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

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Abstract

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.

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Correspondence to Ruth E. Levine M.D..

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Approval for this study was granted by the Institutional Review Board of the University of Texas Medical Branch, Galveston, Texas.

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Levine, R.E., Carlson, D.L., Rosenthal, R.H. et al. Usage of the National Board of Medical Examiners Subject Test in Psychiatry by U.S. and Canadian Clerkships. Acad Psychiatry 29, 52–57 (2005). https://doi.org/10.1176/appi.ap.29.1.52

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