The Correlation Between Students’ Progress Testing Scores and Their Performance in a Residency Selection Process


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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  1. 1.

    Schuwirth LWT, van der Vleuten CPM. The use of progress testing. Perspect Med Educ. 2012;1:24–30.

    Article  Google Scholar 

  2. 2.

    Arnold L, Willoughby TL. The quarterly profile examination. Acad Med. 1990;65(8):515–6.

    Article  Google Scholar 

  3. 3.

    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.

    Article  Google Scholar 

  4. 4.

    Freeman A, van der Vleuten CPM, Nouns Z, Ricketts C. Progress testing internationally. Med Teach. 2010;32:451–5.

    Article  Google Scholar 

  5. 5.

    Albanese M, Case SM. Progress testing: critical analysis and suggested practices. Adv Health Sci Educ. 2016;21:221–34.

    Article  Google Scholar 

  6. 6.

    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.

    Article  Google Scholar 

  7. 7.

    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.

    Article  Google Scholar 

  8. 8.

    Nouns ZM, Georg W. Progress testing in German speaking countries. Med Teach. 2010;32:467–70.

    Article  Google Scholar 

  9. 9.

    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.

    Article  Google Scholar 

  10. 10.

    World Federation of Medical Education, Foundation for Advancement of International Medical Education and Research. World directory of medical schools. 2017.

  11. 11.

    Amaral JLG, Pêgo-Fernandes PM, Bibas BJ. More doctors: better attention to the population’s health? Sao Paulo Med J. 2012;130:139–49.

    Article  Google Scholar 

  12. 12.

    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.

    Article  Google Scholar 

  13. 13.

    Ferreira EAB, Rasslan S. Surgical education in Brazil. World J Surg. 2010;34:880–3.

    Article  Google Scholar 

  14. 14.

    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: Accessed 25 July 2019.

  15. 15.

    Goldwasser RS. Selection of medical residents based on hands-on skills. Rev Bras Educ Méd. 2006;30:115–24.

  16. 16.

    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.

  17. 17.

    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.

    Article  Google Scholar 

  18. 18.

    Plessas A. Validity of progress testing in healthcare education. Int J Human Soc Sci Educ. 2015;2:23–33.

    Google Scholar 

  19. 19.

    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.

    Article  Google Scholar 

  20. 20.

    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.

    Article  Google Scholar 

  21. 21.

    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.

    Article  Google Scholar 

  22. 22.

    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.

    Article  Google Scholar 

  23. 23.

    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.

    Article  Google Scholar 

  24. 24.

    Santos IS, Vieira JE, Nunes MPT. Length of internship influences performance on medical residency selection. Rev Assoc Med Bras. 2009;55:744–8.

    Article  Google Scholar 

  25. 25.

    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.

    Article  Google Scholar 

  26. 26.

    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.

    Article  Google Scholar 

  27. 27.

    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.

    Article  Google Scholar 

  28. 28.

    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.

    Article  Google Scholar 

  29. 29.

    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.

    Article  Google Scholar 

  30. 30.

    Hamamoto Filho PT, Zeferino AMB. Preparatory courses for medical residency: reflections on possible causes and consequences. Rev Bras Educ Méd. 2011;35:550–6.

    Article  Google Scholar 

  31. 31.

    Van der Vleuten C, Freeman A, Collares CF. Progress test utopia. Perspect Med Educ. 2018;7:136–8.

    Article  Google Scholar 

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Correspondence to Pedro Tadao Hamamoto Filho.

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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).

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  • Progress testing
  • Medical residency selection
  • Undergraduate medical education
  • Assessment