Abstract

BackgroundExamining the predictors of summative assessment performance is important for improving educational programs and structuring appropriate learning environments for trainees. However, predictors of certification examination performance in pediatric postgraduate education have not been comprehensively investigated in Japan.MethodsThe Pediatric Board Examination database in Japan, which includes 1578 postgraduate trainees from 2015 to 2016, was analyzed. The examinations included multiple-choice questions (MCQs), case summary reports, and an interview, and the predictors for each of these components were investigated by multiple regression analysis.ResultsThe number of examination attempts and the training duration were significant negative predictors of the scores for the MCQ, case summary, and interview. Employment at a community hospital or private university hospital were negative predictors of the MCQ and case summary score, respectively. Female sex and the number of academic presentations positively predicted the case summary and interview scores. The number of research publications was a positive predictor of the MCQ score, and employment at a community hospital was a positive predictor of the case summary score.ConclusionThis study found that delayed and repeated examination taking were negative predictors, while the scholarly activity of trainees was a positive predictor, of pediatric board certification examination performance.

Highlights

  • Examining the predictors of summative assessment performance is important for improving educational programs and structuring appropriate learning environments for trainees

  • The Japan Pediatric Society (JPS) manages the board certification examinations, and trainees who choose pediatrics as a specialty enroll in a pediatric residency program approved by the JPS, which is supervised by a program director whose responsibility is to approve the trainees’ application for the board examination based on various prerequisites, including completion of the residency logbook and a case summary report

  • Multiple regression analysis We conducted simultaneous multiple regression analyses to explore the predictors of test performance for each of the three examination components: Multiple-choice question (MCQ), case summaries, and the interview

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Summary

Introduction

Examining the predictors of summative assessment performance is important for improving educational programs and structuring appropriate learning environments for trainees. Predictors of certification examination performance in pediatric postgraduate education have not been comprehensively investigated in Japan. Wakeford et al investigated predictors of success in postgraduate medical examinations among United Kingdom (UK) trainees, and identified ethnicity as a potential predictor [2]. Performance on intraining examinations during pediatric residency is known to offer a significant predictor of performance in board examinations [10], but investigations into the relationship between trainee-related explanatory variables such as characteristics of residency programs, scholarly activities of residents, and test performance can provide useful contextual indicators to improving learning and residency curricula

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