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Validation of an interventional pulmonary examination.

Hans J Lee¹, David Feller-Kopman², R Wesley Shepherd¹

¹Interventional Pulmonology, Virginia Commonwealth University Medical Center, Richmond, VA.

|January 26, 2013

Summary

A new multiple-choice question (MCQ) exam effectively measures knowledge in interventional pulmonology (IP). Scores increased with IP training, validating the exam for assessing expertise in this emerging medical subspecialty.

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Area of Science:

Medical Education
Pulmonology
Subspecialty Training

Background:

Interventional pulmonology (IP) is a growing subspecialty requiring additional training beyond traditional pulmonary and critical care fellowships.
A multiple-choice question (MCQ) examination was created to assess the knowledge gained during IP fellowship programs.

Purpose of the Study:

To develop and validate a MCQ examination to measure didactic knowledge in interventional pulmonology.
To assess the effectiveness of the examination across different levels of training.

Main Methods:

An MCQ examination based on a proposed IP fellowship curriculum was developed by interventional pulmonologists from 10 academic centers.
The 75-question, computer-based examination was administered to IP faculty, IP fellows, graduating pulmonary and critical care fellows, and incoming pulmonary and critical care fellows.

Main Results:

Mean examination scores were 87% for IP faculty, 74% for IP fellows, 62% for graduating pulmonary/critical care fellows, and 50% for incoming fellows.
A significant, graduated increase in scores was observed with increasing levels of IP training (P = .001).

Conclusions:

A validated MCQ examination can accurately measure interventional pulmonology knowledge.
The study demonstrates a clear difference in IP knowledge based on the extent of formal IP training exposure.