Cacamese Suzanne M, Eubank Kathryn J, Hebert Randy S, Wright Scott M
Greater Baltimore Medical Center, Baltimore, MD, USA.
Med Teach. 2004 Nov;26(7):640-4. doi: 10.1080/09563070400005446.
The objective of this study was to describe the relationship between attendance at conferences during residency training and residents' performance on the In-Training Examination (ITE) in Internal Medicine. Nineteen house officers participated in the study. Conference attendance records were retrospectively reviewed for the one-year period preceding the ITE (pre-ITE), and in the three-month period after house officers received their ITE scores (post-ITE). After receiving their scores, participants completed a questionnaire asking about study habits and opinions about conferences. Attendance was taken at 126/165 (76.4%) conferences pre-ITE and 32/42 (76.2%) conferences post-ITE. House officers attended a mean of 35% (range, 10-59) of the conferences pre-ITE and 32% (range, 9-75) post-ITE (p = 0.365). There was no correlation between prior conference attendance and ITE scores (Spearman correlation coefficient -0.230, p = 0.34), and no correlation between score and conference attendance post-ITE (Spearman correlation coefficient 0.174, p = 0.48). Participation in clinical rotations also failed to influence ITE scores in that content area (all p > 0.05). The findings of this study suggest conference attendance does not influence ITE scores. Medical educators may need to rethink and study how best to impart medical knowledge.
本研究的目的是描述住院医师培训期间参加会议与内科住院医师培训考试(ITE)成绩之间的关系。19名住院医师参与了该研究。回顾性审查了ITE之前一年(ITE前)以及住院医师收到ITE成绩后的三个月期间(ITE后)的会议出勤记录。收到成绩后,参与者完成了一份关于学习习惯和对会议看法的问卷。ITE前参加了126/165场(76.4%)会议,ITE后参加了32/42场(76.2%)会议。住院医师ITE前平均参加了35%(范围为10 - 59)的会议,ITE后为32%(范围为9 - 75)(p = 0.365)。ITE之前的会议出勤与ITE成绩之间没有相关性(斯皮尔曼相关系数 -0.230,p = 0.34),ITE成绩与ITE后会议出勤之间也没有相关性(斯皮尔曼相关系数0.174,p = 0.48)。参与临床轮转在该内容领域也未能影响ITE成绩(所有p > 0.05)。本研究结果表明,参加会议不会影响ITE成绩。医学教育工作者可能需要重新思考并研究如何以最佳方式传授医学知识。