Association of Volume of Patient Encounters with Residents’ In-Training Examination Performance

The Impact of the Hospital Volume on the Performance of Residents on the General Medicine In-Training Examination: A Multicenter Study in Japan

“…Several studies on the that improve residents' knowledge have been conducted (1,2). Patient encounters are an important factor in improving the knowledge of internal medicine.…”

“…Theoretically, the more cases residents experience, the better their knowledge. Although the impact of patient numbers on the learning curve was shown to have a ceiling effect for several reasons such as the workload, a previous study also showed that the number of patient encounters was related to residents' knowledge, which was assessed using the Intraining Examination (ITE) scores (1,2). In addition, not only the number of patient encounters but also the quality of clinical practice must be considered.…”

Awareness of Diagnostic Error among Japanese Residents: a Nationwide Study

“…2 The GM-ITE is a clinical knowledge test that uses a methodology similar to that of the US Internal Medicine In-Training Examination (IM-ITE). 3 The purpose of the IM-ITE is to provide residents and program directors with an objective, reliable, and valid assessment of clinical knowledge through a multiple-choice examination. 4,5 Our GM-ITE, which was designed and written by a committee of experienced physicians assembled by the Japan Institute for Advancement of Medical Education Program (a non-profit organization in Tokyo, Japan), included 87 questions testing a wide range of clinical knowledge, from clinical skills and practical medical knowledge to psychosocial care of patients.…”

Implementation of 2011 Duty Hours Regulations through a Workload Reduction Strategy and Impact on Residency Training

“…Of ITE examinations administered during 3 years of training, the PGY-2 ITE has the strongest correlation with the ABIM Certifying Examination (ABIMCE), the examination that is widely recognized as a standard medical knowledge assessment. 25 For illness severity and quality of care outcomes, hospital administrative data were collected at the intern, and for comparison purposes, at the hospital, department of medicine, and hospitalist service level. They include institution-specific allcause 30-day readmission rates (only include readmissions to JHBMC), institution-specific mortality rates (only include deaths at JHBMC), and average length of stay (LOS).…”