Evidence map›Paper›PMID 39016382›Full record

Observational studySao Paulo medical journal = Revista paulista de medicina2024

Reliability across content areas in progress tests assessing medical knowledge: a Brazilian cross-sectional study with implications for medical education assessments.

Pedro Tadao Hamamoto Filho, Miriam Hashimoto, Alba Regina de Abreu Lima, Leandro Arthur Diehl, Neide Tomimura Costa, Patrícia Moretti Rehder, Samira Yarak, Maria Cristina de Andrade, Maria de Lourdes Marmorato Botta Hafner, Zilda Maria Tosta Ribeiro and 2 more

Abstract readObservational Study
In one paragraph

Observational study in Sao Paulo medical journal = Revista paulista de medicina, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Pedro Tadao Hamamoto FilhoPhysician, Assistant Professor, Departament of Pediatrics, Faculdade de Medicina de Botucatu, Universidade Estadual Paulista (UNESP), Botucatu (SP), Brazil.ORCID 0000-0001-6436-9307
Miriam HashimotoBiologist, Assistant Professor, Departament of Molecular Biology, Faculdade de Medicina de São José do Rio Preto (FAMERP), São José do Rio Preto (SP), Brazil.ORCID 0000-0001-6969-9161
Alba Regina de Abreu LimaBiologist, Assistant Professor, Departament of Molecular Biology, Faculdade de Medicina de São José do Rio Preto (FAMERP), São José do Rio Preto (SP), Brazil.ORCID 0000-0003-4332-4059
Leandro Arthur DiehlPhysician, Assistant Professor, Departament of Internal Medicine, Universidade Estadual de Londrina (UEL), Londrina (PR), Brazil.ORCID 0000-0002-9958-7213
Neide Tomimura CostaPhysician, Assistant Professor, Departament of Internal Medicine, Universidade Estadual de Londrina (UEL), Londrina (PR), Brazil.ORCID 0000-0001-6624-2043
Patrícia Moretti RehderPhysician, Assistant Professor, Departament of Tocogynecology, Universidade Estadual de Campinas (UNICAMP), Campinas (SP), Brazil.ORCID 0000-0003-4530-1109
Samira YarakPhysician, Assistant Professor, Departament of Dermatology, Universidade Federal de São Paulo (UNIFESP), São Paulo (SP), Brazil.ORCID 0000-0002-5657-6645
Maria Cristina de AndradePhysician, Assistant Professor, Departament of Pediatrics, Universidade Federal de São Paulo (UNIFESP), São Paulo (SP), Brazil.ORCID 0000-0003-4519-0613
Maria de Lourdes Marmorato Botta HafnerPhysician, Assistant Professor, Academic Assessment Center, Faculdade de Medicina de Marília (FAMEMA), Marília (SP), Brazil.ORCID 0000-0002-5471-4434
Zilda Maria Tosta RibeiroPhysician, Assistant Professor, Academic Assessment Center, Faculdade de Medicina de Marília (FAMEMA), Marília (SP), Brazil.ORCID 0000-0001-7368-3154
Júlio César MorigutiPhysician, Associate Professor, Departament of Internal Medicine, Universidade de São Paulo (USP), Ribeirão Preto (SP), Brazil.ORCID 0000-0001-5499-3552
Angélica Maria BicudoPhysician, Full Professor. Departamentof Pediatrics, Universidade Estadual de Campinas (UNICAMP), Campinas (SP), Brazil.ORCID 0000-0003-3043-5147

Funding

Ribosomal DNA copy number as a molecular determinant of wellness and life spanR21AG052020 · NIA · UNIVERSITY OF WASHINGTON · PI QUEITSCH, CHRISTINE · 2016 to 2017
$425k
NIA NIH HHS R21 AG052020
6 · The paper itself

Abstract

backgroundBrazilian medical schools equitably divide their medical education assessments into five content areas: internal medicine, surgery, pediatrics, obstetrics and gynecology, and public health. However, this division does not follow international patterns and may threaten the examinations' reliability and validity.

objectiveTo assess the reliability indices of the content areas of serial, cross-institutional progress test examinations. DESIGN AND SETTINGS: This was an analytical, observational, and cross-sectional study conducted at nine public medical schools (mainly from the state of São Paulo) with progress test examinations conducted between 2017 and 2023.

methodsThe examinations covered the areas of basic sciences, internal medicine, surgery, pediatrics, obstetrics and gynecology, and public health. We calculated reliability indices using Cronbach's α, which indicates the internal consistency of a test. We used simple linear regressions to analyze temporal trends.

resultsThe results showed that the Cronbach's α for basic sciences and internal medicine presented lower values, whereas gynecology, obstetrics, and public health presented higher values. After changes in the number of items and the exclusion of basic sciences as a separate content area, internal medicine ranked highest in 2023. Individually, all content areas except pediatrics remained stable over time.

conclusionsMaintaining an equitable division in assessment content may lead to suboptimal results in terms of assessment reliability, especially for internal medicine. Therefore, content sampling of medical knowledge for general assessments should be reappraised.

Indexed as

Educational MeasurementBrazilClinical CompetenceCross-Sectional StudiesEducation, MedicalHumansReproducibility of ResultsSchools, Medical

Identifiers

PMID39016382
PMCPMC11251435

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.