Usage of the National Board of Medical Examiners Subject Test in Psychiatry by U.S. and Canadian Clerkships

• Published in: Academic psychiatry Vol. 29; no. 1; pp. 52 - 57
• Main Author: Levine, R. E.
• Format: Journal Article
• Language: English
• Published: United States American Psychiatric Publishing, Inc 01.03.2005; Springer Nature B.V
• Subjects: Academic Standards; Canada; Clinical Clerkship; Comparative Education; Coroners and Medical Examiners - education; Directors; Educational Measurement; Equated Scores; Evaluation Research; Examiners; Governing Boards; Humans; International Education; Medical examiners; Medical Students; Professional Associations; Psychiatry; Psychiatry - education; Questionnaires; Raw Scores; Specialty Boards; Surveys and Questionnaires; United States; Use Studies; Weighted Scores; Canada; United States; United States > US
• ISSN: 1042-9670; 1545-7230
• DOI: 10.1176/appi.ap.29.1.52

OBJECTIVE: The authors explored psychiatry clerkship usage of the National Board of Medical Examiners (NBME) Subject Test. METHODS: U.S. and Canadian psychiatry clerkship directors (N=150) were sent an 18-item questionnaire surveying evaluation and remediation practices. RESULTS: Of 111 questionnaires (74%) returned, 76 (69%) reported using the NBME Subject Test. As part of the overall grade, the test was granted a mean weight of 31% and a median weight of 25%. Of 72 clerkship directors who use the test for grading, 42% convert the percentile score and 38% convert the subject score. Of 60 clerkship directors who use the test for passing, 72% convert the raw score (mean=58.3, median=58), and 28% convert the percentile score (mean=12.2th, median=11th percentile). CONCLUSIONS: Most psychiatry clerkship directors use the NBME Subject Test, but no predominant method exists for weighing the test or converting it into a grade.