Predictors for failing the American board of radiology core examination

Gary Lloyd Horn, Stephen Herrmann, Irfan Masood, Clark R. Andersen, Quan Dang Nguyen

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

OBJECTIVE: Since the American Board of Radiology (ABR) instituted its new board certification pathway, our residency program has had more residents fail the core examination than was typical with the prior pathway. We performed a single-center retrospective study to evaluate predictors of ABR core examination failure. MATERIALS AND METHODS: Data regarding U.S. Medical Licensing Examination (USMLE) steps 1 and 2, ACR diagnostic radiology in-training examinations, the number of image interpretations, academic degree (doctor of medicine or doctor of osteopathy), status as an American or foreign medical graduate, and Alpha Omega Alpha national medical honor society status were gathered and evaluated through logistic regression and generalized additive logistic regression. Data were gathered for all residents who took the ABR core examination from 2013 to 2017. RESULTS: Six of 30 residents (20%) failed the ABR core examination on the first attempt. The ACR in-training examination scores for 1st- and 3rd-year residents were significantly related to ABR core examination failure (p = 0.027 and p = 0.035, respectively), with significant nonlinearity (p = 0.037 and p = 0.033, respectively). The suggested baseline percentile score was the 30th percentile for 1st-year residents and the 20th percentile for 3rd-year residents. USMLE step 1 and 2 scores were significantly related to ABR core examination failure (p = 0.041 and p = 0.043, respectively), without significant nonlinearity (p = 0.35 and p = 0.09, respectively). However, residents with scores of less than 220 on USMLE steps 1 and 2 seemed to be at risk. CONCLUSION: Low scores on USMLE steps 1 and 2 and 1st- and 3rd-year ACR in-training examinations were associated with ABR core examination failure. If validated more broadly, these cutoffs may serve as predictors of ABR core examination failure and may facilitate identification and remediation of at-risk residents.

Original languageEnglish (US)
Pages (from-to)485-489
Number of pages5
JournalAmerican Journal of Roentgenology
Volume213
Issue number3
DOIs
StatePublished - Jan 1 2019

Fingerprint

Radiology
Licensure
Foreign Medical Graduates
Osteopathic Physicians
Logistic Models
Medical Societies
Certification
Internship and Residency
Retrospective Studies
Medicine

Keywords

  • American Board of Radiology core examination
  • In-training examination
  • Resident education
  • U.S. Medical Licensing Examination

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

Cite this

Predictors for failing the American board of radiology core examination. / Horn, Gary Lloyd; Herrmann, Stephen; Masood, Irfan; Andersen, Clark R.; Nguyen, Quan Dang.

In: American Journal of Roentgenology, Vol. 213, No. 3, 01.01.2019, p. 485-489.

Research output: Contribution to journalArticle

Horn, Gary Lloyd ; Herrmann, Stephen ; Masood, Irfan ; Andersen, Clark R. ; Nguyen, Quan Dang. / Predictors for failing the American board of radiology core examination. In: American Journal of Roentgenology. 2019 ; Vol. 213, No. 3. pp. 485-489.
@article{76f850bf612d43fcb35dfce81deb4762,
title = "Predictors for failing the American board of radiology core examination",
abstract = "OBJECTIVE: Since the American Board of Radiology (ABR) instituted its new board certification pathway, our residency program has had more residents fail the core examination than was typical with the prior pathway. We performed a single-center retrospective study to evaluate predictors of ABR core examination failure. MATERIALS AND METHODS: Data regarding U.S. Medical Licensing Examination (USMLE) steps 1 and 2, ACR diagnostic radiology in-training examinations, the number of image interpretations, academic degree (doctor of medicine or doctor of osteopathy), status as an American or foreign medical graduate, and Alpha Omega Alpha national medical honor society status were gathered and evaluated through logistic regression and generalized additive logistic regression. Data were gathered for all residents who took the ABR core examination from 2013 to 2017. RESULTS: Six of 30 residents (20{\%}) failed the ABR core examination on the first attempt. The ACR in-training examination scores for 1st- and 3rd-year residents were significantly related to ABR core examination failure (p = 0.027 and p = 0.035, respectively), with significant nonlinearity (p = 0.037 and p = 0.033, respectively). The suggested baseline percentile score was the 30th percentile for 1st-year residents and the 20th percentile for 3rd-year residents. USMLE step 1 and 2 scores were significantly related to ABR core examination failure (p = 0.041 and p = 0.043, respectively), without significant nonlinearity (p = 0.35 and p = 0.09, respectively). However, residents with scores of less than 220 on USMLE steps 1 and 2 seemed to be at risk. CONCLUSION: Low scores on USMLE steps 1 and 2 and 1st- and 3rd-year ACR in-training examinations were associated with ABR core examination failure. If validated more broadly, these cutoffs may serve as predictors of ABR core examination failure and may facilitate identification and remediation of at-risk residents.",
keywords = "American Board of Radiology core examination, In-training examination, Resident education, U.S. Medical Licensing Examination",
author = "Horn, {Gary Lloyd} and Stephen Herrmann and Irfan Masood and Andersen, {Clark R.} and Nguyen, {Quan Dang}",
year = "2019",
month = "1",
day = "1",
doi = "10.2214/AJR.18.21007",
language = "English (US)",
volume = "213",
pages = "485--489",
journal = "American Journal of Roentgenology",
issn = "0361-803X",
publisher = "American Roentgen Ray Society",
number = "3",

