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Table 3 ABIM-CE performance by year group and elective exposure

From: Impact of subspecialty elective exposures on outcomes on the American board of internal medicine certification examination

  2006 (n=25) 2007 (n=27) 2008 (n=21) 2009 (n=31) 2010 (n=27) TOTAL
   n Mean delta-SPS (95% CI) n Mean delta-SPS (95% CI) n Mean delta-SPS (95% CI) n Mean delta-SPS (95% CI) n Mean delta-SPS (95% CI) n Mean delta-SPS (95% CI)
Cardiology Exposed 19 158.9 21 172.3 17 122.5 31 112.7 25 92.6 113 128.6
(123.4 - 194.5)   (137.4-207.3)   (80.0-165.1)   (82.7-142.8)   (56.4-128.9)   (112.7-144.5)
  Unexposed 6 172.8 6 165.5 4 188.3 0 - 2 139.5 18 170.1
(111.5-234.2)   (90.2-240.8)   (39.4-337.1)     (69.6-209.4)   (137.6-202.6)
  p   0.68   0.85   0.18   -   0.47   0.05
Endocrinology Exposed 17 149.0 15 192.7 14 141.1 19 104.8 23 104.7 88 134.1
(108.7-189.3)   (145.8-239.5)   (81.8-200.5)   (64.6-145.0)   (67.9-141.6)   (114.9-153.3)
  Unexposed 8 190.5 12 143.5 7 122.9 12 125.3 4 46.5 43 134.8
(161.8-219.2)   (111.7-175.3)   (83.7-162.0)   (73.5-177.0)   (−78.1-171.0)   (113.7-155.8)
  p   0.17   0.09   0.66   0.51   0.21   0.96
Gastroenterology Exposed 9 143.7 16 168.6 12 152.2 22 109.3 23 105.6 82 129.9
(95.5-191.9)   (130.4-206.8)   (85.4-218.9)   (75.3-143.4)   (67.7-143.4)   (111.3-148.4)
  Unexposed 16 172.8 11 174.1 9 112.2 9 121.0 4 41.8 49 141.7
(133.9-211.6)   (119.3-228.9)   (73.7-150.7)   (45.8-196.2)   (−33.7-117.2)   (118.0-165.5)
  p   0.33   0.85   0.31   0.73   0.17   0.43
Hematology Exposed 4 136.3 14 167.4 12 139.3 15 115.5 20 111.6 65 131.1
(44.9-227.6)   (122.3-212.5)   (93.1-185.4)   (71.6-159.5)   (70.7-152.4)   (111.3-151.0)
  Unexposed 21 167.2 13 174.5 9 129.4 16 110.1 7 52.0 66 137.4
(134.6-199.9)   (130.2-218.7)   (47.4-211.5)   (63.9-156.3)   (−8.9-112.9)   (115.9-158.9)
  p   0.43   0.81   0.8   0.86   0.11   0.67
Infectious Diseases Exposed 24 162.2 24 167.0 16 135.7 24 111.5 23 94.9 111 134.5
(132.2-192.2)   (135.5-198.5)   (101.0-170.4)   (76.0-147.0)   (61.3-128.5)   (119.6-149.5)
  Unexposed 1 164.0 3 201.0 5 133.0 7 116.9 4 103.3 20 133.2
   (2.1-399.9)   (−49.0-315.0)   (142.4-191.3)   (−114.7-321.2)   (83.5-182.8)
  p   -   0.47   0.95   0.88   0.36   0.95
Oncology Exposed 8 150.9 13 167.4 12 139.3 15 115.5 20 111.6 69 133.1
(92.0-209.7)   (122.3-212.5)   (93.1-185.4)   (71.6-159.5)   (70.7-152.4)   (113.8-152.4)
  Unexposed 17 167.6 14 174.5 9 129.4 16 110.1 7 52.0 62 135.6
(131.5-204.0)   (130.2-218.7)   (47.4-211.5)   (63.9-156.3)   (−8.9-112.9)   (113.3-157.9)
  p   0.58   0.81   0.80   0.86   0.11   0.87
Nephrology Exposed 17 161.9 16 172.4 14 169.6 17 119.2 13 62.9 77 129.9
(135.1-188.6)   (134.4-210.5)   (101.4-237.7)   (76.2-162.2)   (22.3-103.5)   (111.5-148.3)
  Unexposed 8 163.1 11 168.5 7 117.8 14 104.9 14 126.9 54 140.6
(77.8-248.4)   (113.3-223.6)   (66.0-169.6)   (57.4-152.3)   (74.4-179.5)   (116.6-164.5)
  p   0.97   0.89   0.20   0.63   0.049   0.48
Pulmonary Exposed 19 164.4 19 181.5 15 158.3 21 117.1 19 99.8 93 143.0
(127.1-201.8)   (144.4-218.5)   (113.5-203.2)   (53.8-145.8)   (125.1-160.9)   (76.5-81.1)
  Unexposed 6 155.5 8 145.5 6 76.8 10 103.5 8 87.4 38 112.9
(114.1-196.9)   (90.5-200.5)   (−3.6-157.3)   (37.7-137.1)   (89.4-136.5)   (69.8-76.7)
  p   0.79   0.26   0.048   0.67   0.74   0.06
Rheumatology Exposed 18 150.0 19 176.9 12 171.9 22 126.3 18 94.1 89 141.5
(120.8-179.2)   (138.3-215.6)   (119.3-224.6)   (92.8-159.8)   (52.1-136)   (124.5-158.5)
  Unexposed 7 193.9 8 156.3 9 85.9 9 79.4 9 100.2 42 119.0
(111.3-276.4)   (105.7-206.8)   (34.3-137.5)   (8.8-150.1)   (29.3-171.1)   (91.3-146.6)
  p   0.16   0.52   0.0197   0.15   0.86   0.15
Primary Care Exposed 6 212.3 7 168.7 5 146.4 5 108.2 7 99.7 30 144.3
(137.2-287.5)   (103.2-234.2)   (18.4-274.4)   (25.9-190.5)   (19.8-151.9)   (112.6-176.0)
  Unexposed 19 146.5 20 171.6 16 131.5 26 113.6 20 85.9 101 131.3
(116.3-176.7)   (135.3-207.8)   (86.6-176.4)   (79.0-148.2)   (57.0-142.4)   (114.9-147.8)
  p   0.04   0.93   0.74   0.89   0.72   0.50
  1. Scores are reported as difference in standardized score compared to standardized passing score (delta-SPS) reported as mean (95% confidence interval). p-values represent comparison of exposed to unexposed residents for each elective exposure analyzed using unpaired two tailed t-test.