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Accessory Structures of the Eye01:17

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Optical perception, or vision, is an extraordinary sense dependent on converting light signals received via the ocular organs. These organs, known as eyes, are securely positioned within the bony cavities of the skull, called orbits. The orbits serve a dual purpose: a protective shield for the ocular globes and a stable attachment point for the soft ocular tissues. The eye's external protective mechanisms include the eyelids, which are edged with lashes that act as a barrier against foreign...
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Ophthalmic Knowledge Assessment Program Scores and Written Qualifying Examination Performance.

Chanon Thanitcul1, Sarah Schnabel2,3, George B Bartley3,4

  • 1Department of Ophthalmology and Visual Sciences, University of Michigan Kellogg Eye Center, Ann Arbor.

JAMA Ophthalmology
|July 10, 2025
PubMed
Summary
This summary is machine-generated.

The Ophthalmic Knowledge Assessment Program (OKAP) effectively predicts success on the Written Qualifying Examination (WQE). Higher OKAP scores, especially from the fourth postgraduate year, correlate with a higher pass rate on the WQE.

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Area of Science:

  • Ophthalmology Education
  • Medical Assessment
  • Resident Training

Background:

  • The Ophthalmic Knowledge Assessment Program (OKAP) is a standard tool for evaluating ophthalmology residents' preparedness for the Written Qualifying Examination (WQE).
  • The predictive validity of OKAP performance for WQE outcomes has not been comprehensively established nationally.

Purpose of the Study:

  • To investigate the national-level association between Ophthalmic Knowledge Assessment Program (OKAP) scores and success on the Written Qualifying Examination (WQE).

Main Methods:

  • A retrospective cohort study analyzed national data from US ophthalmology residency programs (2017-2022).
  • Matched OKAP and WQE data for residents (PGY-2, PGY-3, PGY-4) were analyzed using logistic regression and ROC curves.
  • The predictive accuracy of various OKAP scores (PGY-2, PGY-3, PGY-4, minimum, maximum, average) for WQE pass/fail outcomes was assessed.

Main Results:

  • The study included 1597 residents from 117 programs, with an 89% first-time WQE pass rate.
  • OKAP scores, particularly average, maximum, and PGY-4 scores (AUC=0.88), were strong predictors of WQE success.
  • A PGY-4 OKAP score of 550 predicted a 94% WQE pass rate, with 90.7% overall accuracy in predicting WQE outcomes.

Conclusions:

  • Ophthalmic Knowledge Assessment Program scores are significantly associated with passing the Written Qualifying Examination, even after accounting for demographic and program factors.
  • These findings support the use of OKAP as a predictor of WQE performance.
  • Further research is recommended to explore interventions for residents at risk of failing the WQE.