• Teresa L Massagli, Michelle S Gittler, Mikaela M Raddatz, and Lawrence R Robinson.
• Department of Rehabilitation Medicine, University of Washington and Seattle Children's Hospital, Mailstop OB.8.410, 4800 Sand Point Way NE, Seattle, WA 98105(∗). Electronic address: Massagli@uw.edu.
• PM R. 2017 Feb 1; 9 (2): 154-158.

BackgroundEach year, residents in accredited United States Physical Medicine and Rehabilitation (PMR) residency programs can take the American Academy of Physical Medicine and Rehabilitation (AAPM&R) Self-Assessment Examination for Residents (SAE-R). This 150-question, multiple-choice examination is intended for self-assessment of physiatric knowledge, but its predictive value for performance on the part 1 American Board of Physical Medicine and Rehabilitation Certification Examination (ABPMR-CE) is unknown.ObjectiveTo investigate the predictive value of the SAE-R in relation to the part 1 ABPMR-CE.DesignRetrospective study.MethodsData were analyzed from first time takers of the part 1 ABPMR-CE during a 5-year period from 2010 through 2014 who took at least 1 SAE-R in the third or fourth postgraduate year (PGY) of residency.Main Outcome MeasurementsRaw scores from the SAE-R were compared with scaled scores on the part 1 examination. Regression models analyzed the predictive value of the SAE-R total score for each PGY level.ResultsSAE-R raw scores increased an average of 5.5 points between the PGY 3 and PGY 4 year. PGY3 SAE-R raw scores accounted for 24.8% and PGY4 SAE-R scores for 27.1% of the variance in part 1 ABPMR-CE scores (P < .0001). Residents who obtained a raw score greater than 80 (53% correct) on the SAE-R had an 80% or greater chance of passing the ABPMR-CE. Scores greater than 90 (60% correct) on the SAE-R were associated with a 95% chance of passing the ABPMR-CE.ConclusionThe SAE-R scores provide some information regarding the likelihood of passing the part 1 certification examination. This study supports the SAE-R as a means of providing PMR residents with feedback regarding their level of knowledge.Copyright © 2017 American Academy of Physical Medicine and Rehabilitation. Published by Elsevier Inc. All rights reserved.

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