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The Dyspepsia Educational Tool As a Novel Aid in Dyspepsia Management
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A time-efficient web-based teaching tool to improve medical knowledge and decrease ABIM failure rate in select

Sean M Drake1, Waqas Qureshi2, William Morse3

  • 1Department of Internal Medicine, Henry Ford Hospital, Detroit, MI, USA; sdrake1@hfhs.org.

Medical Education Online
|November 3, 2015
PubMed
Summary
This summary is machine-generated.

A web-based Directed Reading (DR) program improved the American Board of Internal Medicine (ABIM) exam pass rate for residents with lower In-Training Examination (ITE) scores. This intervention required minimal time commitment from faculty, offering a valuable tool for residency programs.

Keywords:
In-Training Examinationinternal medicine residencyresidentsteaching physiciansteaching toolweb-based

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Area of Science:

  • Medical Education
  • Internal Medicine Residency Training

Background:

  • The American Board of Internal Medicine (ABIM) exam pass rate is a key quality indicator for residency programs.
  • Few interventions have effectively reduced ABIM exam failure rates.

Purpose of the Study:

  • To develop and evaluate a web-based Directed Reading (DR) program to enhance medical knowledge.
  • To reduce the ABIM exam failure rate among internal medicine residents.

Main Methods:

  • Internal medicine residents scoring in the ≤ 35th percentile on the In-Training Examination (ITE) from 2007-2013 were enrolled.
  • The DR program provided personalized reading assignments based on ITE performance and electronic feedback from physicians.
  • ABIM pass rates were compared pre- and post-intervention for targeted resident groups.

Main Results:

  • Residents participating in the DR program who previously scored ≤ 35th percentile on the ITE had a 91.9% first-attempt pass rate, compared to 85.2% in the pre-intervention period (p < 0.001).
  • This demonstrates a significant improvement in ABIM exam pass rates for this at-risk group after DR implementation.
  • Faculty time commitment averaged 40±18 minutes/week, with residents spending approximately 45 minutes per assignment.

Conclusions:

  • The web-based Directed Reading (DR) program effectively reduced ABIM exam failure rates for residents with lower ITE scores.
  • This educational intervention proved to be a low time-commitment strategy for faculty, making it a feasible option for residency programs.