}

TY - JOUR

T1 - Predictors for failing the American board of radiology core examination

AU - Horn, Gary Lloyd

AU - Herrmann, Stephen

AU - Masood, Irfan

AU - Andersen, Clark R.

AU - Nguyen, Quan Dang

PY - 2019/1/1

Y1 - 2019/1/1

N2 - OBJECTIVE: Since the American Board of Radiology (ABR) instituted its new board certification pathway, our residency program has had more residents fail the core examination than was typical with the prior pathway. We performed a single-center retrospective study to evaluate predictors of ABR core examination failure. MATERIALS AND METHODS: Data regarding U.S. Medical Licensing Examination (USMLE) steps 1 and 2, ACR diagnostic radiology in-training examinations, the number of image interpretations, academic degree (doctor of medicine or doctor of osteopathy), status as an American or foreign medical graduate, and Alpha Omega Alpha national medical honor society status were gathered and evaluated through logistic regression and generalized additive logistic regression. Data were gathered for all residents who took the ABR core examination from 2013 to 2017. RESULTS: Six of 30 residents (20%) failed the ABR core examination on the first attempt. The ACR in-training examination scores for 1st- and 3rd-year residents were significantly related to ABR core examination failure (p = 0.027 and p = 0.035, respectively), with significant nonlinearity (p = 0.037 and p = 0.033, respectively). The suggested baseline percentile score was the 30th percentile for 1st-year residents and the 20th percentile for 3rd-year residents. USMLE step 1 and 2 scores were significantly related to ABR core examination failure (p = 0.041 and p = 0.043, respectively), without significant nonlinearity (p = 0.35 and p = 0.09, respectively). However, residents with scores of less than 220 on USMLE steps 1 and 2 seemed to be at risk. CONCLUSION: Low scores on USMLE steps 1 and 2 and 1st- and 3rd-year ACR in-training examinations were associated with ABR core examination failure. If validated more broadly, these cutoffs may serve as predictors of ABR core examination failure and may facilitate identification and remediation of at-risk residents.

AB - OBJECTIVE: Since the American Board of Radiology (ABR) instituted its new board certification pathway, our residency program has had more residents fail the core examination than was typical with the prior pathway. We performed a single-center retrospective study to evaluate predictors of ABR core examination failure. MATERIALS AND METHODS: Data regarding U.S. Medical Licensing Examination (USMLE) steps 1 and 2, ACR diagnostic radiology in-training examinations, the number of image interpretations, academic degree (doctor of medicine or doctor of osteopathy), status as an American or foreign medical graduate, and Alpha Omega Alpha national medical honor society status were gathered and evaluated through logistic regression and generalized additive logistic regression. Data were gathered for all residents who took the ABR core examination from 2013 to 2017. RESULTS: Six of 30 residents (20%) failed the ABR core examination on the first attempt. The ACR in-training examination scores for 1st- and 3rd-year residents were significantly related to ABR core examination failure (p = 0.027 and p = 0.035, respectively), with significant nonlinearity (p = 0.037 and p = 0.033, respectively). The suggested baseline percentile score was the 30th percentile for 1st-year residents and the 20th percentile for 3rd-year residents. USMLE step 1 and 2 scores were significantly related to ABR core examination failure (p = 0.041 and p = 0.043, respectively), without significant nonlinearity (p = 0.35 and p = 0.09, respectively). However, residents with scores of less than 220 on USMLE steps 1 and 2 seemed to be at risk. CONCLUSION: Low scores on USMLE steps 1 and 2 and 1st- and 3rd-year ACR in-training examinations were associated with ABR core examination failure. If validated more broadly, these cutoffs may serve as predictors of ABR core examination failure and may facilitate identification and remediation of at-risk residents.

KW - American Board of Radiology core examination

KW - In-training examination

KW - Resident education

KW - U.S. Medical Licensing Examination

UR - http://www.scopus.com/inward/record.url?scp=85071551473&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85071551473&partnerID=8YFLogxK

U2 - 10.2214/AJR.18.21007

DO - 10.2214/AJR.18.21007

M3 - Article

C2 - 31166759

AN - SCOPUS:85071551473

VL - 213

SP - 485

EP - 489

JO - American Journal of Roentgenology

JF - American Journal of Roentgenology

SN - 0361-803X

IS - 3

ER -