Abstract：
OBJECTIVE: This study assessed the content of US Medical Licensing Examination question banks with regard to out-of-hospital births and whether the questions aligned with current evidence.
METHODS: Three question banks were searched for key words regarding out-of-hospital births. A thematic analysis was then utilized to analyze the results.
RESULTS: Forty-seven questions were identified, and of these, 55% indicated a lack of inadequate, limited, or irregular prenatal care in the question stem.
CONCLUSIONS: Systematic studies comparing prenatal care in out-of-hospital births versus hospital births are nonexistent, leading to the potential for bias and adverse outcomes. Adjustments to question stems that accurately portray current evidence are recommended.
METHODS: Three question banks were searched for key words regarding out-of-hospital births. A thematic analysis was then utilized to analyze the results.
RESULTS: Forty-seven questions were identified, and of these, 55% indicated a lack of inadequate, limited, or irregular prenatal care in the question stem.
CONCLUSIONS: Systematic studies comparing prenatal care in out-of-hospital births versus hospital births are nonexistent, leading to the potential for bias and adverse outcomes. Adjustments to question stems that accurately portray current evidence are recommended.
摘要：
目的：这项研究评估了美国医学执照考试题库中有关院外出生的内容，以及这些问题是否与当前证据相符。
方法：在三个题库中搜索有关院外分娩的关键词。然后使用主题分析来分析结果。
结果：确定了47个问题，其中，55%表示缺乏不足，limited,或问题中的不规则产前护理。
结论：不存在将院外分娩与医院分娩的产前护理进行比较的系统研究，导致偏见和不良后果的可能性。建议对准确描绘当前证据的问句进行调整。
方法：在三个题库中搜索有关院外分娩的关键词。然后使用主题分析来分析结果。
结果：确定了47个问题，其中，55%表示缺乏不足，limited,或问题中的不规则产前护理。
结论：不存在将院外分娩与医院分娩的产前护理进行比较的系统研究，导致偏见和不良后果的可能性。建议对准确描绘当前证据的问句进行调整。
