Klein Brandon, LaGreca Mark, White Peter B, Trasolini Robert, Cohn Randy M
Department of Orthopaedic Surgery, Huntington Hospital, Huntington, New York, U.S.A.
Department of Orthopaedic Surgery, Philadelphia College of Osteopathic Medicine, Philadelphia, Pennsylvania, U.S.A.
Arthrosc Sports Med Rehabil. 2023 Feb 28;5(2):e479-e488. doi: 10.1016/j.asmr.2023.01.018. eCollection 2023 Apr.
To provide an updated analysis of the sports medicine section of the Orthopedic In-Training Examination (OITE).
A cross-sectional review of OITE sports medicine questions from 2009 to 2012 and 2017-2020 was performed. Subtopics, taxonomy, references, and use of imaging modalities were recorded and changes between the time periods were analyzed.
The most tested sports medicine subtopics included ACL (12.6%), rotator cuff (10.5%), and throwing injuries to the shoulder (7.4%) in the early subset, while ACL (10%), rotator cuff (6.25%), shoulder instability (6.25%), and throwing injuries to the elbow (6.25%) were the most common in the later subset. (28.3%) was the most cited journal referenced from 2009 to 2012, while (17.5%) was most referenced in questions from 2017 to 2020. The number of references per question increased from the early to the late subset ( < .001). There was a trend toward an increased taxonomy type one questions ( = .114), while type 2 questions had a decreased trend ( = .263) when comparing the new subset to the early group.
When comparing sports medicine OITE questions from 2009 to 2012 and 2017 to 2020, there was an increase in the number of references per question. Subtopics, taxonomy, lag time, and use of imaging modalities did not show statistically significant changes.
This study provides a detailed analysis of the sports medicine section of the OITE, which can be used by residents and program directors to direct their preparation for the annual examination. The results of this study may help examining boards align their examinations and provide a benchmark for future studies.
对骨科住院医师培训考试（OITE）的运动医学部分进行更新分析。
对2009年至2012年以及2017年至2020年的OITE运动医学问题进行横断面回顾。记录子主题、分类法、参考文献以及成像方式的使用情况，并分析不同时间段之间的变化。
在早期子集中，测试最多的运动医学子主题包括前交叉韧带（ACL）（12.6%）、肩袖（10.5%）和肩部投掷伤（7.4%），而在后期子集中，ACL（10%）、肩袖（6.25%）、肩部不稳定（6.25%）和肘部投掷伤（6.25%）最为常见。2009年至2012年引用最多的期刊是（28.3%），而2017年至2020年的问题中引用最多（17.5%）。每个问题的参考文献数量从早期子集到后期子集有所增加（<.001）。与早期组相比，新子集的分类法1型问题有增加趋势（=0.114），而2型问题有下降趋势（=0.263）。
比较2009年至2012年和2017年至2020年的运动医学OITE问题时，每个问题的参考文献数量有所增加。子主题、分类法、滞后时间和成像方式的使用没有显示出统计学上的显著变化。
本研究对OITE的运动医学部分进行了详细分析，住院医师和项目主任可利用该分析指导他们为年度考试做准备。本研究结果可能有助于考试委员会调整考试内容，并为未来研究提供基准。
