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

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

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