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A Comparison of Remote vs In-Person Proctored In-Training Examination Administration for Internal Medicine.

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This summary is machine-generated.

The 2020 Internal Medicine In-Training Examination (IM-ITE) showed comparable scores between in-person and remote proctoring. This finding supports the continued use of remote testing for resident assessments.

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Area of Science:

  • Medical Education
  • Assessment and Evaluation

Background:

  • The COVID-19 pandemic necessitated adaptations in medical education, including remote examination options.
  • The American College of Physicians offered remote proctoring for the 2020 Internal Medicine In-Training Examination (IM-ITE).

Purpose of the Study:

  • To evaluate the score comparability between in-person and remote proctored versions of the 2020 IM-ITE.
  • To determine if remote proctoring impacts resident performance on the IM-ITE.

Main Methods:

  • Analysis of data from 27,115 residents across U.S. and international Internal Medicine residency programs who took the 2020 IM-ITE.
  • Multilevel regression modeling to assess the impact of testing modality (in-person vs. remote) and demographic variables (PGY, gender, language, time) on percent-correct scores.
  • Controlled for main effects and 2-way interactions between testing modality and resident-level variables.

Main Results:

  • A total of 11,354 residents (42%) tested remotely and 15,761 (58%) in person.
  • Statistically significant interaction effects were found between testing mode and postgraduate year (PGY), and between testing mode and PGY.
  • Differences in predicted scores between in-person and remote testing were minimal (under one percentage point) and deemed educationally nonsignificant across all PGY levels.

Conclusions:

  • Resident performance on the 2020 IM-ITE was comparable regardless of whether the examination was taken in-person or remotely.
  • The study provides evidence supporting the validity and reliability of remote proctoring for the IM-ITE.
  • Remote proctoring can be reliably used for future Internal Medicine In-Training Examinations.