Salud Pública de México

Flaws in the design of the Examen Nacional para Aspirantes a Residencias Médicas produce inequity

Aldo Barajas-Ochoa, César Ramos-Remus, José Dionisio Castillo-Ortiz, José Yáñez, Zalathiel Barajas-Ochoa, Jorge Manuel Sánchez-González, Mauricio Hernández-Ávila, José Ángel Córdova-Villalobos, Lilia Patricia Bustamante-Montes

Resumen


 Objective. To assess the assumption of ‘equity’ of Mexico’s resident-selection assessment tool, the Examen Nacional para Aspirantes a Residencias Médicas (ENARM). Materials and methods. Official ENARM-2016 and -2017 databases were analyzed. Differences in the absolute number of correct answers (multivariable linear regression) and the number of applicants reaching their specialty minimum score (SMS) per test day (odds ratio [OR]) were calculated. Applicants affected by test-day inequity were estimated. Results. There were 36 114 applicants in 2016, and 38 380 in 2017. In 2016, day-2 applicants had significantly higher scores and more reached the SMS than on days 1-3-4 (OR 1.55), and 5 (OR 3.8); 3 565 non-passing applicants were affected by inequity (equivalent to 44.64% of those selected). In 2017, day-1 and -2 applicants had significantly higher scores and more reached the SMS than on days 3-4 (OR 1.85), and 5 (OR 4.04); 3,155 non-passing applicants were affected by inequity (37.2% of those selected). Conclusion. Analysis of official ENARM databases does not support the official attribution of equity, suggesting the test should be redesigned.


Palabras clave


education; graduate medical; specialty; residency and internship; personnel selection; academic test score; psychometrics.

Texto completo:

PDF (English)


DOI: http://dx.doi.org/10.21149/9790

Enlaces refback





Salud Pública de México es una publicación periódica electrónica, bimestral, publicada por el Instituto Nacional de Salud Pública (con domicilio en Avenida Universidad núm. 655, col. Santa María Ahuacatitlán, Cuernavaca, Morelos, C.P. 62100, teléfono 329-3000, página web, www.insp.mx), con ISSN: 1606-7916 y Reserva de Derechos al Uso Exclusivo con número: 04-2012-071614550600-203, ambos otorgados por el Instituto Nacional del Derecho de Autor. Editor responsable: Carlos Oropeza Abúndez. Responsable de la versión electrónica: Subdirección de Comunicación Científica y Publicaciones, Avenida Universidad núm. 655, planta baja, col. Santa María Ahuacatitlán, Cuernavaca, Morelos, C.P. 62100, teléfono 329 3000. Fecha de última modificación: 11 de abril de 2019. D.R. © por el sitio: Instituto Nacional de Salud Pública.

Gestionando el conocimiento