Evidence map›Paper›PMID 42256854›Full record

ArticleAEM education and training2026

A Low-Resource Intervention to Improve Emergency Medicine NBME Scores: Risk Notification and Study Plan Submission.

Rachel L Day, Nicholas Harrison, Malia J Moore, Audrey Herbert, Anna Bona, Katie Pettit

Abstract read
In one paragraph

Article in AEM education and training, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

6 authors.

Rachel L DayIndiana University School of Medicine Indianapolis Indiana USA.ORCID https://orcid.org/0009-0006-6308-8486
Nicholas HarrisonIndiana University School of Medicine Indianapolis Indiana USA.ORCID https://orcid.org/0000-0002-8331-7833
Malia J MooreIndiana University School of Medicine Indianapolis Indiana USA.
Audrey HerbertIndiana University School of Medicine Indianapolis Indiana USA.
Anna BonaIndiana University School of Medicine Indianapolis Indiana USA.
Katie PettitIndiana University School of Medicine Indianapolis Indiana USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: It is unclear what strategies are helpful to support medical students who are at risk of failing required clerkship final examinations, such as the commonly used National Board of Medical Examiners shelf exam (NBME). This study examined whether asking students who performed poorly on their practice Emergency Medicine NBME to create their own study plan, regardless of their chosen study method or resource, would result in better performance on the end of clerkship NBME. Methods: 700 students enrolled in a required Emergency Medicine (EM) clerkship were evaluated during the Academic Year (AY) before and after implementation of the study plan requirement (AY-2023 vs. AY-2024). In both AYs, a practice NBME examination was required in addition to the mandatory end-of-clerkship exam, but in AY-2024 students scoring 65 or below on the practice test were required to create a study plan without any specific resource or time-commitment requirements. We compared the relationship between practice and final NBME scores pre/post intervention, using mixed modeling regression for multivariable adjustment of confounders. Results: After implementation of the study plan requirement for students failing the practice test in AY-2024, both the overall NBME shelf exam scores and the rates of High Pass or Honors level final NBME scores rose. The difference in final exam scores between those failing the practice vs. passing it was dramatically smaller and no longer statistically significant between AY-2023 and AY-2024. Conclusion: For medical students that failed the Emergency Medicine NBME practice exam, a simple intervention of notification of potential failure and instruction to develop a study plan was associated with improved outcomes on the final examination, even without any requirement for the format or intensity of the study plan.

Identifiers

PMID42256854
PMCPMC13239179

What OpenQuestion holds

Textmetadata
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.