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Tomography refers to imaging by sections. Computed tomography (CT) is a non-invasive imaging technique that uses computers to analyze several cross-sectional X-rays to reveal minute details about structures in the body.
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Correlation Between Radiology ACGME Case Logs Values and ABR Core Exam Pass Rate.

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Radiology trainees performing more clinical interpretations generally score better on the American Board of Radiology (ABR) Core Examination. However, exceeding approximately 11,000 cases may decrease exam performance, suggesting a balance between clinical work and study is optimal.

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Area of Science:

  • Medical Education
  • Radiology
  • Professional Assessment

Background:

  • Discrepancy exists between the American Board of Radiology (ABR) and radiology trainees regarding optimal preparation for the ABR Core Examination.
  • The ABR advocates for clinical interpretation experience, while trainees and program directors often favor dedicated study time and review courses.

Purpose of the Study:

  • To investigate the correlation between the number of interpreted cases during residency and success on the ABR Core Examination.
  • To determine if a threshold exists beyond which clinical experience negatively impacts examination performance.

Main Methods:

  • Anonymized Accreditation Council for Graduate Medical Education (ACGME) case log data from a single year cohort of radiology residents was utilized.
  • Case log data was matched with ABR Core Examination pass/fail results.
  • A random effects logistic regression model analyzed the relationship between case volume and exam outcomes.

Main Results:

  • A significant relationship was found between case log volume and Core Examination performance, modeled with linear and quadratic terms.
  • Performance showed a positive correlation with case volume up to approximately 11,000 examinations.
  • Beyond this inflection point, a negative correlation between case volume and performance was observed.

Conclusions:

  • Active engagement in clinical radiology duties is associated with improved performance on the ABR Core Examination.
  • There appears to be an optimal level of clinical experience; exceeding this may diminish educational value and negatively impact exam scores.
  • Balancing clinical responsibilities with dedicated study time is crucial for successful preparation for the ABR Core Examination.