Analysis of Tumor and Tumor-Like Entities Tested on the Orthopaedic In-Training Examination From 2012 to 2023

Area of Science:

• Orthopaedic Surgery
• Medical Education
• Pathology

Background:

• The Orthopaedic In-Training Examination (OITE) assesses orthopaedic surgery residents' knowledge.
• The OITE pathology section content and format have evolved over time.
• Understanding these trends is crucial for residency training and board exam preparation.

Purpose of the Study:

• To analyze trends in the pathology section of the OITE from 2012 to 2023.
• To focus on tumors and tumor-like conditions of bone and soft tissue.
• To guide resident preparation and core curriculum development.

Main Methods:

• Analyzed OITE questions (2012-2023) focusing on bone and soft tissue tumors.
• Categorized questions by histology, response, options, and implied entities.
• Classified questions into diagnosis, treatment, next step, and multifactorial domains.

Main Results:

• Tumor questions comprised 10-16% of the OITE annually, with equal benign/malignant focus.
• Osteosarcoma and giant cell tumor were common bone tumors; pleomorphic sarcoma and liposarcoma were common soft tissue tumors.
• A trend shift from diagnosis to treatment and next-step management questions was observed.

Conclusions:

• Findings offer insights into OITE tumor-related content and question trends.
• Curriculum design should align with OITE content for resident preparedness.
• Adapting to evolving question patterns can enhance educational outcomes and board pass rates.