Objective: To ascertain what relationship exists between the United States Medical Licensing Examination (USMLE) and the American Board of Otolaryngology Written Qualifying Examination (WQE). Study Design: Retrospective, longitudinal study. Setting: De-identified database. Subjects: Residents entering otolaryngology–head and neck surgery (OHNS) residency between 2007 and 2009 and taking the WQE for the first time between 2012 and 2014. Methods: Regression models were used to determine if the USMLE score predicts passage of the WQE on the first attempt, which step score was a better predictor, and whether an increase in the Step 2 score increased the chances of WQE passage. Results: There were 611 Step 1 and 402 Step 2 scores. Mean (SD) Step 1 score was 238 (14.4), and the mean (SD) Step 2 score was 243 (16.8). The overall WQE first-time passage rate was 95.3%. Step 1 score was a better predictor than Step 2 for successful passage of the WQE on the first attempt (P =.0026). An increase in the Step 2 score compared with the Step 1 score did not predict an improved first-time passage rate on the WQE. Conclusions: There is an association between USMLE scores and successful first-time passage of the WQE, with Step 1 being a stronger predictor than Step 2. Residents with USMLE scores lower than the average successful OHNS applicant still have a high chance of passing the WQE. USMLE scores alone are of limited usefulness in identifying those applicants at risk of failing the WQE on the first attempt.
|Original language||English (US)|
|Number of pages||6|
|Journal||Otolaryngology - Head and Neck Surgery (United States)|
|State||Published - Jun 1 2017|
- board examination
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