Resident and program characteristics that impact performance on the Ophthalmic Knowledge Assessment Program (OKAP).


Journal

BMC medical education
ISSN: 1472-6920
Titre abrégé: BMC Med Educ
Pays: England
ID NLM: 101088679

Informations de publication

Date de publication:
07 Jun 2019
Historique:
received: 21 12 2018
accepted: 29 05 2019
entrez: 9 6 2019
pubmed: 9 6 2019
medline: 24 12 2019
Statut: epublish

Résumé

To determine which resident and program characteristics correlate with ophthalmic knowledge, as assessed by resident Ophthalmic Knowledge Assessment Program (OKAP) performance. An online survey was sent in June 2017 to all US ophthalmology residents who took the OKAP in April 2017. The survey response rate was 13.8% (192/1387 residents). The mean respondent age was 30.4 years, and 57.3% were male. The mean [SD] self-reported 2017 OKAP percentile was 61.9 [26.7]. OKAP performance was found to have a significant positive correlation with greater number of hours spent/week studying for the OKAPs (p = 0.007), with use of online question banks (p < 0.001), with review sessions and/or lectures arranged by residency programs (p < 0.001), and with OKAP-specific didactics (p = 0.002). On multivariable analysis, factors most predictive of residents scoring ≥75th percentile were, higher step 1 scores (OR = 2.48, [95% CI: 1.68-3.64, p < 0.001]), presence of incentives (OR = 2.75, [95% CI: 1.16-6.56, p = 0.022]), greater number of hours/week spent studying (OR = 1.09, [95% CI:1.01-1.17, p = 0.026]) and fewer hours spent in research 3 months prior to examination (OR = 1.08, [95% CI: 1.01-1.15, p = 0.020]. Lastly, residents less likely to depend on group study sessions as a learning method tended to score higher (OR = 3.40, [95% CI: 1.16-9.94, p = 0.026]). Programs wishing to improve resident OKAP scores might consider offering incentives, providing effective access to learning content e.g. online question banks, and adjusting the curriculum to highlight OKAP material. Step 1 scores may help educators identify residents who might be at risk of not performing as well on the OKAP.

Sections du résumé

BACKGROUND BACKGROUND
To determine which resident and program characteristics correlate with ophthalmic knowledge, as assessed by resident Ophthalmic Knowledge Assessment Program (OKAP) performance.
METHODS METHODS
An online survey was sent in June 2017 to all US ophthalmology residents who took the OKAP in April 2017.
RESULTS RESULTS
The survey response rate was 13.8% (192/1387 residents). The mean respondent age was 30.4 years, and 57.3% were male. The mean [SD] self-reported 2017 OKAP percentile was 61.9 [26.7]. OKAP performance was found to have a significant positive correlation with greater number of hours spent/week studying for the OKAPs (p = 0.007), with use of online question banks (p < 0.001), with review sessions and/or lectures arranged by residency programs (p < 0.001), and with OKAP-specific didactics (p = 0.002). On multivariable analysis, factors most predictive of residents scoring ≥75th percentile were, higher step 1 scores (OR = 2.48, [95% CI: 1.68-3.64, p < 0.001]), presence of incentives (OR = 2.75, [95% CI: 1.16-6.56, p = 0.022]), greater number of hours/week spent studying (OR = 1.09, [95% CI:1.01-1.17, p = 0.026]) and fewer hours spent in research 3 months prior to examination (OR = 1.08, [95% CI: 1.01-1.15, p = 0.020]. Lastly, residents less likely to depend on group study sessions as a learning method tended to score higher (OR = 3.40, [95% CI: 1.16-9.94, p = 0.026]).
CONCLUSIONS CONCLUSIONS
Programs wishing to improve resident OKAP scores might consider offering incentives, providing effective access to learning content e.g. online question banks, and adjusting the curriculum to highlight OKAP material. Step 1 scores may help educators identify residents who might be at risk of not performing as well on the OKAP.

Identifiants

pubmed: 31174525
doi: 10.1186/s12909-019-1637-4
pii: 10.1186/s12909-019-1637-4
pmc: PMC6555746
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

190

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Auteurs

Sidra Zafar (S)

Wilmer Eye Institute, Johns Hopkins University School of Medicine, 600 North Wolfe Street, Wilmer B29, Baltimore, MD, Baltimore, MD, 21287, USA.

Xueyang Wang (X)

Wilmer Eye Institute, Johns Hopkins University School of Medicine, 600 North Wolfe Street, Wilmer B29, Baltimore, MD, Baltimore, MD, 21287, USA.

Divya Srikumaran (D)

Wilmer Eye Institute, Johns Hopkins University School of Medicine, 600 North Wolfe Street, Wilmer B29, Baltimore, MD, Baltimore, MD, 21287, USA.

Shameema Sikder (S)

Wilmer Eye Institute, Johns Hopkins University School of Medicine, 600 North Wolfe Street, Wilmer B29, Baltimore, MD, Baltimore, MD, 21287, USA.

Pradeep Ramulu (P)

Wilmer Eye Institute, Johns Hopkins University School of Medicine, 600 North Wolfe Street, Wilmer B29, Baltimore, MD, Baltimore, MD, 21287, USA.

Michael V Boland (MV)

Wilmer Eye Institute, Johns Hopkins University School of Medicine, 600 North Wolfe Street, Wilmer B29, Baltimore, MD, Baltimore, MD, 21287, USA.

Eric Singman (E)

Wilmer Eye Institute, Johns Hopkins University School of Medicine, 600 North Wolfe Street, Wilmer B29, Baltimore, MD, Baltimore, MD, 21287, USA.

Fasika A Woreta (FA)

Wilmer Eye Institute, Johns Hopkins University School of Medicine, 600 North Wolfe Street, Wilmer B29, Baltimore, MD, Baltimore, MD, 21287, USA. fworeta1@jhmi.edu.

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Classifications MeSH