Evaluation of The Medical Board Exam in Portugal
Introduction: There is a high heterogeneity in the structure of postgraduate medical training evaluation worldwide. However, in contrast to other countries, there have been no scientific studies of the final medical board examination, in Portugal. The present study aimed to evaluate the adequacy of...
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2018-11-01
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doaj-639863d3b90e45d497dabed8a65bea0f2020-11-25T01:41:43ZengOrdem dos MédicosActa Médica Portuguesa0870-399X1646-07582018-11-01311167067910.20344/amp.106464852Evaluation of The Medical Board Exam in PortugalTiago Reis Marques*0Inês Laíns*1Maria João Martins2Francisco Goiana-da-Silva3Filipa Sampaio4Inês Pessanha5Diogo Hipólito Fernandes6Mariana Brandão7Pedro Pinto Teixeira8Manuel de Oliveira Santos9João Carlos Silva10João Carlos Ribeiro11* Co-Primeiro Autor Department of Psychosis Studies. Institute of Psychiatry, Psychology and Neuroscience. King's College. London.* Co-Primeira Autora Massachusetts Eye and Ear. Harvard Medical School. Boston. United States. Centro Hospitalar e Universitário de Coimbra. Coimbra. Faculdade de Medicina. Universidade de Coimbra. Coimbra.Centro de Investigação em Neuropsicologia e Intervenção Cognitivo-Comportamental. Faculdade de Psicologia e Ciências da Educação. Universidade de Coimbra. Coimbra. Instituto de Psicologia Médica. Faculdade de Medicina. Universidade de Coimbra. Coimbra.Department of Surgery and Cancer. Imperial College Medical School. London.Serviço de Oftalmologia. Hospital Pedro Hispano. Senhora da Hora. Unidade Local de Saúde de Matosinhos. Matosinhos.Serviço de Cirurgia Pediátrica. Centro Hospitalar e Universitário de Coimbra. Coimbra.Serviço de Oftalmologia. Centro Hospitalar de Lisboa Central. Lisboa.Institut Jules Bordet et L’Université Libre de Bruxelles (U.L.B.). Brussels. Belgium. Instituto de Saúde Pública. Universidade do Porto. Porto.Serviço de Cardiologia. Centro Hospitalar de Lisboa Central. Lisboa.Faculdade de Medicina. Universidade de Coimbra. Coimbra. Serviço de Cardiologia. Centro Hospitalar e Universitário de Coimbra. Coimbra.Serviço de Gastroenterologia. Centro Hospitalar Vila Nova de Gaia/Espinho. Porto.Faculdade de Medicina. Universidade de Coimbra. Coimbra. Serviço de Otorrinolaringologia. Centro Hospitalar e Universitário de Coimbra. Coimbra. Coimbra Institute for Clinical and Biomedical Research (iCBR). Coimbra.Introduction: There is a high heterogeneity in the structure of postgraduate medical training evaluation worldwide. However, in contrast to other countries, there have been no scientific studies of the final medical board examination, in Portugal. The present study aimed to evaluate the adequacy of the medical board examination including its validity as measured by its association with medical school grade average and national seriation examination. Material and Methods: Cross-sectional, observational study. We analyzed the final results on the medical board examination of 2439 physicians, across 47 specialties, who completed their training in 2016 and 2017, using measures of central tendency and variability. We assessed the association between these grades and the national exam to initiate residency, and the grade average in Medical School. Results: Measures of central tendency and variability, and consequent shape measures, revealed that the distribution of the scores of the final medical board exam is extremely negatively asymmetric and leptokurtic. A positive association was also found between the results in this exam and the score on national exam to initiate residency, and the grade average in Medical School. Conclusion: Although the medical board examination was, in general, positively associated with scores on the national exam to initiate residency, and the mean final Medical School grades, thus indicating its potential validity, our results demonstrate that this exam presents no satisfactory discriminative capacity. Therefore, there is room to improve the actual postgraduate medical examination model, including changes in its classification system and potentially consider other assessment models.https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/10646Education, Medical, GraduateEducational MeasurementInternship and ResidencyModels, EducationalSchools, Medical |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Tiago Reis Marques* Inês Laíns* Maria João Martins Francisco Goiana-da-Silva Filipa Sampaio Inês Pessanha Diogo Hipólito Fernandes Mariana Brandão Pedro Pinto Teixeira Manuel de Oliveira Santos João Carlos Silva João Carlos Ribeiro |
spellingShingle |
Tiago Reis Marques* Inês Laíns* Maria João Martins Francisco Goiana-da-Silva Filipa Sampaio Inês Pessanha Diogo Hipólito Fernandes Mariana Brandão Pedro Pinto Teixeira Manuel de Oliveira Santos João Carlos Silva João Carlos Ribeiro Evaluation of The Medical Board Exam in Portugal Acta Médica Portuguesa Education, Medical, Graduate Educational Measurement Internship and Residency Models, Educational Schools, Medical |
author_facet |
Tiago Reis Marques* Inês Laíns* Maria João Martins Francisco Goiana-da-Silva Filipa Sampaio Inês Pessanha Diogo Hipólito Fernandes Mariana Brandão Pedro Pinto Teixeira Manuel de Oliveira Santos João Carlos Silva João Carlos Ribeiro |
author_sort |
Tiago Reis Marques* |
title |
Evaluation of The Medical Board Exam in Portugal |
title_short |
Evaluation of The Medical Board Exam in Portugal |
title_full |
Evaluation of The Medical Board Exam in Portugal |
title_fullStr |
Evaluation of The Medical Board Exam in Portugal |
title_full_unstemmed |
Evaluation of The Medical Board Exam in Portugal |
title_sort |
evaluation of the medical board exam in portugal |
publisher |
Ordem dos Médicos |
series |
Acta Médica Portuguesa |
issn |
0870-399X 1646-0758 |
publishDate |
2018-11-01 |
description |
Introduction: There is a high heterogeneity in the structure of postgraduate medical training evaluation worldwide. However, in contrast to other countries, there have been no scientific studies of the final medical board examination, in Portugal. The present study aimed to evaluate the adequacy of the medical board examination including its validity as measured by its association with medical school grade average and national seriation examination.
Material and Methods: Cross-sectional, observational study. We analyzed the final results on the medical board examination of 2439 physicians, across 47 specialties, who completed their training in 2016 and 2017, using measures of central tendency and variability. We assessed the association between these grades and the national exam to initiate residency, and the grade average in Medical School.
Results: Measures of central tendency and variability, and consequent shape measures, revealed that the distribution of the scores of the final medical board exam is extremely negatively asymmetric and leptokurtic. A positive association was also found between the results in this exam and the score on national exam to initiate residency, and the grade average in Medical School.
Conclusion: Although the medical board examination was, in general, positively associated with scores on the national exam to initiate residency, and the mean final Medical School grades, thus indicating its potential validity, our results demonstrate that this exam presents no satisfactory discriminative capacity. Therefore, there is room to improve the actual postgraduate medical examination model, including changes in its classification system and potentially consider other assessment models. |
topic |
Education, Medical, Graduate Educational Measurement Internship and Residency Models, Educational Schools, Medical |
url |
https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/10646 |
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