Factors associated with student performance on the medical residency test

Andrade, Maria Cristina de; Strufaldi, Maria Wany Louzada; Ferreira, Rimarcs Gomes; Prado, Gilmar Fernandes do; Puccini, Rosana Fiorini; Santos, Amélia Miyashiro Nunes dos

doi:10.1590/1806-9282.66.10.1376

Acessibilidade / Reportar erro

Brasil

Revista da Associação Médica Brasileira

Español English

Brasil

Español English

sumário « anterior atual seguinte »

Sumário

Original Article • Rev. Assoc. Med. Bras. 66 (10) • Oct 2020 • https://doi.org/10.1590/1806-9282.66.10.1376 copy

Factors associated with student performance on the medical residency test

Authorship SCIMAGO INSTITUTIONS RANKINGS

SUMMARY

OBJECTIVE:

To determine whether the scores of the Progress test, the Skills and Attitude test, and the medical internship are correlated with the medical residency exam performance of students who started medical school at the Federal University of São Paulo in 2009

METHODS:

The scores of 684 Progress tests from years 1-6 of medical school, 111 Skills and Attitude exams (5^th year), 228 performance coefficients for the 5^th and 6^th years of internship, and 211 scores on the medical residency exam were analyzed longitudinally. Correlations between scores were assessed by Pearson's correlation. Factors associated with medical residency scores were analyzed by linear regression.

RESULTS:

Scores of Progress tests from years 1-6 and the Skills and Attitude test showed at least one moderate and significant correlation with each other. The theoretical exam and final exam scores in the medical residency had a moderate correlation with performance in the internship. The score of the theoretical medical residency exam was associated with performance in internship year 6 (β=0.833; p<0.001), and the final medical residency exam score was associated with the Skills and Attitude score (β=0.587; p<0.001), 5^th-year internship score, (β=0.060; p=0.025), and 6^th-year Progress test score (β=0.038; p=0.061).

CONCLUSIONS:

The scores of these tests showed significant correlations. The medical residency exam scores were positively associated with the student's performance in the internship and on the Skills test, with a tendency for the final medical residency exam score to be associated with the 6^th-year Progress test.

KEYWORDS:
Medical school; Progress test; Medical internship; Medical residency

		1st year (n=114)	2nd year (n=114)	3rd year (n=114)	4th year (n=114)	5th year (n=114)	6th year (n=114)	Skills (n=111)	PC 5th (n=115)	PC 6th (n=115)	Theoretical MR (n=106)	FINAL MR (n=105)
1st Year	Pearson correlation	1
1st Year	Sig. (2-tailed)
2nd Year	Pearson correlation	.375	1
2nd Year	Sig. (2-tailed)	.000
3rd Year	Pearson correlation	.116	.351	1
3rd Year	Sig. (2-tailed)	.220	.000
4th year	Pearson correlation	.084	.386	.695	1
4th year	Sig. (2-tailed)	.374	.000	.000
5th Year	Pearson correlation	.141	.109	.397	.369	1
5th Year	Sig. (2-tailed)	.135	.247	.000	.000
6th Year	Pearson correlation	.032	.118	.439	.424	.695	1
6th Year	Sig. (2-tailed)	.739	.210	.000	.000	.000
Skills	Pearson correlation	.041	.168	.100	.324	.140	.057	1
Skills	Sig. (2-tailed)	.669	.079	.296	.001	.142	.552
PC 5th	Pearson correlation	.292	.252	.280	.380	.228	.187	.138	1
PC 5th	Sig. (2-tailed)	.002	.007	.003	.000	.015	.046	.149
PC 6th	Pearson correlation	.345	.389	.414	.445	.337	.270	.198	.802	1
PC 6th	Sig. (2-tailed)	.000	.000	.000	.000	.000	.004	.037	.000
Theoretical score	Pearson correlation	.134	.062	.069	.129	.156	.139	.187	.404	.412	1
Theoretical score	Sig. (2-tailed)	.172	.527	.479	.188	.111	.156	.057	.000	.000
Final score	Pearson correlation	.083	.041	.109	.254	.259	.255	.266	.450	.466	.782	1
Final score	Sig. (2-tailed)	.398	.682	.267	.009	.008	.009	.007	.000	.000	.000

Variables associated with the theoretical MR test
	^β β regression coefficient; PC: performance coefficient; MR: medical residency	95% CI	p
1st year Progress	0.081	−0.036 to 0.198	0.172
2nd year Progress	0.049	−0.104 to 0.203	0.527
3rd year Progress	0.034	−0.061 to 0.128	0.479
4th year Progress	0.070	−0.035 to 0.175	0.188
5th year Progress	0.058	−0.013 to 0.129	0.111
6th year Progress	0.043	0.015 to −0.102	0.156
Skills and Attitude	0.077	−0002 to 0.156	0.057
PC 5th	0.763	0.427 to 1.099	<0.001
PC 6th	0.835	0.478 to 1.194	<0.001

Variables associated with the final MR result
	^β β regression coefficient; PC: performance coefficient; MR: medical residency	95% CI	p
1st year Progress	0.038	−0.051 to 0.127	0.398
2nd year Progress	−0.024	−0.092 to 0.140	0.682
3rd year Progress	0.040	−0.031 to 0.111	0.267
4th year Progress	0.103	−0.026 to 0.181	0.009
5th year Progress	0.072	0.020 to 0.014	0.008
6th year Progress	0.060	0.015 to 0.1104	0.009
Skills and Attitude	0.082	0023 to 0.141	0.009
PC 5th	0.629	0.394 to 0.887	<0.001
PC 6th	0.707	0.444 to 0.969	<0.001

Variable associated with the theoretical MR test
	^β β regression coefficient; PC: performance coefficient; MR: medical residency.	95% CI	p
PC 6^th	0.833	0.470 to 1.196	<0.001

Variables associated with the MR final result
	^β β regression coefficient; PC: performance coefficient; MR: medical residency.	95% CI	p
PC 5^th	0.587	0.332 to 0.825	<0.001
Skills	0.060	0.008 to 0.113	0.025
6th-year Progress	0.038	−0.002 to 0.079	0.061

Associação Médica Brasileira R. São Carlos do Pinhal, 324, 01333-903 São Paulo SP - Brazil, Tel: +55 11 3178-6800, Fax: +55 11 3178-6816 - São Paulo - SP - Brazil
E-mail: ramb@amb.org.br

Acompanhe os números deste periódico no seu leitor de RSS

[1] CORRESPONDING AUTHOR: Maria Cristina de Andrade, Rua Botucatu 598, Vila Clementino. CEP: 04023-060, São Paulo, SP, Brasil. – Tel.: 11 99990 4903 E-mail: andrademc@globo.com