Majety Priyanka, Ajayi Ayodele, Modest Anna M, Vamvini Maria, Freed Jason A
Department of Endocrinology, Diabetes and Metabolism, Virginia Commonwealth University Health, Richmond, VA, United States.
Department of Obstetrics and Gynecology, Beth Israel Deaconess Medical Center, Boston, MA, United States.
J Clin Transl Endocrinol. 2023 Sep 29;34:100326. doi: 10.1016/j.jcte.2023.100326. eCollection 2023 Dec.
The ABIM certification exam is one of the measures to ensure that physicians have the clinical skills for good care delivery. The 5-year average pass rate for ABIM Endocrinology exam is 82%. The pass rate significantly decreased to a nadir of 74% in 2021 and 2022, lowest of all medicine subspecialties.
To assess the feasibility of text messaging curriculum for fellows and its utility in improving their test performance.
In 2021, endocrinology fellows from 51 programs across the country were invited to participate in our curriculum. They completed a pre-test, joined a texting group via Remind application and received 1 multiple choice question daily (total n = 78). After 15 weeks, they completed a post-test and survey. Paired results from pre- and post-test were compared.
A total of 89 fellows from 27 programs responded. Of these, 82 fellows, predominantly females (n = 60; 73 %), filled out the pre-test. On an average, 42 fellows (SD = 12) responded to the questions daily and 57 % of them answered the questions within 24 h. Thirty fellows completed the post-test. The median number of correct responses on the pre-test was 5 (IQR 3-6), compared to 8 (IQR 6-9) in the post-test. There was a significant improvement (p-value < 0.0001) in fellows' performance in the post-test when compared with the pre-test following our intervention.
Text-messaging based curriculum for exam preparation is feasible and can improve test performance. Fellows find receiving a daily high yield multiple choice question via text-message as a useful tool for exam preparation.
美国内科医学委员会（ABIM）认证考试是确保医生具备提供优质医疗服务临床技能的措施之一。ABIM内分泌学考试的5年平均通过率为82%。2021年和2022年，通过率显著下降至最低点74%，是所有医学亚专业中最低的。
评估针对学员的短信课程的可行性及其在提高考试成绩方面的效用。
2021年，邀请了来自全国51个项目的内分泌学学员参加我们的课程。他们完成了一次预测试，通过Remind应用程序加入了一个短信群组，每天收到1道多项选择题（共78道）。15周后，他们完成了一次后测试和调查。比较了预测试和后测试的配对结果。
来自27个项目的89名学员做出了回应。其中，82名学员填写了预测试，主要为女性（60名；73%）。平均而言，每天有42名学员（标准差=12）回复问题，其中57%的学员在24小时内回答了问题。30名学员完成了后测试。预测试中正确回答的中位数为5（四分位间距3-6），后测试中为8（四分位间距6-9）。与我们干预后的预测试相比，学员在后测试中的表现有显著提高（p值<0.0001）。
基于短信的备考课程是可行的，并且可以提高考试成绩。学员们发现通过短信每天收到一道高价值的多项选择题是备考的有用工具。
