John R. Boulet
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View article: The Use of COMLEX-USA Performance When Considering DO Applicants to General Surgery Residency Programs
The Use of COMLEX-USA Performance When Considering DO Applicants to General Surgery Residency Programs Open
The results from this investigation indicate that COMLEX performance is predictive of ABS in-training and board certification performance. If program directors continue to use licensing examination performance as part of holistic review of…
View article: Assessing fundamental clinical skills of osteopathic medical students
Assessing fundamental clinical skills of osteopathic medical students Open
Context Clinically based performance assessments, including those employing standardized patients (SPs), have been utilized to educate and assess medical students and graduates. Starting in the 1990s, demonstrating competency on these type…
View article: Does Physicians' Clinical Competence, Communication Ability, or Cultural Background Influence Potentially Inappropriate Prescribing of Benzodiazepines and Z‐Drugs Among Older Adults With Insomnia?
Does Physicians' Clinical Competence, Communication Ability, or Cultural Background Influence Potentially Inappropriate Prescribing of Benzodiazepines and Z‐Drugs Among Older Adults With Insomnia? Open
Objective The objective of this study is to estimate the association between physician's age, sex, clinical and communication competencies, and cultural background on benzodiazepines and Z‐drugs (BDZ) prescribing to older adults with insom…
View article: Conducting an Objective Structured Clinical Examination under COVID-Restricted Conditions
Conducting an Objective Structured Clinical Examination under COVID-Restricted Conditions Open
Background The administration of performance assessments during the coronavirus disease of 2019 (COVID-19) pandemic posed many challenges, especially for examinations employed as part of certification and licensure. The National Assessment…
View article: A validity study of COMLEX-USA Level 3 with the new test design
A validity study of COMLEX-USA Level 3 with the new test design Open
Context The National Board of Osteopathic Medical Examiners (NBOME) administers the Comprehensive Osteopathic Medical Licensing Examination of the United States (COMLEX-USA), a three-level examination designed for licensure for the practic…
View article: Quality improvement: An argument for difference
Quality improvement: An argument for difference Open
The 2023 State of the Science guest editors (and colleagues) reflect on the many definitions of quality and challenges created for a field that emphasises quality improvement.
View article: Facilitating the Path to Licensure and Practice: International Medical Graduates in Canada
Facilitating the Path to Licensure and Practice: International Medical Graduates in Canada Open
Canada relies heavily on foreign-trained physicians. As a Federation, with health care being a Provincial jurisdiction, this often translates into varied processes that international medical graduates (IMGs) must undertake to obtain a Cana…
View article: Comments on “Reported completion of the USMLE Step 1 and match outcomes among senior osteopathic students in 2020”
Comments on “Reported completion of the USMLE Step 1 and match outcomes among senior osteopathic students in 2020” Open
We would like to comment on "Reported completion of the USMLE Step 1 and match outcomes among senior osteopathic students in 2020," [1] which was published in March 2022 in Journal of Osteopathic Medicine.We acknowledge the importance of a…
View article: Medical Council of Canada Qualifying Examinations and performance in future practice
Medical Council of Canada Qualifying Examinations and performance in future practice Open
The purpose of medical licensing examinations is to protect the public from practitioners who do not have adequate knowledge, skills, and abilities to provide acceptable patient care, and therefore evaluating the validity of these examinat…
View article: To the Editor: Response to: Limitations and Alternative Approaches to a USMLE COMLEX-USA Concordance
To the Editor: Response to: Limitations and Alternative Approaches to a USMLE COMLEX-USA Concordance Open
We appreciate the attention our colleagues at the National Board of Medical Examiners (NBME) have paid to our concordance study.1 We agree that the use of licensure examinations in the resident selection process is “overweighted.”2 We supp…
View article: Associations between initial American Board of Internal Medicine certification and maintenance of certification status of attending physicians and in-hospital mortality of patients with acute myocardial infarction or congestive heart failure: a retrospective cohort study of hospitalisations in Pennsylvania, USA
Associations between initial American Board of Internal Medicine certification and maintenance of certification status of attending physicians and in-hospital mortality of patients with acute myocardial infarction or congestive heart failure: a retrospective cohort study of hospitalisations in Pennsylvania, USA Open
Objective To determine whether internists’ initial specialty certification and the maintenance of that certification (MOC) is associated with lower in-hospital mortality for their patients with acute myocardial infarction (AMI) or congesti…
View article: Association of clinical competence, specialty and physician country of origin with opioid prescribing for chronic pain: a cohort study
