An Analysis of the Orthopaedic In-Training Examination Rehabilitation Section

Mesfin, Addisu; Farjoodi, Payam; Tuakli‐Wosornu, Yetsa A.; Yan, Alan Y.; Lemma, Mesfin; LaPorte, Dawn M.

doi:10.1016/j.jsurg.2011.10.006

Cited by 9 publications

(7 citation statements)

References 20 publications

(34 reference statements)

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“…Other OITE subspecialty analyses over a similar period as the previous examination cohort reported recall-focused questions to be the most prevalent as well. 1 , 7 , 8 , 10 11 12 13 14 Nearly half (49.9%) of the questions in recent versions of the examination focus on treatment and decision making, representing the highest levels of cognitive requirement and closely simulate the higher cognitive processes used in practice. 1 , 13 Other OITE subspecialty analyses over a similar period as the current examination cohort report a shift toward decision-making and evaluation questions as we did.…”

Section: Discussionmentioning

confidence: 99%

“…In addition, because question types and taxonomic levels were determined by a single institution, there is a potential for bias, although we used a system that is widely used. 8 , 10 , 12 , 18 , 19 …”

Section: Discussionmentioning

confidence: 99%

“…17 We recorded the number of musculoskeletal trauma questions in each examination, the topics and imaging modalities tested, the references cited, and the taxonomy classification of each question based on previously published studies. 8 , 10 , 12 , 18 , 19 The taxonomic classifications were knowledge (taxonomy I), comprehension (taxonomy 2), and application (taxonomy 3). Taxonomy I questions require recall of facts; taxonomy 2 questions require the interpretation of information and images to make a diagnosis; and taxonomy 3 questions represent the highest levels of cognitive requirement and closely simulate the higher cognitive processes used in practice as the test taker is required to formulate a treatment plan.…”

Section: Methodsmentioning

confidence: 99%

“…[3][4][5][6] With the goal of improving resident performance in the OITE, multiple studies have detailed OITE subspecialtyspecific content. 1,2,[7][8][9][10][11][12][13][14] OITE content undergoes frequent modifications to adhere to the advancing field of orthopaedics, and recent studies have been conducted to determine whether subspecialty content in the OITE changes over time; however, this has not been done for the musculoskeletal trauma section. 15,16 Our goal for this study was to analyze OITE musculoskeletal trauma questions from 2012 to 2019 and compare them with the results reported by Cross et al and Lackey et al from 2011.…”

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confidence: 99%

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The Evolution of the Musculoskeletal Trauma Section of the Orthopaedic In-Training Examination

et al. 2023

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Introduction: In 1963, the American Academy of Orthopaedic Surgeons administered the Orthopaedic In-Training Examination (OITE), the first and longest running yearly medical specialty examination. There have been no recent studies to evaluate the content of the musculoskeletal trauma section of the OITE. Methods: We analyzed all questions that were classified by the American Academy of Orthopaedic Surgeons as musculoskeletal trauma from 2012 to 2019. We recorded the number of musculoskeletal trauma questions in each examination, the topics and imaging modalities tested, the references cited, and the taxonomy classification of each question. We extrapolated from a similar musculoskeletal trauma study published in 2011 to create the previous examination cohort for comparison. Results: For the current cohort, the average number of musculoskeletal trauma questions was 43.5 questions per examination (18.4%). The most frequently tested topics were proximal tibia fractures, pediatric trauma, hip fractures, and diaphyseal femur fractures, respectively. In previous examinations, questions from T1 and 2 were tested significantly more frequently compared with the current examinations ( P < 0.001 and P = 0.02, respectively). In the current cohort, T3 questions were tested significantly more frequently than previous examinations ( P = 0.001). Previous examinations had significantly more questions without an image (36 questions per year versus 25 questions per year, P < 0.001). In current versions of the examination, radiographs are tested significantly more frequently than other imaging modalities ( P < 0.001). Discussion: The musculoskeletal trauma section of the OITE has evolved. To improve and focus study efforts, residents may use this study as a guide when preparing for the examination.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

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confidence: 99%

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The Evolution of the Musculoskeletal Trauma Section of the Orthopaedic In-Training Examination

et al. 2023

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“…Most of these publications focus on identifying numbers of questions, types of questions, topics, references used, and publication lag. 4-23…”

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confidence: 99%

Analysis of Questions in Sections of the Orthopaedic In-Training Examination: A Scoping Review

Constantinescu

Pavlis

Lizardi

et al. 2023

J Am Acad Orthop Surg

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Purpose: The purpose of this review was to assess all available studies that analyzed the types of questions in individual sections of the Orthopaedic In-Training Examination, which may be used as a reference for residents studying for their examination. Methods: Following the Providing Innovative Service Models and Assessment extension for Scoping Reviews guidelines, a systematic review was conducted on studies that report on sections or question categories of the Orthopaedic In-Training Examination using PubMed, MEDLINE, and Web of Science databases. Two reviewers and an arbitrator reviewed and extracted relevant data from 20 included studies which made up the systematic review. Results: All 20 studies in the review reported the mean number of questions per section, with the highest coming from musculoskeletal trauma (18.9% to 19.0%). 18 studies reported the Buckwalter taxonomic classification; 42.0% of questions were T1, 18.2% were T2, and 39.5% were T3 with a wide range from section to section. Primary sources were nearly three times more likely to be cited when compared with textbook sources. There were 12 journals that were commonly cited with the most being the Journal of Bone and Joint Surgery: American Volume (17/18). Discussion: This study accurately portrays the characteristics of each section of the Orthopaedic In-Training Examination over the past 10 years. These data suggest that orthopaedic residents may be inclined to focus on musculoskeletal trauma, topics related to clinical management, and primary journal sources for studying. In addition, residency programs may choose to focus on higher yield sources or material to prepare their residents for the examination.T he Orthopaedic In-Training Examination (OITE), administered by the American Academy of Orthopaedic Surgeons, is a standardized test taken by all orthopaedic surgery residents in the United States. The purpose of the examination is to assess resident knowledge and provide

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Analysis of Hip and Knee Reconstruction Questions on the Orthopedic In-Training Examination

Premkumar

LeBrun

Shen

et al. 2021

The Journal of Arthroplasty

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An Analysis of the Orthopaedic In-Training Examination Rehabilitation Section

Cited by 9 publications

References 20 publications

The Evolution of the Musculoskeletal Trauma Section of the Orthopaedic In-Training Examination

The Evolution of the Musculoskeletal Trauma Section of the Orthopaedic In-Training Examination

Analysis of Questions in Sections of the Orthopaedic In-Training Examination: A Scoping Review

Analysis of Hip and Knee Reconstruction Questions on the Orthopedic In-Training Examination

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