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Making Much of the Mundane: ARetrospective Examination of Undergraduate Medical Students’ Completion of Routine Tasks and USMLE Step 1 Performance

Making Much of the Mundane: ARetrospective Examination of Undergraduate Medical Students’... Purpose This investigation explored the relationship between conscientiousness, as measured by completion of routine tasks, and performance (promotion decisions and the United States Medical Licensing Examination [USMLE] Step 1 performance). Method A retrospective, cohort-based design with consenting medical students (n = 251) was used to examine if a noncompli- ance index (NCI), comprised of completed course evaluations and weekly assessments, predicted overall and competency- specific promotion decisions and USMLE Step 1 performance. Associations among NCI and USMLE Step 1 scores, adjusting for both gender and Medical College Admission Test (MCAT) score, were explored with multivariable linear regression models. The Wilcoxon rank-sum tests investigated associations among NCI and subsequent promotion decisions. Results Unconscientious student behavior during year 1 predicted unfavorable performance in year 2 for overall promotion and adverse competency-specific decisions in professionalism, medical knowledge, and communication skills. Combined year 1 and year 2 NCI scores predicted students placed in remediation in year 2 and years 3 and 5. Each unit increase in year 1 NCI score resulted, on average, with a 1.6-point decrease (95% CI − 2.7 to − 0.5, p = 0.005) in USMLE Step 1 score and, in years 1 and 2, a 1.3-point decrease (NCI Yr1 http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Medical Science Educator Springer Journals

Making Much of the Mundane: ARetrospective Examination of Undergraduate Medical Students’ Completion of Routine Tasks and USMLE Step 1 Performance

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References (18)

Publisher
Springer Journals
Copyright
Copyright © 2018 by International Association of Medical Science Educators
Subject
Education; Medical Education
eISSN
2156-8650
DOI
10.1007/s40670-018-0552-3
Publisher site
See Article on Publisher Site

Abstract

Purpose This investigation explored the relationship between conscientiousness, as measured by completion of routine tasks, and performance (promotion decisions and the United States Medical Licensing Examination [USMLE] Step 1 performance). Method A retrospective, cohort-based design with consenting medical students (n = 251) was used to examine if a noncompli- ance index (NCI), comprised of completed course evaluations and weekly assessments, predicted overall and competency- specific promotion decisions and USMLE Step 1 performance. Associations among NCI and USMLE Step 1 scores, adjusting for both gender and Medical College Admission Test (MCAT) score, were explored with multivariable linear regression models. The Wilcoxon rank-sum tests investigated associations among NCI and subsequent promotion decisions. Results Unconscientious student behavior during year 1 predicted unfavorable performance in year 2 for overall promotion and adverse competency-specific decisions in professionalism, medical knowledge, and communication skills. Combined year 1 and year 2 NCI scores predicted students placed in remediation in year 2 and years 3 and 5. Each unit increase in year 1 NCI score resulted, on average, with a 1.6-point decrease (95% CI − 2.7 to − 0.5, p = 0.005) in USMLE Step 1 score and, in years 1 and 2, a 1.3-point decrease (NCI Yr1

Journal

Medical Science EducatorSpringer Journals

Published: Mar 5, 2018

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