Waller Elaine, Eiff M Patrice, Dexter Eve, Rinaldo Jason C B, Marino Miguel, Garvin Roger, Douglass Alan B, Phillips Robert, Green Larry A, Carney Patricia A
Department of Family Medicine, Oregon Health & Science University.
Fam Med. 2017 Oct;49(9):693-698.
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.
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.
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.
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.
在职培训考试（ITE）是评估家庭医学住院医师临床知识的常用方法。我们比较了参与“为临床实践培养个人医生”（P4）项目的14个项目中的住院医师的家庭医学ITE成绩与全国平均水平，并根据教育创新进行了比较。
从美国家庭医学委员会获得了2007年至2011年期间接受培训的802名同意参与的P4住院医师的ITE成绩。主要分析包括根据P4住院医师的项目年份（PGY），将每个学年（2007年至2011年）内的成绩与全国所有住院医师的成绩进行比较。次要分析比较了试验培训时长的项目中的住院医师的ITE成绩，并将提供个性化教育选项的项目中的住院医师的成绩与未提供该选项的项目中的住院医师的成绩进行了比较。
本研究获得了95.5%的住院医师对ITE成绩发布的同意。P4住院医师每年的成绩均高于全国成绩。例如，2011年，PGY1的P4平均成绩为401.2，而全国平均成绩为386。PGY2的P4平均成绩为443.1，全国平均成绩为427，PGY3的P4平均成绩为477.0，全国PGY3成绩为456。试验培训时长的项目中的住院医师成绩与未试验的项目中的住院医师成绩相似。有和没有个性化教育选项的项目中的住院医师成绩也相似。
经历重大教育变革（包括试验培训时长和个性化教育）的家庭医学住院医师项目，似乎并未对住院医师的临床知识产生负面影响（以ITE成绩衡量）。需要进一步研究，以长期研究广泛的住院医师培训创新对ITE成绩的影响。
