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Biomedical subjects

J A Meskauskas

Publications and source records attributed to J A Meskauskas.

9 recordsLinked to original sources

Recertification in allergy and immunology: an historical review with special emphasis on the 1983 examination.

Recertification offers a method of evaluating a diplomate's cognitive knowledge of allergy and immunology. In 1983 candidates for the American Board of Allergy and Immunology recertification examination were offered the entire certifying examination but were informed that they would, for recertification purposes, be held responsible only for a subset of questions judged to be particularly clinically relevant. All 40 candidates elected to take the entire certifying examination. Differences between the performance of certifying and recertifying candidates on the recertifying questions were small. Except for the five-choice questions, the differences in performance between the two groups on the remaining questions were also small in an absolute sense. Recertification performance was not related to the time of original certification. Ninety-eight percent of the candidates completed a questionnaire after the examination. Ninety percent stated that they would encourage their colleagues to participate in the recertification process.

Allergy and Immunology↗

Recertification in surgery, 1980.

The first recertification process of the American Board of Surgery was completed in 1980. The process consisted of a review of diplomates' credentials, peer review, a requirement for continuing education in surgery, submission of an operative experience list, and a multiple-choice examination. Of the 478 diplomates who completed the process, 471 were recertified. The mean score for participants in the examination was 82.8% correct. The passing score was 67.2% correct. An analysis of examination scores, correlated with biographic and demographic data, showed that the highest scores were achieved by the younger diplomates and those who indicated that their practice was full-time academic.

Adult↗

Performance of U.S. citizen-foreign medical graduates on certifying examinations in internal medicine.

Increasing numbers of U.S. citizens are studying medicine abroad and returning for graduate medical education and practice. The numbers and performance of U.S. citizen and all other graduates of foreign medical schools on the certifying examination of the American Board of Internal Medicine were compared with those of graduates of U.S. medical schools for 1975-1980. Numbers of first-taker U.S. citizen foreign medical school graduates increased whereas numbers of all other foreign medical school graduates decreased during this period. In 1980, U.S. citizens represented 19 percent of all first-taker foreign medical school graduates. During the study period, annual examinations were passed by 79 to 82 percent of U.S. medical school graduates, 15 to 38 percent of U.S. citizen foreign medical school graduates, and 27 to 45 percent of all other foreign medical school graduates taking an examination for the first time. On each examination, U.S. citizen foreign medical school graduates did not do as well as all other foreign medical school graduates. Members of all groups met the same postdoctoral training requirements.

Certification↗

Standard-setting in written and interactive (oral) specialty certification examinations: issues, models, methods, challenges.

This article addresses standard-setting for written and interactive (oral) examinations in the health professions. The currently used methods are explained and classified, and their strengths and weaknesses are discussed. We argue that standard-setting must be understood as an interactive system involving decision maker(s), subject area, and methods. Thus, standard-setting is a psychological/social psychological process as well as a psychometric one. It rests upon a foundation of judgment. For written examinations, normative and content-referenced (absolute) methods are discussed. In interactive examinations, judges' standards are inherently absolute; design considerations are presented to systematize the context for these judgments.

Certification↗

Performance of graduates of foreign medical schools on the examinations of the American Board of Internal Medicine.

We investigated the performance of two groups of graduates of foreign medical schools on the 1975 and 1976 certification examinations of the American Board of Internal Medicine. Nearly all their postdoctoral residency training was obtained in the United States. The performance (most of those in this study were born in Asia and Southeast Asia) was much lower than that of graduates of United States medical schools. United States citizens who studied medicine abroad performed no better than alien graduates from foreign medical schools. Approximately half the foreign graduates born in the United States studied in Italy, and 10% in Switzerland, Mexico and Belgium. There were no significant differences in performance associated with the type of postdoctoral training (university, university-affiliated, community or other) undertaken in the United States. A significant inverse relation was observed between the interval from completion of training to first examination and the examination performance.

Analysis of Variance↗

The American Board of Internal Medicine recertification examination: process and results.

On 26 October 1974, 3356 diplomates of the American Board of Internal Medicine (ABIM) took a 1-day written examination for recertification consisting of multiple-choice, matching, and true-false questions derived from the American College of Physicians' Medical Knowledge Self-Assessment Program III and the ABIM Certifying Examination pool. The passing score was set by using a normative standard applied to a reference group of internists practicing general internal medicine who had had 2 or more years of residency training completed between the years 1949 and 1958. The passing score represented approximately 63% correct answers. The failure rate for the total number of examinees was 4.3%. Mean score of examinees showed an inverse relation with age but relatively slight differences when analyzed according to the degree of subspecialization, practice setting, hospital affiliation, or size of patient community.

Achievement↗