Beyond the United States Medical Licensing Examination Score

Assessing Competence for Entering Residency

Carrie L. Radabaugh, Richard E. Hawkins, Catherine M. Welcher, George Mejicano, Alejandro Aparicio, Lynne M. Kirk, Susan E. Skochelak

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Assessments of physician learners during the transition from undergraduate to graduate medical education generate information that may inform their learning and improvement needs, determine readiness to move along the medical education continuum, and predict success in their residency programs. To achieve a constructive transition for the learner, residency program, and patients, high-quality assessments should provide meaningful information regarding applicant characteristics, academic achievement, and competence that lead to a suitable match between the learner and the residency program's culture and focus.The authors discuss alternative assessment models that may correlate with resident physician clinical performance and patient care outcomes. Currently, passing the United States Medical Licensing Examination Step examinations provides one element of reliable assessment data that could inform judgments about a learner's likelihood for success in residency. Yet, learner capabilities in areas beyond those traditionally valued in future physicians, such as life experiences, community engagement, language skills, and leadership attributes, are not afforded the same level of influence when candidate selections are made.While promising new methods of screening and assessment-such as objective structured clinical examinations, holistic assessments, and competency-based assessments-have attracted increased attention in the medical education community, currently they may be expensive, be less psychometrically sound, lack a national comparison group, or be complicated to administer. Future research and experimentation are needed to establish measures that can best meet the needs of programs, faculty, staff, students, and, more importantly, patients.

Original languageEnglish (US)
Pages (from-to)983-989
Number of pages7
JournalAcademic medicine : journal of the Association of American Medical Colleges
Volume94
Issue number7
DOIs
StatePublished - Jul 1 2019

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examination
physician
education
applicant
patient care
academic achievement
community
candidacy
graduate
leadership
resident
staff
lack
language
learning
performance
experience
Group
student

ASJC Scopus subject areas

  • Education

Cite this

Beyond the United States Medical Licensing Examination Score : Assessing Competence for Entering Residency. / Radabaugh, Carrie L.; Hawkins, Richard E.; Welcher, Catherine M.; Mejicano, George; Aparicio, Alejandro; Kirk, Lynne M.; Skochelak, Susan E.

In: Academic medicine : journal of the Association of American Medical Colleges, Vol. 94, No. 7, 01.07.2019, p. 983-989.

Research output: Contribution to journalArticle

Radabaugh, Carrie L. ; Hawkins, Richard E. ; Welcher, Catherine M. ; Mejicano, George ; Aparicio, Alejandro ; Kirk, Lynne M. ; Skochelak, Susan E. / Beyond the United States Medical Licensing Examination Score : Assessing Competence for Entering Residency. In: Academic medicine : journal of the Association of American Medical Colleges. 2019 ; Vol. 94, No. 7. pp. 983-989.
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