J Med Assoc Thai 2011; 94 (2):246

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Can We Predict Final Outcome of Internal Medicine Residents with In-Training Evaluation
Chierakul N Mail, Pongprasobchai S , Boonyapisit K , Chinthammitr Y , Pithukpakorn M , Maneesai A , Srivijitkamol A , Koomanachai P , Koolvisoot A , Tanwandee T , Shayakul C , Kachintorn U

Objective: To assess the predictive value of in-training evaluation for determining future success in the internal medicine
board certifying examination.

Material and Method:
Ninety-seven internal medicine residents from Faculty of Medicine Siriraj Hospital who undertake the
Thai Board examination during the academic year 2006-2008 were enrolled. Correlation between the scores during internal
medicine rotation and final scores in board examination were then examined.

Results:
Significant positive linear correlation was found between scores from both written and clinical parts of board
certifying examination and scores from the first-year summative written and clinical examinations and also the second-year
formative written examination (r = 0.43-0.68, p < 0.001). Monthly evaluation by attending staffs was less well correlated (r
= 0.29-0.36) and the evaluation by nurses or medical students demonstrated inverse relationship (r = -0.2, p = 0.27 and r =
-0.13, p = 0.48).

Conclusion: Some methods of in-training evaluation can predict successful outcome of board certifying examination.
Multisource assessments cannot well extrapolate some aspects of professional competences and qualities.

Keywords:
Internal medicine, Board certifying examination, In-training evaluation

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