Interventional Pulmonology, Virginia Commonwealth University Medical Center, Richmond, VA.
Interventional Pulmonology, Division of Pulmonary and Critical Care Medicine, Johns Hopkins University School of Medicine, Baltimore, MD.
Chest. 2013 Jun;143(6):1667-1670. doi: 10.1378/chest.12-1963.
Interventional pulmonology (IP) is an emerging subspecialty with a dedicated 12 months of additional training after traditional pulmonary and critical care fellowships with fellowships across the country. A multiple-choice question (MCQ) examination was developed to measure didactic knowledge acquired in IP fellowships.
Interventional pulmonologists from 10 academic centers developed a MCQ-based examination on a proposed curriculum for IP fellowships. The 75 multiple-choice question examination was proctored, time limited (120 min), and computer-based. The examination was administered to IP faculty, IP fellows in their last month of fellowship, graduating pulmonary and critical care fellows in their last month of training, and incoming first-year pulmonary and critical care fellows.
The mean score for IP faculty was 87% (range, 83%-94%), 74% for IP fellows (range, 61%-81%, SD 5.09, median 76%), 62% for graduating pulmonary and critical care fellows (range 52% to 73%), and 50% for incoming pulmonary/critical care fellows (range, 35%-65%). There was a graduated increase in mean scores with level of IP training. Scores differed significantly across the four groups (P = .001).
A validated MCQ examination can measure IP knowledge. There is a difference in IP knowledge based on IP training exposure.
介入肺脏病学（IP）是一个新兴的亚专业，在传统的肺脏和重症监护 fellowship之后，需要进行为期 12 个月的额外培训，全国各地都有相关的 fellowship。我们开发了一个多项选择题（MCQ）考试，以衡量在 IP 奖学金中获得的理论知识。
来自 10 个学术中心的介入肺脏病学家根据 IP 奖学金的拟议课程制定了基于 MCQ 的考试。75 个多项选择题考试由监管人员监督，限时（120 分钟），并采用计算机进行。该考试在 IP 教师、即将结束 fellowship的 IP 学员、即将结束培训的毕业肺脏和重症监护学员以及即将进入第一年的肺脏和重症监护学员中进行。
IP 教师的平均得分为 87%（范围，83%-94%），IP 学员为 74%（范围，61%-81%，SD 5.09，中位数 76%），即将毕业的肺脏和重症监护学员为 62%（范围 52%-73%），即将进入的肺脏/重症监护学员为 50%（范围，35%-65%）。随着 IP 培训水平的提高，平均分数呈逐渐增加趋势。四个组之间的分数存在显著差异（P =.001）。
经过验证的 MCQ 考试可以衡量 IP 知识。基于 IP 培训暴露程度，IP 知识存在差异。
