Collichio Frances A, Kayoumi Karen M, Hande Kenneth R, Hawkins Richard E, Hawley Janine L, Adelstein David J, D'Angelo Jean M, Stewart James A
Division of Hematology/Oncology, University of North Carolina, Chapel Hill, NC 27599-7305, USA.
J Clin Oncol. 2009 Apr 1;27(10):1706-11. doi: 10.1200/JCO.2008.20.3091. Epub 2009 Feb 17.
The American Society of Clinical Oncology (ASCO) developed its own test -- the Medical Oncology In-Training Examination (MedOnc ITE) -- as a tool to assess trainees' knowledge of the clinical oncology subspecialty, establish consistency in educational standards across training programs, identify areas of strength and weakness in individual programs, and stimulate intraprogrammatic reading and discussion. The Accreditation Council for Graduate Medical Education Outcome Project provided additional incentive for ASCO to develop an ITE. The examination was developed in 4 years. The concept of the examination and the budget were approved by the ASCO governing board. The National Board of Medical Examiners was selected to work with ASCO. Fellowship programs were contacted to determine if they had the information technology support to hold the examination. A blueprint for the examination was developed. The test format, including the number of questions and the selection of case-based single best answers, was determined. Physician volunteers to write the questions were solicited from among program directors, various ASCO committees, and disease experts. A workshop was held to teach volunteers how to write proper case-based questions. From this pool, a smaller group of physicians was selected to develop the test and review all test questions. The final examination was developed and administered in February 2008, with scores provided to fellows and program directors in April 2008. Feedback received after the examination will be helpful for developing future MedOnc ITEs. The process ASCO went through to develop the MedOnc ITE serves as a model for other subspecialties interested in developing their own ITEs.
美国临床肿瘤学会（ASCO）开发了自己的测试——肿瘤内科住院医师培训考试（MedOnc ITE），作为评估学员临床肿瘤学亚专业知识的工具，在各培训项目中建立教育标准的一致性，确定个别项目的优势和薄弱领域，并促进项目内的阅读和讨论。毕业后医学教育认证委员会的成果项目为ASCO开发ITE提供了额外的动力。该考试历经4年开发完成。考试的概念和预算得到了ASCO理事会的批准。选定美国医学考试委员会与ASCO合作。联系了各专科培训项目，以确定它们是否具备进行考试的信息技术支持。制定了考试蓝图。确定了考试形式，包括问题数量和基于病例的单项最佳答案的选择。从项目主任、ASCO各委员会和疾病专家中征集医师志愿者来编写问题。举办了一个研讨会，教导志愿者如何编写恰当的基于病例的问题。从这个题库中，挑选了一小群医师来开发考试并审查所有试题。最终考试于2008年2月进行并实施，2008年4月向专科培训学员和项目主任提供了成绩。考试后收到的反馈将有助于未来MedOnc ITE的开发。ASCO开发MedOnc ITE所经历的过程为其他有兴趣开发自己的ITE的亚专业提供了一个模式。
