Abstract
BackgroundTo determine which resident and program characteristics correlate with ophthalmic knowledge, as assessed by resident Ophthalmic Knowledge Assessment Program (OKAP) performance.MethodsAn online survey was sent in June 2017 to all US ophthalmology residents who took the OKAP in April 2017.ResultsThe survey response rate was 13.8% (192/1387 residents). The mean respondent age was 30.4 years, and 57.3% were male. The mean [SD] self-reported 2017 OKAP percentile was 61.9 [26.7]. OKAP performance was found to have a significant positive correlation with greater number of hours spent/week studying for the OKAPs (p = 0.007), with use of online question banks (p < 0.001), with review sessions and/or lectures arranged by residency programs (p < 0.001), and with OKAP-specific didactics (p = 0.002). On multivariable analysis, factors most predictive of residents scoring ≥75th percentile were, higher step 1 scores (OR = 2.48, [95% CI: 1.68–3.64, p < 0.001]), presence of incentives (OR = 2.75, [95% CI: 1.16–6.56, p = 0.022]), greater number of hours/week spent studying (OR = 1.09, [95% CI:1.01–1.17, p = 0.026]) and fewer hours spent in research 3 months prior to examination (OR = 1.08, [95% CI: 1.01–1.15, p = 0.020]. Lastly, residents less likely to depend on group study sessions as a learning method tended to score higher (OR = 3.40, [95% CI: 1.16–9.94, p = 0.026]).ConclusionsPrograms wishing to improve resident OKAP scores might consider offering incentives, providing effective access to learning content e.g. online question banks, and adjusting the curriculum to highlight OKAP material. Step 1 scores may help educators identify residents who might be at risk of not performing as well on the OKAP.
Highlights
To determine which resident and program characteristics correlate with ophthalmic knowledge, as assessed by resident Ophthalmic Knowledge Assessment Program (OKAP) performance
It is meant to serve as a guide towards preparation for the American Board of Ophthalmology Written Qualifying Examination (ABO-WQE) [4]
This study describes a survey of ophthalmology residents across the US to determine what resident characteristics and program attributes correlate with higher levels of ophthalmic knowledge, as judged by performance on the 2017 OKAP exam
Summary
To determine which resident and program characteristics correlate with ophthalmic knowledge, as assessed by resident Ophthalmic Knowledge Assessment Program (OKAP) performance. Medical knowledge is widely accepted to be positively associated with superior care and with better patient management. More knowledgeable physicians are more likely to adhere to evidence-based guidelines in the delivery of care and achieve better patient outcomes [1,2,3]. The Accreditation Council for Graduate Medical Education (ACGME) lists knowledge as one of the six core competencies required for all fields in resident training. Within the field of ophthalmology, the Ophthalmic Knowledge Assessment Program (OKAP), which is a multiple-choice, in-service examination, has been used as a measure to objectively assess core ophthalmic knowledge of residents and allows for comparison among peers, programs, and prior residents. The WQE is an important component of board certification which is typically required for credentialing
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