Association of clinical competence, specialty and physician country of origin with opioid prescribing for chronic pain: a cohort study Open
Background Although little is known about why opioid prescribing practices differ between physicians, clinical competence, specialty training and country of origin may play a role. We hypothesised that physicians with stronger clinical com…
View article: Reliability of simulation-based assessment for practicing physicians: performance is context-specific
Reliability of simulation-based assessment for practicing physicians: performance is context-specific Open
Introduction Even physicians who routinely work in complex, dynamic practices may be unprepared to optimally manage challenging critical events. High-fidelity simulation can realistically mimic critical clinically relevant events, however …
View article: Reliability of Simulation-based Assessment for Practicing Physicians: Performance is Context-Specific
Reliability of Simulation-based Assessment for Practicing Physicians: Performance is Context-Specific Open
Introduction: Even physicians who routinely work in complex, dynamic practices may be unprepared to optimally manage challenging critical events. High-fidelity simulation can realistically mimic critical clinically relevant events, however…
View article: International Medical Graduates in the Pediatric Workforce in the United States
International Medical Graduates in the Pediatric Workforce in the United States Open
BACKGROUND AND OBJECTIVES: To describe the supply, distribution, and characteristics of international medical graduates (IMGs) in pediatrics who provide patient care in the United States. METHODS: Cross-sectional study, combining data from…
View article: Prevalence of International Medical Graduates From Muslim-Majority Nations in the US Physician Workforce From 2009 to 2019
Prevalence of International Medical Graduates From Muslim-Majority Nations in the US Physician Workforce From 2009 to 2019 Open
Based on the findings of this study, the number of ECFMG applicants from Muslim-majority countries decreased from 2015 to 2018. The US physician workforce will continue to rely on IMGs for some time to come. To the extent that citizens fro…
View article: Reliability of Simulation-Based Assessment for Practicing Physicians: Performance is Context-Specific
Reliability of Simulation-Based Assessment for Practicing Physicians: Performance is Context-Specific Open
Introduction: Even physicians who routinely work in complex, dynamic practices may be unprepared to optimally manage challenging critical events. High-fidelity simulation can realistically mimic critical clinically relevant events, however…
View article: Canadians studying medicine abroad and their journey to secure postgraduate training in Canada or the United States
Canadians studying medicine abroad and their journey to secure postgraduate training in Canada or the United States Open
Background: From national and international workforce perspectives, Canadians studying medicine abroad (CSAs) are a growing provider group. Some were born in Canada whereas others immigrated as children. They study medicine in various coun…
View article: Advancing the Quality of Medical Education Worldwide: ECFMG's 2023 Medical School Accreditation Requirement
Advancing the Quality of Medical Education Worldwide: ECFMG's 2023 Medical School Accreditation Requirement Open
Certification by the Educational Commission for Foreign Medical Graduates (ECFMG®) is required for international medical graduates (IMGs) to enter U.S. graduate medical education (GME). As a gatekeeper to the U.S. health care system, ECFMG…
View article: Establishing the Validity of Licensing Examination Scores
Establishing the Validity of Licensing Examination Scores Open
The validation of the scores on licensure/certification examinations or, more appropriately, the pass/fail decisions that are made based on these scores, can be difficult and costly. Nevertheless, evidence must be procured to support any i…
View article: The contribution of Chinese-educated physicians to health care in the United States
The contribution of Chinese-educated physicians to health care in the United States Open
Unlike trends from some other South Asian countries, the number of CEPs in the US has increased over the past 10 years. Migration trends may vary depending on citizenship and country of medical school training. The majority of Chinese-educ…
View article: Evaluating the impact of faculty development workshops on implementation of structured verbal feedback
Evaluating the impact of faculty development workshops on implementation of structured verbal feedback Open
Feedback is the focused information given to the learner on their performance. It is easier said than done. We aim to develop a system of structured verbal feedback (in addition to the written record of assessment) given by the faculty to …
View article: Uniformed Services University Women’s Enrollment and Career Choices in Military Medicine: A Retrospective Descriptive Analysis
Uniformed Services University Women’s Enrollment and Career Choices in Military Medicine: A Retrospective Descriptive Analysis Open
Women are making significant gains in enrollment at USU, obtaining board certification at similar, and in some cases, higher rates than their civilian peers, and practicing in diverse specialties. This study provides a descriptive picture …