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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.
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