Administration and performance on the Spinal Cord Injury Medicine Certification Examination over a 10-year period

The Journal of Spinal Cord Medicine, 2019 · DOI: 10.1080/10790268.2018.1475995 · Published: January 1, 2019

Simple Explanation

This study reviews the performance of candidates who took the Spinal Cord Injury (SCI) Medicine subspecialty certification exam over a 10-year period (2005-2014). It examines factors influencing exam performance and candidate perceptions of the exam. The study found that candidates with primary certification in Physical Medicine and Rehabilitation (PM&R) and those taking the exam for the first time generally performed better. Candidate feedback was largely positive, with most agreeing that the exam was relevant and a good measure of knowledge. The findings can help future candidates prepare for the exam and inform exam development. It highlights areas where candidates may need additional preparation, such as pulmonary issues or specific SCI types, depending on their background and experience.

Study Duration

10 years

Participants

566 candidates who completed the SCI Medicine Examination

Evidence Level

Retrospective review

Key Findings

1
Candidates with primary specialty certification in Physical Medicine and Rehabilitation (PM&R) demonstrated better exam performance.
2
First-time test takers had significantly higher pass rates compared to those repeating the exam.
3
Performance declined significantly with repeat attempts after failing on initial attempt.

Research Summary

The study examined data from 566 candidates who took the SCI Medicine Examination between 2005 and 2014. It analyzed candidate characteristics, performance, and perceptions of the exam. Key findings included that PM&R candidates and first-time test-takers performed better. The study also identified specific content areas where candidates, particularly those recertifying or from non-PM&R backgrounds, may need more preparation. The authors conclude that the study provides valuable information for future candidates, those guiding them, and for future exam development. The exam was generally perceived positively by candidates.

Practical Implications

Targeted Preparation

Candidates should focus preparation on areas of weakness, particularly pulmonary issues, traumatic SCI, and genitourinary/gastrointestinal complications.

Early Examination

Fellowship programs should support fellows in preparing for primary certification exams to enable them to take the SCI Medicine Examination soon after fellowship completion.

Curriculum Review

Fellowship directors should ensure comprehensive exposure to the full scope of SCI Medicine to align with exam content.

Study Limitations

1
Relatively small number of candidates limits the robustness of statistical analyses
2
Data was pooled over a 10 year period
3
Current findings may not necessarily apply to future exam administration

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