title: Relationships between high-stakes clinical skills exam scores and program director global competency ratings of first-year pediatric residents.
abstract: BACKGROUND
  Responding to mandates from the Accreditation Council for Graduate Medical Education (ACGME) and American Osteopathic Association (AOA), residency programs have developed competency-based assessment tools. One such tool is the American College of Osteopathic Pediatricians (ACOP) program directors' annual report. High-stakes clinical skills licensing examinations, such as the Comprehensive Osteopathic Medical Licensing Examination Level 2-Performance Evaluation (COMLEX-USA Level 2-PE), also assess competency in several clinical domains.
  
  
  OBJECTIVE
  The purpose of this study is to investigate the relationships between program director competency ratings of first-year osteopathic residents in pediatrics and COMLEX-USA Level 2-PE scores from 2005 to 2009.
  
  
  METHODS
  The sample included all 94 pediatric first-year residents who took COMLEX-USA Level 2-PE and whose training was reviewed by the ACOP for approval of training between 2005 and 2009. Program director competency ratings and COMLEX-USA Level 2-PE scores (domain and component) were merged and analyzed for relationships.
  
  
  RESULTS
  Biomedical/biomechanical domain scores were positively correlated with overall program director competency ratings. Humanistic domain scores were not significantly correlated with overall program director competency ratings, but did show moderate correlation with ratings for interpersonal and communication skills. The six ACGME or seven AOA competencies assessed empirically by the ACOP program directors' annual report could not be recovered by principal component analysis; instead, three factors were identified, accounting for 86% of the variance between competency ratings.
  
  
  CONCLUSIONS
  A few significant correlations were noted between COMLEX-USA Level 2-PE scores and program director competency ratings. Exploring relationships between different clinical skills assessments is inherently difficult because of the heterogeneity of tools used and overlap of constructs within the AOA and ACGME core competencies.
authors.affiliation: Department of Clinical Skills Testing, National Board of Osteopathic Medical Examiners, Conshohocken, PA, USA. elangenau@nbome.org
authors.forename: Erik E
authors.initials: EE
authors.lastname: Langenau
authors.forename: Gina
authors.initials: G
authors.lastname: Pugliano
authors.forename: William L
authors.initials: WL
authors.lastname: Roberts
mesh_terms: D002983:Clinical Competence / Q000592:standards* / Q000706:statistics & numerical data; D004521:Educational Measurement / Q000379:methods*; D004522:Educational Status; D005180:Faculty, Medical / Q000592:standards* / Q000706:statistics & numerical data; D006801:Humans; D007396:Internship and Residency / Q000592:standards* / Q000706:statistics & numerical data; D010021:Osteopathic Medicine / Q000592:standards* / Q000706:statistics & numerical data; D010372:Pediatrics / Q000193:education* / Q000706:statistics & numerical data; D010817:Physician-Patient Relations; D014481:United States