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Evaluation of Spine Questions on the Orthopaedic In-Training Examination: An Update from 2013 to 2017
Avinesh Agarwalla1, Kimona Issa2, Stuart Changoor2
1New York Medical College, School of Medicine, Valhalla, New York.
Journal of Long-Term Effects of Medical Implants
|April 20, 2019
Summary
This study analyzed Orthopaedic In-Training Examination spine questions from 2013-2017. Focusing on high-yield topics like degenerative diseases and trauma, particularly in the cervical and lumbar spine, can optimize resident preparation.
Area of Science:
- Orthopaedic Surgery
- Medical Education
Background:
- The Orthopaedic In-Training Examination (OITE) assesses resident knowledge in orthopaedics.
- Spine-related topics constitute a significant portion of the OITE, requiring targeted study strategies.
Purpose of the Study:
- To analyze spine content on the OITE from 2013-2017.
- To identify frequently tested spine topics, anatomical regions, diagnostic imaging modalities, and the level of evidence in cited references.
- To guide resident preparation for future OITE examinations.
Main Methods:
- Analysis of spine questions from the OITE (2013-2017).
- Categorization of questions by subject matter, anatomy, and diagnostic imaging.
- Review of cited references for journal sources and levels of evidence.
Main Results:
- Spine questions averaged 25 per exam (9.0%), focusing on cervical (31.5%) and lumbar (39.5%) spine.
- Diagnostic imaging, primarily MRI (50.0%), accompanied 74.2% of questions.
- Degenerative diseases (43.5%) and trauma (28.2%) were the most common conditions.
- Review articles constituted 49.5% of citations, with Level I evidence cited infrequently (3.4 times/exam).
Conclusions:
- Residents should prioritize studying high-yield spine topics, including degenerative diseases and trauma.
- A study plan emphasizing review articles and frequently tested areas, particularly cervical and lumbar spine, is recommended for optimal OITE preparation.
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