine subject exam performance (standardized β = 0.40, p < .001) accounted for approximately 60% of the variance in Step 2 CK performance. Students who completed the internal medicine clerkship last in the academic year scored lower on Step 2 CK (Mdiff = −3.17 p < .001). Students who had a criterion score for passing the NBME medicine subject exam scored higher on Step 2 CK (Mdiff = 1.10, p = .03). There was no association between Step 2 CK performance and other internal medicine clerkship characteristics (all p > 0.05) nor with the total NBME subject exams completed (β=0.05, p = .78). Conclusion: Despite similarities between NBME subject exams and Step 2 CK, the authors did not identify improved Step 2 CK performance for students who had more NBME subject exams. The lack of association of Step 2 CK performance with many internal medicine clerkship characteristics and more NBME subject exams has implications for future clerkship structure and summative assessment. The improved Step 2 CK performance in students that completed their internal medicine clerkship earlier warrants further study given the anticipated increase in emphasis on Step 2 CK.