The Impact of Internal Medicine Clerkship Characteristics and NBME Subject Exams on USMLE Step 2 Clinical Knowledge Exam Performance
dc.contributor.author | Fitz, Matthew | |
dc.contributor.author | Adams, William | |
dc.contributor.author | Heincelman, Marc | |
dc.contributor.author | Haist, Steve | |
dc.contributor.author | Whelan, Karina | |
dc.contributor.author | Cox, LeeAnn | |
dc.contributor.author | Cao, Uyen-Thi | |
dc.contributor.author | Hingle, Susan | |
dc.contributor.author | Raff, Amanda | |
dc.contributor.author | Houghton, Bruce | |
dc.contributor.author | Fitzpatrick, Janet | |
dc.contributor.author | Nall, Ryan | |
dc.contributor.author | Foster, Jennifer | |
dc.contributor.author | Appelbaum, Jonathan | |
dc.contributor.author | Grum, Cyril | |
dc.contributor.author | Donovan, Anna | |
dc.contributor.author | Kiken, Stuart | |
dc.contributor.author | Abraham, Reeni | |
dc.contributor.author | Hlafka, Marti | |
dc.contributor.author | Miller, Chad | |
dc.contributor.author | Bansal, Saurabh | |
dc.contributor.author | Paauw, Douglas | |
dc.contributor.author | Lai, Cindy J. | |
dc.contributor.author | Pincavage, Amber | |
dc.contributor.author | Agarwal, Gauri | |
dc.contributor.author | Burns, Cynthia | |
dc.contributor.author | Holzer, Horatio | |
dc.contributor.author | Lappé, Katie | |
dc.contributor.author | John, Viju | |
dc.contributor.author | Barker, Blake | |
dc.contributor.author | Mingioni, Nina | |
dc.contributor.author | Rao, Deepti | |
dc.contributor.author | Zakowski, Laura | |
dc.contributor.author | Chakraborti, Chayan | |
dc.contributor.author | Williams, Winter | |
dc.contributor.author | Kelly, William | |
dc.contributor.department | Medicine, School of Medicine | |
dc.date.accessioned | 2024-06-10T15:47:37Z | |
dc.date.available | 2024-06-10T15:47:37Z | |
dc.date.issued | 2022 | |
dc.description.abstract | Background: 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. | |
dc.eprint.version | Final published version | |
dc.identifier.citation | Fitz M, Adams W, Heincelman M, et al. The Impact of Internal Medicine Clerkship Characteristics and NBME Subject Exams on USMLE Step 2 Clinical Knowledge Exam Performance. J Gen Intern Med. 2022;37(9):2208-2216. doi:10.1007/s11606-022-07520-6 | |
dc.identifier.uri | https://hdl.handle.net/1805/41341 | |
dc.language.iso | en_US | |
dc.publisher | Springer | |
dc.relation.isversionof | 10.1007/s11606-022-07520-6 | |
dc.relation.journal | Journal of General Internal Medicine | |
dc.rights | Publisher Policy | |
dc.source | PMC | |
dc.subject | United States Medical Licensing Exam (USMLE) | |
dc.subject | clinical knowledge (CK) exam | |
dc.subject | residency application | |
dc.subject | Step 2 CK performance | |
dc.title | The Impact of Internal Medicine Clerkship Characteristics and NBME Subject Exams on USMLE Step 2 Clinical Knowledge Exam Performance | |
dc.type | Article | |
ul.alternative.fulltext | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9296728/ |