Introduction Results

3-year average score of IM-ITE, A Better Predictor for
American Board of Internal Medicine Certification Examination Outcome
Suthipong Soontrapa, Brandi Mckinnon, Charoen Mankongpaisarnrung, Ornwadee Siangpraipunt, Samuel Copeland, Zachary Mulkey, Michael Phy
Department of Internal Medicine, School of Medicine, Texas Tech University Health Sciences Center, Lubbock, Texas
Introduction
Results
Fail
Frequency
ITE SCORE
Pass
Prior IM-Training
Frequency
Pass
Fail
ITE-PGY2
We have shown that the 3Y-ITE can be used as a model to predict whether
an Internal Medicine resident will successfully pass the ABIMCE with a high
sensitivity and specificity. Application of this model could be instrumental to
program directors in determining which residents are at risk of failing the
exam; which would allow time for additional educational and faculty support
for board preparation.
Pass
Frequency
References
Fail
1. Garibaldi RA, Subhiyah R, Moore ME, Waxman H. The In-Training Examination in Internal Medicine: an
analysis of resident performance over time. Ann Intern Med 2002;137:505-10.
2. Grossman RS, Fincher RM, Layne RD, Seelig CB, Berkowitz LR, Levine MA. Validity of the in-training
examination for predicting American Board of Internal Medicine certifying examination scores. J Gen Intern Med
1992;7:63-7.
3. Waxman H, Braunstein G, Dantzker D, et al. Performance on the internal medicine second-year residency intraining examination predicts the outcome of the ABIM certifying examination. J Gen Intern Med 1994;9:692-4.
4. Wang H, Nugent R, Nugent C, Nugent K, Phy M. A commentary on the use of the internal medicine intraining examination. Am J Med 2009;122:879-83.
5. Accreditation Council for Graduate Medical Education. Residency program training requirements. Available
at: http://www.acgme.org
ITE-PGY3
Frequency
** Limited data
Conclusions & Discussion
Frequency
Fail
Frequency
Fail
ITE-PGY1
USMLE 1
USMLE 2CK
Pass
Fail
The ROC curves analysis showed areas under the curve are 0.817, 0.805,
0.816 and 0.850 for prediction of passing ABIMCE by using ITE-PGY1, ITEPGY2, ITE-PGY3 and 3-year average score of IM–ITE (3Y-ITE) respectively.
The best cut-off values of > 55.83% Correct on the 3Y-ITE showed the best
predictive value, with 87.5% sensitivity and 70.8% specificity.
Frequency
Fail
Frequency
Receiver operating characteristic curve analysis
Frequency
Fail
USMLE 3
Pass
Sex
Age
Fail
Fail
Frequency
Fail
Pass
Fail
Pass
Frequency
A total of 90 residents graduated during 2003-2012. Of these, 84 took the
ABIMCE. The passing rate of ABIMCE for first-time takers was 77.8%.
Pass
Pass
Frequency
Pass
Pass
Frequency
USMLE SCORE
Results
Fail
Number of publication
The objective of this study was to find a predictive tool based on IM-ITE
score, regarding the probability of an internal medicine graduate passing the
ABIM certification examination.
We performed a retrospective review of Internal Medicine graduates’
performance on the Internal Medicine In-training Examination (IM-ITE) and
ABIM certification examination (ABIMCE) who graduated from Texas Tech
University Health Sciences Center Department of Internal Medicine in
Lubbock Texas during the years of 2003-2012. A receiver operating
characteristic (ROC) curve analysis was used to evaluate the predictive
performance of IM-ITE score. Predictive performance of IM-ITE score was
estimated using area under the ROC curve. Statistical analysis was
performed using SPSS version 19.
Pass
3Y-ITE
Marital Status
Pass
Methods
Fail
US Graduate VS IMG
Objective
Pass
Frequency
MD VS DO
Certification by the American Board of Internal Medicine (ABIM) is an
important milestone and professional achievement for graduating Internal
Medicine residents. To become certified internists, it is of paramount
importance that residents meet the medical education training requirements,
demonstrate clinical competence in the patient care and pass the board
certification examination in Internal Medicine. Internal Medicine graduates
must achieve an appropriate score on the board certification examination of
the ABIM. Passing rate of least 80% for first-time takers in the most recently
defined three-year period is important in order to maintain program
accreditation.
Fail
Region where came from
Pass
Results
Frequency