Nutrition Education in U.S. Medical Schools (1985) / Chapter Skim
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Appendix G: Nutrition Science Content of National Board Examinations
Appendix G: Nutrition Science Content of National Board Examinations
Pages 127-136
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From page 127... ...
medical schools "as an external evaluation of the progress of their students" (NBME, 1985~. NATIONAL BOARD TEST CONTENT ._ Part I of the National Board examination contains multiple choice questions in seven major disciplines: 0 anatomy (gross anatomy, cell biology, histology, human development, central nervous system, special senses)
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It contains multiple choice questions in medicine obstetrics and gynecology pediatrics preventive medicine and public health psychiatry · surgery The National Board examinations, therefore, represent a comprehensive and diligently selected set of questions
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Questions concerning nutrition were found in all disciplines except microbiology. The average percentage of correct responses to these nutrition items for all disciplines combined ranged from 61.5% to 63.8% -- in approximately the same range found for the entire examination for those years (i.e., 63% to 67%~.
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bPercentage of nutrition-related questions among total questions for discipline. CAverage percentage of correct responses to all the nutritionrelated questions in each discipline.
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CAverage percentage of correct responses to all the nutritionrelated questions in each discipline. dDiscrimination value: An index that represents how well highscoring examinees perform on the particular question compared with low-scoring examinees.
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The average percentage of correct responses indicate that there is no difference in performance on nutritionrelated test items when compared to all test questions on the examinations reviewed by the committee. The R values indicate that questions on nutrition reflect about the same level of discrimination as all test items in both Parts I and II of the examinations reviewed.
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From page 133... ...
TABLE G-3. Average Percentage of Correct Responses and Discrimination Values by Discipline for Parts I and II of the 1980, 1982, and 1984 National Board Examinations Discipline _80 1982 pa Anatomy Behavioral science 63 66 Rb 30 23 1984 p R P 65 69 31 26 68 65 33 26 Biochemistry 59 33 64 35 70 35 Pathology 64 27 63 28 63 29 Pharmacology 62 29 64 31 68 32 Physiology 65 31 67 30 73 29 Microbiology _ 30 62 28 67 31_ Average 63 29 65 30 67 31 PART II Discipline 1380 I95 ~1984 P R P R P R Anatomy 63 30 65 31 68 33 Preventive medi cine, public 66 31 65 28 68 30 health Pediatrics 67 28 63 26 64 26 Psychiatry 67 25 66 26 65 26 Medicine 65 32 67 30 65 28 Surgery 65 28 63 25 66 27 Obstetrics and gynecology 64 28 66 26 63 24 Average 66 28 65 27 65 27 aAverage percentage of correct responses to all questions in each discipline.
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From page 134... ...
TABLE G-4. Questions on 1980, 1982, and 1984 National Board Examinations Related to Nutrition Core Curriculuma Core Curriculum Topic Nb %C Energy balance General concepts Excess: obesity Deficiency: undernutrition and starvation Specific nutritional factors (requirements, sources, deficiency excess interaction)
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Core Curriculum Topic _ Nb %C The role of nutrition in disease prevention and treatment Atherosclerosis and cardiovascular disease 8 4.2 Hypertension/sodium O Renal disease 2 1.0 G.I. disease/malabsorption 5 2.6 Liver disease/alcoholism 6 3.0 Food intolerance: allergy O Cancer O Diabetes/hypoglycemia 5 2.6 Surgery, stress, burns 1 0.5 Dental caries 3 1.6 Parenteral and enteral nutrition O Immune response O Nutrition and central nervous system 1 0.5 Osteoporosis O Dietary practices Cultural and ethnic variation Prudent diet Vegetarianism Food faddism: popular diets Megavitamins Others 2 2 o o 1 0.5 1.0 1.0 Anatomy and embryology 2 1.0 "Core curriculum concepts as defined by the Committee on Nutrition in Medical Education (see Chapter 5~.
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From page 136... ...
No test questions were found on the following subjects recommended as core concepts by the committee: vitamin A metabolism, nutrition in the aged, food intolerances and allergies, nutrition in cancer patients, parenteral and enteral nutrition, the role of nutrition in the immune response, osteoporosis, and food fads and popular diets. REFERENCE National Board of Medical Examiners.
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