Doctor scores on national qualifying examinations predict quality of care in future practice

Objectives  This study aimed to determine if national licensing examinations that measure medical knowledge (QE1) and clinical skills (QE2) predict the quality of care delivered by doctors in future practice.

[1]  D. Dale Recertification in internal medicine - the American experience. , 2007, Annals of the Academy of Medicine, Singapore.

[2]  H. Mandin,et al.  Conceptual Guidelines for Developing and Maintaining Curriculum and Examination Objectives: The Experience of the Medical Council of Canada , 2000, Academic medicine : journal of the Association of American Medical Colleges.

[3]  F. Sturmans,et al.  Competence and performance: two different concepts in the assessment of quality of medical care. , 1990, Family practice.

[4]  P. Norton,et al.  Long-term follow-up in the Peer Assessment Program for nonspecialist physicians in Ontario, Canada. , 1998, The Joint Commission journal on quality improvement.

[5]  Hossam Hamdy,et al.  BEME systematic review: Predictive values of measurements obtained in medical schools and future performance in medical practice , 2006, Medical teacher.

[6]  David L Buckeridge,et al.  Physician scores on a national clinical skills examination as predictors of complaints to medical regulatory authorities. , 2007, JAMA.

[7]  J. Rethans,et al.  Assessment in general practice: the predictive value of written‐knowledge tests and a multiple‐station examination for actual medical performance in daily practice , 1999, Medical education.

[8]  Robyn Tamblyn,et al.  Association between licensure examination scores and practice in primary care. , 2002, JAMA.

[9]  Maxine A Papadakis,et al.  The Step 2 clinical-skills examination. , 2004, The New England journal of medicine.

[10]  R. Reznick,et al.  Large‐scale high‐stakes testing with an OSCE: report from the Medical Council of Canada , 1996, Academic medicine : journal of the Association of American Medical Colleges.

[11]  P. Norton,et al.  A longitudinal study of performance of physicians' office practices: data from the Peer Assessment Program in Ontario, Canada. , 1999, The Joint Commission journal on quality improvement.

[12]  E. Wenghofer,et al.  Physician‐patient encounters: The structure of performance in family and general office practice , 2006, The Journal of continuing education in the health professions.

[13]  D. Zipes,et al.  The future of certification and recertification , 2004 .

[14]  P. Norton,et al.  What factors affect quality of care? Using the Peer Assessment Program in Ontario family practices. , 1997, Canadian family physician Medecin de famille canadien.

[15]  D. Swanson,et al.  The relationship between clinical science performance in 20 medical schools and performance on Step 2 of the USMLE licensing examination. 1994‐95 Validity Study Group for USMLE Step 1 and 2 Pass/Fail Standards , 1996, Academic medicine : journal of the Association of American Medical Colleges.

[16]  Ccfp,et al.  Family practice in Ontario. How physician demographics affect practice patterns. , 1994, Canadian family physician Medecin de famille canadien.

[17]  F Sturmans,et al.  Does competence of general practitioners predict their performance? Comparison between examination setting and actual practice. , 1991, BMJ.

[18]  J. Rethans,et al.  The relationship between competence and performance: implications for assessing practice performance , 2002, Medical education.

[19]  P. Norton,et al.  Educational interventions to improve practice of nonspecialty physicians who are identified in need by peer review. , 2004, The Journal of continuing education in the health professions.

[20]  J Norcini,et al.  Association between licensing examination scores and resource use and quality of care in primary care practice. , 1998, JAMA.

[21]  J. Norcini,et al.  Peer assessment of competence , 2003, Medical education.

[22]  G Bordage,et al.  Developing key‐feature problems and examinations to assess clinical decision‐making skills , 1995, Academic medicine : journal of the Association of American Medical Colleges.

[23]  A. P. Williams,et al.  Factors affecting physician performance: implications for performance improvement and governance. , 2009, Healthcare policy = Politiques de sante.

[24]  J. Rethans,et al.  Assessment of competence in technical clinical skills of general practitioners , 1995, Medical education.

[25]  D. Swanson,et al.  Relationship between scores on NBME basic science subject tests and the first administration of the newly designed NBME Part I examination , 1992, Academic medicine : journal of the Association of American Medical Colleges.

[26]  C. Goldsmith,et al.  Five-year results of the peer assessment program of the College of Physicians and Surgeons of Ontario. , 1990, CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne.

[27]  E. Wenghofer,et al.  Effectiveness of an enhanced peer assessment program: Introducing education into regulatory assessment , 2006, The Journal of continuing education in the health professions.

[28]  G. Whelan Educational Commission for Foreign Medical Graduates: lessons learned in a high-stakes, high-volume medical performance examination , 2000 .