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US Medical Licensing Exam Scores and Performance on the Psychiatry Resident In-Training Examination



This study explores relationships between US Medical Licensing Examination (USMLE) and Psychiatry Resident In-Training Examination (PRITE) scores over a 10-year period at a university-affiliated program.


For all MD general psychiatry residents who matriculated from 2003 to 2012 (n = 51), we extracted three-digit first-attempt and passing USMLE Step 1 and Step 2 clinical knowledge (CK) scores and PRITE percentile scores, stratified by global psychiatry and neurology scores, for postgraduate year (PGY)-1, 2, 3, and 4. A mixed model repeated measures analysis was performed to assess the association between USMLE and PRITE scores, adjusting for age, sex, and US medical graduate versus IMG status. Multiple linear regression models of USMLE and PGY-1 PRITE scores were also constructed.


USMLE Steps 1 and 2 CK scores were significant predictors of PRITE psychiatry and neurology scores, both in PGY-1 as well as across all years of training (p < 0.01 for each).


Given that PRITE scores are a significant predictor of success on the ABPN written examination, USMLE scores may be an important quantitative predictor of performance during residency.

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The authors thank Niju Philip and Edith Towns for assistance.


Dr. Miller received research support from Georgia Regents University and NIMH, and honoraria from, Medefield, Emory University, and the Zucker-Hillside Hospital.

Drs. Sexon, Shevitz, Peeples, and Van Sant have nothing to disclose.

Dr. McCall received research support from NIMH and Merck Pharmaceuticals, and honoraria from Wolters Kluwer Publishing.

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Correspondence to Brian J. Miller.

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Miller, B.J., Sexson, S., Shevitz, S. et al. US Medical Licensing Exam Scores and Performance on the Psychiatry Resident In-Training Examination. Acad Psychiatry 38, 627–631 (2014).

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  • General psychiatry residency
  • Performance