Factors associated with student performance on the medical residency test

ABSTRACT

SUMMARY OBJECTIVE: To determine whether the scores of the Progress test, the Skills and Attitude test, and the medical internship are correlated with the medical residency exam performance of students who started medical school at the Federal University of São Paulo in 2009 METHODS: The scores of 684 Progress tests from years 1-6 of medical school, 111 Skills and Attitude exams (5th year), 228 performance coefficients for the 5th and 6th years of internship, and 211 scores on the medical residency exam were analyzed longitudinally. Correlations between scores were assessed by Pearson's correlation. Factors associated with medical residency scores were analyzed by linear regression. RESULTS: Scores of Progress tests from years 1-6 and the Skills and Attitude test showed at least one moderate and significant correlation with each other. The theoretical exam and final exam scores in the medical residency had a moderate correlation with performance in the internship. The score of the theoretical medical residency exam was associated with performance in internship year 6 (β=0.833; p<0.001), and the final medical residency exam score was associated with the Skills and Attitude score (β=0.587; p<0.001), 5th-year internship score, (β=0.060; p=0.025), and 6th-year Progress test score (β=0.038; p=0.061). CONCLUSIONS: The scores of these tests showed significant correlations. The medical residency exam scores were positively associated with the student's performance in the internship and on the Skills test, with a tendency for the final medical residency exam score to be associated with the 6th-year Progress test.

RESUMO

RESUMO OBJETIVO: Analisar a presença de correlação e associação entre as notas dos Testes de Progresso, provas de Habilidades e Atitudes e notas de desempenho no internato em relação às notas de Residência Médica (RM) de alunos ingressantes em 2009 no curso médico da Universidade Federal de São Paulo. MÉTODOS: análise longitudinal de 684 notas de Testes de Progresso do 1º ao 6º ano, 111 de Habilidades e Atitudes (5º ano), 228 coeficientes de rendimento do 5º e 6º anos e 211 notas da Prova de Residência Médica. Analisou-se a correlação de Pearson entre as notas e os fatores associados às notas da RM por regressão linear. RESULTADOS: Os Testes de Progresso do 1º ao 6º ano e Habilidades apresentaram pelo menos uma correlacao moderada e significante entre si. As notas da prova teorica e nota final da RM tiveram correlacao moderada com as notas de desempenho no internato. A nota teorica da Prova de RM se associou ao desempenho no internato no 6º ano (β=0,833; p<0,001) e nota final da Prova de RM se associou as notas da prova de Habilidades e Atitudes (β=0,587; p<0,001), desempenho no 5º ano (β=0,060, p=0,025) e Testes de Progresso do 6º ano (β=0,038; p=0,061). CONCLUSÕES: Houve correlacao significante entre as notas das diversas provas. A nota da prova de Residencia Medica se associou positivamente ao desempenho do aluno no internato e prova de Habilidades, com tendencia de associacao do Teste de Progresso do 6º ano com o desempenho final na prova de RM.