Home Research Research Library Impact of Residency Training Redesign on Residents’ Clinical Knowledge Impact of Residency Training Redesign on Residents’ Clinical Knowledge 2017 Author(s) Waller, E, Eiff, M Patrice, Dexter, E, Rinaldo, Jason C, Marino, Miguel, Garvin, R, Douglass, A B, Phillips, Robert L, Green, Larry A, and Carney, Patricia A Topic(s) Education & Training, and Family Medicine Certification Keyword(s) Cognitive Expertise, Graduate Medical Education, and In-Training Examination Volume 49(9):693-698 Source Family Medicine BACKGROUND AND OBJECTIVES: The In-training Examination (ITE) is a frequently used method to evaluate family medicine residents’ clinical knowledge. We compared family medicine ITE scores among residents who trained in the 14 programs that participated in the Preparing the Personal Physician for Practice (P4) Project to national averages over time, and according to educational innovations. METHODS: The ITE scores of 802 consenting P4 residents who trained in 2007 through 2011 were obtained from the American Board of Family Medicine. The primary analysis involved comparing scores within each academic year (2007 through 2011), according to program year (PGY) for P4 residents to all residents nationally. A secondary analysis compared ITE scores among residents in programs that experimented with length of training and compared scores among residents in programs that offered individualized education options with those that did not. RESULTS: Release of ITE scores was consented to by 95.5% of residents for this study. Scores of P4 residents were higher compared to national scores in each year. For example, in 2011, the mean P4 score for PGY1 was 401.2, compared to the national average of 386. For PGY2, the mean P4 score was 443.1, compared to the national average of 427, and for PGY3, the mean P4 score was 477.0, compared to the national PGY3 score of 456. Scores of residents in programs that experimented with length of training were similar to those in programs that did not. Scores were also similar between residents in programs with and without individualized education options. CONCLUSIONS: Family medicine residency programs undergoing substantial educational changes, including experiments in length of training and individualized education, did not appear to experience a negative effect on resident’s clinical knowledge, as measured by ITE scores. Further research is needed to study the effect of a wide range of residency training innovations on ITE scores over time. ABFM Research Read all 2019 Changes and Variation in Medicare Graduate Medical Education Payments Go to Changes and Variation in Medicare Graduate Medical Education Payments 2019 Report from the FMAHealth Practice Core Team: Achieving the Quadruple Aim through Practice Transformation Go to Report from the FMAHealth Practice Core Team: Achieving the Quadruple Aim through Practice Transformation 2018 Board Certified Family Physician Workforce: Progress in Racial and Ethnic Diversity Go to Board Certified Family Physician Workforce: Progress in Racial and Ethnic Diversity 2016 “the End of the Beginning” for Clinical Simulation in the Abfm Self-Assessment Modules (Sams) Go to “the End of the Beginning” for Clinical Simulation in the Abfm Self-Assessment Modules (Sams)
Author(s) Waller, E, Eiff, M Patrice, Dexter, E, Rinaldo, Jason C, Marino, Miguel, Garvin, R, Douglass, A B, Phillips, Robert L, Green, Larry A, and Carney, Patricia A Topic(s) Education & Training, and Family Medicine Certification Keyword(s) Cognitive Expertise, Graduate Medical Education, and In-Training Examination Volume 49(9):693-698 Source Family Medicine
ABFM Research Read all 2019 Changes and Variation in Medicare Graduate Medical Education Payments Go to Changes and Variation in Medicare Graduate Medical Education Payments 2019 Report from the FMAHealth Practice Core Team: Achieving the Quadruple Aim through Practice Transformation Go to Report from the FMAHealth Practice Core Team: Achieving the Quadruple Aim through Practice Transformation 2018 Board Certified Family Physician Workforce: Progress in Racial and Ethnic Diversity Go to Board Certified Family Physician Workforce: Progress in Racial and Ethnic Diversity 2016 “the End of the Beginning” for Clinical Simulation in the Abfm Self-Assessment Modules (Sams) Go to “the End of the Beginning” for Clinical Simulation in the Abfm Self-Assessment Modules (Sams)
2019 Changes and Variation in Medicare Graduate Medical Education Payments Go to Changes and Variation in Medicare Graduate Medical Education Payments
2019 Report from the FMAHealth Practice Core Team: Achieving the Quadruple Aim through Practice Transformation Go to Report from the FMAHealth Practice Core Team: Achieving the Quadruple Aim through Practice Transformation
2018 Board Certified Family Physician Workforce: Progress in Racial and Ethnic Diversity Go to Board Certified Family Physician Workforce: Progress in Racial and Ethnic Diversity
2016 “the End of the Beginning” for Clinical Simulation in the Abfm Self-Assessment Modules (Sams) Go to “the End of the Beginning” for Clinical Simulation in the Abfm Self-Assessment Modules (Sams)
