Navigation Links
New testing program improves scores, knowledge retention for third-year internal medicine residents
Date:10/11/2011

CINCINNATIAn analysis by University of Cincinnati (UC) faculty members shows that a multiple-choice testing program coupled with a novel year-long clinical experience helps internal medicine residents improve their scores on the Internal Medicine In-Training Exam (IM-ITE).

These findings, published in the advance online edition of the Journal of General Internal Medicine scheduled for print in November, validate the benefit of this and similar programs in improving internal medicine resident education at UC and possibly at other institutions. This may lead to a higher certification rate for new internal medicine physicians and better clinical care for patients.

"The IM-ITE, given annually in October, is a validated examination that assesses internal medicine resident knowledge acquisition during training," says Bradley Mathis, MD, associate professor in the division of general internal medicine, UC Health primary care physician and lead investigator on the study. "Many programs use the IM-ITE to counsel residents, to create individual remediation plans for residents and to make fundamental programmatic and curricular modifications."

Mathis and colleagues in the department designed a rotation-specific multiple-choice testing program and a separate board review testing program administered during 12 months of ambulatory and inpatient care elective experience with the intent of improving residents' knowledge.

"The purpose of this study was to determine the association between these educational interventions and IM-ITE percentile scores in third post-graduate year categorical residents who were exposed to the educational program," he says.

Faculty in the division of general internal medicine developed this program, which involved administering pre- and post-rotation multiple-choice tests during the long-block (12 consecutive months of residency from November of Year 2 to October of Year 3 consisting of ambulatory care, inpatient and outpatient electives and research experiences with minimal overnight call) using examinations of 30 to 50 questions each.

They created the exams using the American College of Physicians' Medical Knowledge Self Assessment Program and chose questions based on the previously defined set of goals and objectives for each rotation. Topics included cardiology, gastroenterology, hepatology, nephrology, hematology oncology, endocrinology, pulmonary medicine and rheumatology.

Residents took the pre-test during the first week of their rotation and received confidential feedback regarding their performance and were encouraged to discuss areas of weakness with their elective rotation attending physician to create a personalized learning plan for the month.

During the last week of the rotation, each resident received and completed a post-test that used different questions than the pre-test but covered similar areas. Then, residents were asked to reflect on progress made during the elective rotation and create further study plans for the areas in which they were having trouble.

In addition, working collaboratively with the American Board of Internal Medicine (ABIM), the faculty created six additional 60-question multiple-choice examinations based upon the self-assessment modules in the ABIM Maintenance of Certification program.

"If students fell short in their medical knowledge, they were required to meet with the administration to develop a personalized learning plan, which varied on learning styles but including scheduled text reading and review, review of exams and test taking skill, peer-guided study groups and introduction to alternative learning methods such as video and audio taped reviews," Mathis says, adding that residents met with administration at least quarterly but had the opportunity to meet more often.

Participants included 104 residents. Forty-five participated in the study group during 2008-2009, and 59 residents in the three classes that preceded the use of the testing program, 2005-2007, served as controls.

"We analyzed the change in median individual percent correct and percentile scores between the first and second year and between the second and third year in both control and study groups," Mathis says. "For our main outcome, we compared the change in median individual percentile rank between the control and study groups between the second- and third-year testing opportunities."

Mathis says that after undergoing the testing and the patient care experience, the study group showed a significant increase (8.5 percentile points) in their score between the second- and third-year examinations.

"This was better than the increase of 1 percentile point in the control group," he says. "These results mean that exposure to a broad range of medical information in a structured learning environment provided the necessary feedback and tools for individual improvement in medical knowledge, hopefully leading to higher ABIM certification scores and better long-term clinical performance for these physicians as well as better experiences for patients."


'/>"/>

Contact: Katie Pence
katie.pence@uc.edu
513-558-4561
University of Cincinnati Academic Health Center
Source:Eurekalert

Related medicine news :

1. New testing method hints at garlics cancer-fighting potential
2. Twenty-Five Years of HIV Blood Testing Helped to Positively Transform Global Health Crisis
3. Christine P. Carrington, President of NurseTesting Creative Solutions, Inducted into Cambridge Who's Who
4. New Allergy Testing Available for Patients Allergic to Penicillin: Determining the Presence of Penicillin Allergy is Essential to Patient Care
5. Breast Cancer Patients Often Confused by Genomic Testing
6. Study Results Validate Shape-HF as Simplified, Portable Cardiopulmonary Exercise Testing System
7. San Francisco AIDS Foundation Introduces HIV Testing to Sixth Street
8. Phybridge Inc. Joins the Cisco Developer Network and Completes Cisco Interoperability Verification Testing
9. UAB testing software program to improve safety among older drivers
10. Study Published by Circulation Heart Failure Reinforces Science Behind Shape-HF Cardiopulmonary Exercise Testing Device
11. Pilot Testing Phase Ends; Expansion Of Sales Force Begins
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:2/6/2016)... ... ... With the FCPX LUT: Summer pack from Pixel Film Studios, ... is a Lookup Table that contains a mathematical formula for modifying an image. The ... manipulating each pixel, LUT's can change each color range differently, it gives the user ...
(Date:2/6/2016)... ... February 06, 2016 , ... Research has ... helps to reduce the frequency and level of relapse. , At ... Identity and Purpose,” will explore the critical tasks of the recovery phase and ...
(Date:2/5/2016)... ... ... Love is in the air at King Kullen! The local grocer is ... staple for Valentine’s Day is a must-have, and can be picked up with all ... are long-stem roses available, but also other flower bouquets, elegantly wrapped and ready to ...
(Date:2/5/2016)... ... February 05, 2016 , ... Today, the Whole-Food Warrior TV ... the much-anticipated feature with author Jahnavi Foster, specialist in healthy vegetarian cuisine, will stream ... Each week, on his weekly Whole-Food Warrior TV show, Frank Davis highlights Whole-Food Warriors ...
(Date:2/5/2016)... ... 2016 , ... The event is being held on April 7, 2016 from ... Triumph Over Parkinson’s will fund nearly $100,000 for research for the care and cure ... disease and is the architect of this informative event to raise awareness and funds ...
Breaking Medicine News(10 mins):
(Date:2/4/2016)... Feb. 4, 2016 Mettler-Toledo International Inc. (NYSE: ... 2015.  Provided below are the highlights: , ... compared with the prior year.  Reported sales decreased 3% ... quarter. , Net earnings per diluted share as ... prior- year period.  Adjusted EPS was $4.65, an increase ...
(Date:2/4/2016)...  AMRI (NASDAQ:  AMRI) today announced that Anthony J. ... of Pfizer Global Supply, has been elected to the AMRI ... addition, the Company announced that Mr. Gabe Leung , ... has retired from the AMRI Board of Directors in order ... ventures.  William S. Marth , President and ...
(Date:2/4/2016)... , Feb. 4, 2016 SONIFI™ ... technology solutions, today announced that MonteCedro, an innovative ... Living Engagement System. The system provides a simple ... residents access through a tablet PC. ... resident engagement system provides access to a wide ...
Breaking Medicine Technology: