Orthopedic In-Training Examination: A Performance Review Based on Program- and Resident-Specific Characteristics

Area of Science:

• Medical Education
• Orthopaedic Surgery
• Knowledge Assessment

Background:

• The Orthopaedic In-Training Examination (OITE) is a key assessment of resident knowledge in the United States.
• Orthopaedic programs and residents employ various strategies to enhance OITE performance.

Purpose of the Study:

• To identify strategies used by programs and residents to maximize OITE scores.
• To determine program-specific and resident-specific factors correlating with improved OITE performance.

Main Methods:

• A national survey was distributed to orthopaedic residents and program directors (PDs).
• Data on OITE preparation strategies and program characteristics were collected and analyzed.
• Response rate: 68.8% of PDs and 38.8% of residents.

Main Results:

• Common program strategies include negative consequences for poor performance, formal preparation programs, and providing study materials.
• Program factors positively correlating with higher scores: negative consequences, high exam value, excused clinical duties, varied exam dates, and resident-led review courses.
• Resident factors correlating with higher scores: increased study time and attendance at preparation programs.

Conclusions:

• Specific strategies, such as negative consequences and valuing the OITE, are strongly associated with improved resident scores.
• These findings offer practical insights for programs aiming to enhance resident knowledge acquisition and examination performance.