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COVID-19 Impact on Family Medicine Residents Exam Performance
Ting Wang1, Thomas R O'Neill1, Lars E Peterson1,2
1American Board of Family Medicine, Lexington, KY.
Family Medicine
|March 11, 2024
Summary
The COVID-19 pandemic caused a significant decline in medical knowledge acquisition during family medicine residency, particularly between the second and third postgraduate years. However, residents largely overcame these deficits before the high-stakes Family Medicine Certification Examination.
Area of Science:
- Medical Education
- Public Health
- Family Medicine
Background:
- The COVID-19 pandemic disrupted medical education starting in spring 2020.
- A decline in In-Training Examination (ITE) scores was observed, but its effect on the Certification Examination (FMCE) was unknown.
Purpose of the Study:
- To assess the impact of the COVID-19 pandemic on medical knowledge acquisition during family medicine residency.
- To analyze changes in In-Training Examination (ITE) and Family Medicine Certification Examination (FMCE) scores.
Main Methods:
- Analysis of 19,101 initial certification candidates from 2017 to 2022.
- Utilized multilevel regression to compare ITE and FMCE scores before and during the COVID-19 pandemic.
- Scores were standardized on a scale of 200-800.
Main Results:
- A 57.6% relative decrease in knowledge gain from PGY-2 to PGY-3 ITE scores during COVID-19.
- A 12.7% relative decrease in knowledge gain from PGY-3 ITE to FMCE during the pandemic.
- A modest 1.2% relative decline in FMCE scores during COVID-19.
Conclusions:
- COVID-19 significantly impacted knowledge acquisition during residency, especially in the PGY-2 to PGY-3 period.
- Residency programs effectively remediated knowledge deficits before the Family Medicine Certification Examination.
- The ultimate impact on high-stakes certification was minimal, suggesting program adaptability.
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