Usage of the National Board of Medical Examiners Subject Test in psychiatry by U.S. and Canadian clerkships

Objective: The authors explored psychiatry clerkship usage of the National Board of Medical Examiners (NBME) Subject Test. Methods: U.S. and Canadian psychiatry clerkship directors (N = 150) were sent an 18-item questionnaire surveying evaluation and remediation practices. Results: Of 111 questionnaires, (74%) returned, 76 (69%) reported using the NBME Subject Test. As part of the overall grade, the test was granted a mean weight of 31% and a median weight of 25%. Of 72 clerkship directors who use the test for grading, 42% convert the percentile score and 38% convert the subject score. Of 60 clerkship directors who use the test for passing, 72% convert the raw score (mean = 58.3, median = 58), and 28% convert the percentile score (mean = 12.2^th, median = 11^th percentile). Conclusions: Most psychiatry clerkship directors use the NBME Subject Test, but no predominant method exists for weighing the test or converting it into a grade.