Abstract
Brazil is currently seeing an increased number of medical schools, leading to high competition for medical residency vacancies. Public managers have thus considered Progress Testing scores potentially useful as part of the final decision in the medical residency selection process. We analyzed whether there is a correlation between students’ Progress Testing scores and their performances in medical residency selection. We examined four subsequent cohorts of students who attempted Progress Testing yearly and compared their accumulated scores with their medical residency selection scores from Botucatu Medical School, Universidade Estadual Paulista. We included 212 students who finished the 6-year medical course in 2013, 2014, 2015, and 2016. The comparison between the area under the Progress Testing curve and the medical residency selection score was performed using a Pearson correlation, with a p value set at < 0.05. We found a positive association between the two scores (p < 0.05 for the 4 years). Next, the students were grouped according to their performance in Progress Testing: above one, within one, and below one standard deviation. A chi-square test was used to compare the rates of approval with the second step of the medical residency selection process. Approval rates were 91.7%, 69.2%, and 42.1%, respectively (p < 0.05). We conclude that, in fact, there is a correlation between students’ performance on these measures. This is partially explained by the fact that both instruments measure cognitive competencies and knowledge. These data may support national policy changes for medical residency selection.
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References
Schuwirth LWT, van der Vleuten CPM. The use of progress testing. Perspect Med Educ. 2012;1:24–30.
Arnold L, Willoughby TL. The quarterly profile examination. Acad Med. 1990;65(8):515–6.
Van der Vleuten CPM, Verwijnen GM, Wijnen WHFW. Fifteen years of experience with progress testing in a problem-based learning curriculum. Med Teach. 1996;18:103–9.
Freeman A, van der Vleuten CPM, Nouns Z, Ricketts C. Progress testing internationally. Med Teach. 2010;32:451–5.
Albanese M, Case SM. Progress testing: critical analysis and suggested practices. Adv Health Sci Educ. 2016;21:221–34.
Albano MG, Cavallo F, Hoogenboom R, Magni F, Majoor G, Manenti F, et al. An international comparison of knowledge levels of medical students: the Maastricht Progress Test. Med Educ. 1996;30:239–45.
Tomic ER, Martins MA, Lotufo PA, Benseñor IM. Progress testing: evaluation of four years of application in the School of Medicine, University of São Paulo. Clinics. 2005;60:389–96.
Nouns ZM, Georg W. Progress testing in German speaking countries. Med Teach. 2010;32:467–70.
Finucane P, Flannery D, Keane D, Norman G. Cross-institutional progress testing: feasibility and value to a new medical school. Med Educ. 2010;44:184–6.
World Federation of Medical Education, Foundation for Advancement of International Medical Education and Research. World directory of medical schools. 2017.
Amaral JLG, Pêgo-Fernandes PM, Bibas BJ. More doctors: better attention to the population’s health? Sao Paulo Med J. 2012;130:139–49.
Santos LMP, Oliveira A, Trindade JS, Barreto ICHC, Palmeira PA, Comes Y, et al. Implementation research: towards universal health coverage with more doctors in Brazil. Bull World Health Organ. 2017;95:103–12.
Ferreira EAB, Rasslan S. Surgical education in Brazil. World J Surg. 2010;34:880–3.
Brazil. Ministry of Education. Resolution CNRM no. 003/2011, 11/16/2011. Dispõe sobre o processo de seleção pública dos candidatos aos Programas de Residência Médica. Available at: em: http://portal.mec.gov.br/index.php?option=com_docman&view=download&alias=8950-res-cnrm-03-2011&category_slug=setembro-2011-pdf&Itemid=30192. Accessed 25 July 2019.
Goldwasser RS. Selection of medical residents based on hands-on skills. Rev Bras Educ Méd. 2006;30:115–24.
Bicudo AM, Hamamoto Filho PT, Abbade JF, Hafner MLMB, Maffei CM. Teste de Progresso em consóricos para todas as escolas médicas do Brasil. [Consortia of cross-institutional Progress Testing for all medical schools in Brazil]. Rev Bras Educ Méd. 2019; Ahead of print.
Cecilio-Fernandes D, Kerdijk W, Jaarsma AD, Tio RA. Development of cognitive processing and judgments of knowledge in medical students: analysis of progress test results. Med Teach. 2016;38:1125–9.
Plessas A. Validity of progress testing in healthcare education. Int J Human Soc Sci Educ. 2015;2:23–33.
Tio R, Schutte B, Meiboom AA, Greidanus J, Dubois EA, Bremers AJ. The progress test of medicine: the Dutch experience. Perspect Med Educ. 2016;5:51–5.
Karay Y, Schauber SK. A validity argument for progress testing: examining the relation between growth trajectories obtained by progress tests and national licensing examinations using a latent growth curve approach. Med Teach. 2018;40:1123–9.
Willoughby TL, Dimond EG, Smull NW. Correlation of quarterly profile examination and National Board of Medical Examiner Scores. Educ Psychol Meas. 1977;37:445–9.
Blake JM, Norman GR, Keane DR, Mueller B, Cunnington J, Didyk N. Introducing progress testing in McMaster University’s problem-based curriculum: psychometric properties and effect of learning. Acad Med. 1996;71:1002–7.
Neeley SM, Ulman CA, Sydelko BS, Borges NJ. The value of progress testing in undergraduate medical education: a systematic review of the literature. Med Sci Educ. 2016;26:617–22.
Santos IS, Vieira JE, Nunes MPT. Length of internship influences performance on medical residency selection. Rev Assoc Med Bras. 2009;55:744–8.
Pugh D, Touchie C, Humphrey-Murto S, Wood TJ. The OSCE progress test – measuring clinical skill development over residency training. Med Teach. 2016;38:168–73.
Pugh D, Bhanji F, Cole G, Dupre J, Hatala R, Humphrey-Murto S, et al. Do OSCE progress test score predict performance in a national high-stake examination? Med Educ. 2016;50:351–8.
Coombes L, Ricketts C, Freeman A, Stratford J. Beyond assessment: feedback for individuals and institutions based on the progress test. Med Teach. 2010;32:486–90.
Norman GR, Neville A, Blake JM, Mueller B. Assessment steers learning down the right road: impact of progress testing on licensing examination performance. Med Teach. 2010;32:496–9.
Mota A, Carvalho B, Candido L, Lomanto R, Maia T. The São Paulo state regional medical council exam as an indicator of quality in medical education. Rev Bras Educ Méd. 2014;38:150–9.
Hamamoto Filho PT, Zeferino AMB. Preparatory courses for medical residency: reflections on possible causes and consequences. Rev Bras Educ Méd. 2011;35:550–6.
Van der Vleuten C, Freeman A, Collares CF. Progress test utopia. Perspect Med Educ. 2018;7:136–8.
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Hamamoto Filho, P.T., de Arruda Lourenção, P.L.T., do Valle, A.P. et al. The Correlation Between Students’ Progress Testing Scores and Their Performance in a Residency Selection Process. Med.Sci.Educ. 29, 1071–1075 (2019). https://doi.org/10.1007/s40670-019-00811-4
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DOI: https://doi.org/10.1007/s40670-019-00811-4