Department of Orthopedics, Northwell Health, Donald and Barbara Zucker School of Medicine, Huntington, NY, USA.
Department of Orthopedics, Northwell Health, Donald and Barbara Zucker School of Medicine, Huntington, NY, USA.
J Shoulder Elbow Surg. 2022 Nov;31(11):e562-e568. doi: 10.1016/j.jse.2022.05.027. Epub 2022 Jul 5.
The Orthopedic In-Training Examination (OITE) is an annual examination for orthopedic surgery residents used to assess orthopedic knowledge across a national standard. Having an updated understanding of currently tested topics and resources is useful to help residents guide their education.
The purpose of this study is to analyze the shoulder and elbow domain of the OITE in an effort to provide current trends and commonly tested topics.
All OITE questions related to shoulder and elbow topics over the years 2009-2013 and 2017-2020 were analyzed. Subcategories, the number and types of references used, publication lag time, imaging modalities, taxonomic classification, and resident performance were recorded.
Shoulder and elbow topics comprised 8.61% of all OITE questions from 2009-2013 and 2017-2020. The most commonly tested shoulder topics were rotator cuff arthropathy and reverse total shoulder arthroplasty (13.6%), followed by hemiarthroplasty and total shoulder arthroplasty (12.9%), rotator cuff-related pathology (12.9%), anterior shoulder instability and/or dislocation (10.2%), and general anatomy (10.2%). The most commonly tested elbow topics were trauma (21%), ulnar collateral ligament injuries (12.12%), general anatomy (10%), and arthroplasty (10%). Decisions regarding management or appropriate next steps (taxonomy T3) comprised 39% of all question types. The incorporation of imaging modalities continues to be an important component of the OITE questions. The Journal of Shoulder and Elbow Surgery (JSES), the Journal of the American Academy of Orthopedic Surgeons (JAAOS), the Journal of Bone and Joint Surgery (JBJS), and the American Journal of Sports Medicine (AJSM) comprised 65% of articles referenced in all questions over our analysis period.
This study provides an updated analysis of trends within the shoulder and elbow domain of the OITE. Application of these data can aid residents in their preparation for the examination.
骨科住院医师培训考试（OITE）是一项用于评估全国骨科知识的年度考试。了解当前测试的主题和资源对于帮助住院医师指导其教育非常有用。
本研究旨在分析 OITE 的肩部和肘部领域，以提供当前的趋势和常见测试主题。
分析了 2009-2013 年和 2017-2020 年期间与肩部和肘部主题相关的所有 OITE 问题。记录了子类别、使用的参考文献数量和类型、出版滞后时间、成像方式、分类学分类和住院医师表现。
2009-2013 年和 2017-2020 年期间，肩部和肘部主题占 OITE 所有问题的 8.61%。测试频率最高的肩部主题是肩袖关节炎和反向全肩关节置换术（13.6%），其次是半肩关节置换术和全肩关节置换术（12.9%）、肩袖相关病变（12.9%）、前肩不稳定和/或脱位（10.2%）和一般解剖学（10.2%）。测试频率最高的肘部主题是创伤（21%）、尺侧副韧带损伤（12.12%）、一般解剖学（10%）和关节置换术（10%）。关于管理或适当下一步的决策（分类学 T3）占所有问题类型的 39%。成像方式的纳入仍然是 OITE 问题的一个重要组成部分。《肩肘外科杂志》（JSES）、《美国骨科协会杂志》（JAAOS）、《骨科与关节外科杂志》（JBJS）和《美国运动医学杂志》（AJSM）在我们的分析期间占所有参考文章的 65%。
本研究提供了 OITE 肩部和肘部领域内趋势的最新分析。应用这些数据可以帮助住院医师为考试做好准备。
