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Updated: Jul 25, 2025

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Objective Resident Characteristics Associated with Performance on the Ophthalmic Knowledge Assessment Program

Michael J Fliotsos1, Sidra Zafar1, Shazia Dharssi1

  • 1Wilmer Eye Institute, Department of Ophthalmology, Johns Hopkins University School of Medicine, Baltimore, Maryland.

Journal of Academic Ophthalmology (2017)
|June 30, 2023
PubMed
Summary
This summary is machine-generated.

Higher Ophthalmic Knowledge Assessment Program (OKAP) scores correlate with passing written qualifying (WQE) and oral board exams. United States Medical Licensing Examination (USMLE) Step 1 scores predict OKAP success, aiding program support for residents needing extra preparation.

Keywords:
ABO-WQEACGMEACGME milestonesAccreditation Council for Graduate Medical EducationOKAPOphthalmic Knowledge Assessment ProgramUSMLEUnited States Medical Licensing Examinationgraduate medical educationophthalmology residencyoral board examinationwritten qualifying examination

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Area of Science:

  • Ophthalmology
  • Medical Education
  • Resident Assessment

Background:

  • Assessing ophthalmology resident performance is crucial for program evaluation and patient safety.
  • Objective metrics are needed to predict resident success in standardized examinations and board certification.
  • Understanding factors influencing Ophthalmic Knowledge Assessment Program (OKAP) performance can guide targeted educational interventions.

Purpose of the Study:

  • To identify objective resident characteristics correlating with OKAP performance.
  • To examine the relationship between OKAP scores and Accreditation Council for Graduate Medical Education (ACGME) milestones, written qualifying examination (WQE), and oral board pass rates.

Main Methods:

  • Retrospective review of administrative data from an ophthalmology residency program (2012-2018).
  • Analysis included 50 residents, correlating demographic, academic, and examination data.
  • Statistical methods included linear regression and Spearman correlation coefficients.

Main Results:

  • No significant correlation found between OKAP performance and sex, marital status, parental status, or advanced degrees (MD/PhD).
  • OKAP scores showed a significant positive association with United States Medical Licensing Examination (USMLE) Step 1 scores.
  • OKAP performance was significantly correlated with written qualifying examination (WQE) and oral board examination scores.

Conclusions:

  • Stronger OKAP performance is linked to higher success rates on WQE and oral board examinations on the first attempt.
  • USMLE Step 1 score emerges as the most significant pre-residency predictor of OKAP success.
  • Residency programs can use these findings to identify residents who may require additional support for OKAP, WQE, and oral board preparation.