Analysis of the Orthopedic In-Training Examination (OITE) Musculoskeletal Trauma Questions

Seybold, Jeffrey D.; Srinivasan, Ramesh C.; Goulet, James A.; Dougherty, Paul J.

doi:10.1016/j.jsurg.2011.06.003

Cited by 8 publications

(10 citation statements)

References 10 publications

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“…However, the length of our study period is consistent with previous studies. 3,18,19 Studies of other sections of the OITE have shown notable changes over time, suggesting that perhaps periodic investigations of the OITE in 5- to 6-year cycles may be most useful. 9,15 Our study also used different topical categories than the previous analysis by Sheibani-Rad et al The previous study used three categories: anatomy, biostatistics, and basic science.…”

Section: Discussionmentioning

confidence: 99%

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Analysis of the Basic Science Questions on the Orthopaedic In-Training Examination From 2014 to 2019

Shen

Driscoll

Ellsworth

et al. 2021

J Am Acad Orthop Surg

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Introduction:The Orthopaedic In-Training Examination (OITE), produced by the American Academy of Orthopaedic Surgeons (AAOS), plays an important role in the educational mission of orthopaedic residency programs nationwide. An up-to-date understanding of this examination is critical for programs to develop an appropriate curriculum and for individuals to identify learning resources. This study presents an updated analysis of the basic science section of the OITE from 2014 to 2019.Methods:All questions from the OITE from 2014 to 2019 were reviewed. Each question from the basic science section was categorized by topic and taxonomy. The use of radiographic images or other clinical media was recorded. The reference section was analyzed for bibliometric factors. Pearson chi-square tests were used as appropriate for statistical comparison.Results:In total, 185 of 1,600 questions in the basic science section were used over the 6-year study period (11.6%). The proportion of basic science questions ranged from 10.7% to 12.0% from year to year. The most frequently tested topics were cellular and molecular biology (23.8%), physiology/pathophysiology (16.8%), and pharmacology (10.8%). There was an increase in the number of biostatistics questions from 2017 to 2019 compared with the number from 2014 to 2016 (P = 0.02). The most common taxonomic category was knowledge recall (89.7%). A total of 383 references were cited from 122 sources. The 3 most common sources accounting for 44.4% of all citations were produced by the AAOS.Discussion:The basic science section of the OITE accounts for approximately 11% of all questions, with the most common taxonomy being knowledge recall (89.7%). Recent tests have emphasized biostatistics, highlighting the importance of incorporating biostatistics into residency education. Reference materials produced by the AAOS were highly cited in this section.

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Section: Discussionmentioning

confidence: 99%

“…Multiple studies have examined the different domains of the OITE for content, question taxonomy, and references. [3][4][5][6][7][8][9][10][11][12] Of these studies, only one investigated the basic science section of the OITE. 13 This study examined a 5-year period between 2006 and 2010.…”

mentioning

confidence: 99%

Analysis of the Basic Science Questions on the Orthopaedic In-Training Examination From 2014 to 2019

Shen

Driscoll

Ellsworth

et al. 2021

J Am Acad Orthop Surg

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“…The majority (94.9%) of references were primary literature sources, an increase from the 75% that was reported in a prior study of trauma questions. 8 The three most frequently cited sources in our study, the Journal of Orthopaedic Trauma, Journal of the American Academy of Orthopaedic Surgeons, and Journal of Bone and Joint Surgery, American Volume, were also among the most frequently cited sources identified in the prior reviews of trauma OITE questions. [8][9][10] Interestingly, only 6% of residents report using journals as their primary study resource, but journals were also rated by the same group of surveyed residents as the most useful for preparation for the OITE.…”

Section: Discussionmentioning

confidence: 57%

“…8 The three most frequently cited sources in our study, the Journal of Orthopaedic Trauma, Journal of the American Academy of Orthopaedic Surgeons, and Journal of Bone and Joint Surgery, American Volume, were also among the most frequently cited sources identified in the prior reviews of trauma OITE questions. [8][9][10] Interestingly, only 6% of residents report using journals as their primary study resource, but journals were also rated by the same group of surveyed residents as the most useful for preparation for the OITE. 7 In contrast to reading journals, Theismann et al 7 report that most residents use Orthobullets (53%), ResStudy (26%), JBJS Clinical Classroom (3%), textbooks (8%), or other resources (4%) in preparation for the OITE.…”

Section: Discussionmentioning

confidence: 57%

“…Although the authors believe that this definition most accurately reflects the intended domain of question writers, the AAOS does not publish their definition of the musculoskeletal trauma domain for comparison nor do prior studies of the OITE trauma questions. [8][9][10] The inability to directly compare the inclusion and exclusion criteria across studies limits our ability to compare our study findings with those reported in previous studies. As the AAOS stopped publishing the complete study guide with the official categorization of all questions in 2016, 14 we are unable to compare the questions we categorized under the domain of trauma with those that the AAOS intended to test trauma principles.…”

Section: Discussionmentioning

confidence: 98%

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Analysis of Orthopaedic In-Training Examination Trauma Questions: 2017 to 2021

et al. 2023

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Introduction:The Orthopaedic In-Training Examination (OITE) is a multiple-choice examination developed by the American Academy of Orthopaedic Surgeons annually since 1963 to assess orthopaedic residents' knowledge. This study's purpose is to analyze the 2017 to 2021 OITE trauma questions to aid orthopaedic residents preparing for the examination.Methods:The 2017 to 2021 OITEs on American Academy of Orthopaedic Surgeons' ResStudy were retrospectively reviewed to identify trauma questions. Question topic, references, and images were analyzed. Two independent reviewers classified each question by taxonomy.Results:Trauma represented 16.6% (204/1,229) of OITE questions. Forty-nine percent of trauma questions included images (100/204), 87.0% (87/100) of which contained radiographs. Each question averaged 2.4 references, of which 94.9% were peer-reviewed articles and 46.8% were published within 5 years of the respective OITE. The most common taxonomic classification was T1 (46.1%), followed by T3 (37.7%) and T2 (16.2%).Discussion:Trauma represents a notable portion of the OITE. Prior OITE trauma analyses were published greater than 10 years ago. Since then, there has been an increase in questions with images and requiring higher cognitive processing. The Journal of Orthopaedic Trauma (24.7%), Journal of the American Academy of Orthopaedic Surgeons (10.1%), and Journal of Bone and Joint Surgery, American Volume (9.3%) remain the most cited sources.

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