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Res Dev Med Educ. 2020;9(1): 9.
doi: 10.34172/rdme.2020.009
  Abstract View: 222
  PDF Download: 109

Original Research

Comparison of emergency medical residency pre-board and board exams among universities of medical sciences in Iran

Mohammad Barzegar 1,2 ORCID logo, Reza Ghaffari 2 ORCID logo, Farzad Rahmani 3 ORCID logo, Amir Ghaffarzad 3 ORCID logo, Hamid Soltani Zangbar 4 ORCID logo, Solmaz Fallahi 5 ORCID logo, Amir Hossein Jafari-Rouhi 1,2* ORCID logo

1 Department of Pediatrics, Tabriz University of Medical Sciences Tabriz University of Medical Sciences, Tabriz, Iran
2 Medical Education Research Institute, Tabriz University of Medical Sciences, Tabriz University of Medical Sciences, Tabriz, Iran
3 Department of Emergency Medicine, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz University of Medical Sciences, Tabriz, Iran
4 Department of Neuroscience and Cognition, Faculty of Advanced Medical Sciences, Tabriz University of Medical Sciences, Tabriz, Iran
5 Department of Physiology, School of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran
*Corresponding author: Amir Hossein Jafari-Rouhi, Email: jafariroohi@yahoo.com

Abstract

Background: Designing and conducting residency exams have been the province of type I universities since 2005, based on the plans of the Medical Education Council. This study compared emergency medical residency pre-board and board exam results among the universities of medical sciences in Iran.

Methods: This cross-sectional descriptive study consisted of 600 questions from residency preboard exams and 150 questions from board exams in 2013-2014, as well as 600 questions from residency promotion exams and 150 questions from the board exam in 2013-2014 and 2014- 2015 at the Tabriz, Shahid Beheshti, Mashhad, and Tehran Universities of Medical Sciences. All questions were at the level I through III by Bloom’s taxonomy. Structural principles were evaluated using Millman’s checklist. All data were analyzed using SPSS 18 with chi-square tests.

Results: The mean percent of more contextualized questions of the questions at Bloom’s taxonomy levels II and III in residency pre-board exam questions was 76.6% in 2013-2014 and 86.6% in 2014-2015 among the four universities. In terms of structural principles, the percentage of board exam questions that aligned with Millman’s structural principles was 100.0% and 99.3% in 2013-2014 and 2014-2015, respectively. For the residency pre-board exam in 2014- 2015, the mean discrimination index was 0.14 (low), and the mean of the difficulty factor was 0.64 (appropriate).

Conclusion: Questions at Bloom’s taxonomy levels II and III were higher in 2014-2015 in comparison to those in 2013-2014, and the percentage of the correctly-structured questions was high and did not significantly change from 2013-2014 in comparison to that of 2014-2015.

Keywords: Board exam, Difficulty factor, Discrimination index, Residency pre-board exam, Structural principles, Taxonomy
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Abstract View: 222

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Submitted: 10 Feb 2020
Accepted: 18 Apr 2020
ePublished: 06 Jun 2020
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