Predictors of performance on the pediatric board certification examination

Nomura, Osamu; Onishi, Hirotaka; Park, Yoon Soo; Michihata, Nobuaki; Kobayashi, Toshimitsu; Kaneko, Kazunari; Yoshikawa, Tetsushi; Ishiguro, Akira

doi:10.1186/s12909-021-02515-z

Cited by 8 publications

(6 citation statements)

References 28 publications

(13 reference statements)

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“…During the course, all the trainees were supervised by the instructors and the course director, possibly resulting in an overestimation of their self-assessment on the post-training survey. Therefore, as the next step, implementing an instructor training course to maintain the quality of teaching skills at a high level and planning a longer course in pediatric POCUS use that includes objective measures, such as an objective structured clinical examination (OSCE), computer-based tests, and a control group, may be desirable to evaluate trainees' skills more accurately [30].…”

Section: Discussionmentioning

confidence: 99%

Implementation and assessment of a pediatric point-of-care ultrasound training course in Japan: a pilot study

et al. 2021

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Purpose The popularity of point-of-care ultrasound (POCUS) has led to the creation of educational guidelines for its use. In Japan, however, a comprehensive training course for POCUS use in pediatric emergency medicine has yet to be developed. The present study aimed to implement a pilot course for pediatric POCUS training in Japan and to compare participants' self-efficacy level before and after the course. Methods A half-day training course in pediatric POCUS was implemented at a meeting of the Japan Society of Point-of-Care Ultrasound. A standardized training course, including pre-learning materials, live lectures, and hands-on sessions, was developed based on the US consensus educational guidelines. Physicians interested in pediatric POCUS were recruited for participation and completed a self-evaluation survey before and after the course to access their background, self-efficacy in performing selected ultrasound procedures before and after the course, and their overall satisfaction with the course. Results In total, 31 physicians participated. Of these, 25 completed the survey. Ten participants were in post-graduate year (PGY) 1-2, 13 were in PGY 3-5, and eight were in PGY 6 or higher. The post-training self-efficacy score was significantly higher than the pre-course assessment score (86.0 [standard deviation (SD): 19.2] vs. 35.6 [SD 17.6], p = < 0.05, mean difference: 49.6 [95% confidence interval 39.6-61.2]). Furthermore, overall satisfaction with the course was high at 8.6 (SD 1.8). ConclusionThe present study implemented a pilot training course in pediatric POCUS and found the participants' selfefficacy level to be significantly higher after the course.

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Section: Discussionmentioning

confidence: 99%

Implementation and assessment of a pediatric point-of-care ultrasound training course in Japan: a pilot study

et al. 2021

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“…The Jpem-SCT is designed to assess clinical reasoning skills among pediatric emergency medicine specialists, and its target examinees are pediatric and emergency medicine residents and pediatric emergency medicine fellows in Japan. In this context, the fact that being a transitional intern (PGY1 and 2) was a negative predictor of a good score (i.e., the questions were too difficult for early trainees) indicates the positive association between the subject's clinical reasoning ability (acquired through training and experience) and the Jpem-SCT score ( 16 ). This finding provides reasonable evidence on the ease of extrapolation of the Jpem-SCT to other assessment settings.…”

Section: Discussionmentioning

confidence: 99%

Creating Clinical Reasoning Assessment Tools in Different Languages: Adaptation of the Pediatric Emergency Medicine Script Concordance Test to Japanese

et al. 2021

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Introduction: Clinical reasoning is a crucial skill in the practice of pediatric emergency medicine and a vital element of the various competencies achieved during the clinical training of resident doctors. Pediatric emergency physicians are often required to stabilize patients and make correct diagnoses with limited clinical information, time and resources. The Pediatric Emergency Medicine Script Concordance Test (PEM-SCT) has been developed specifically for assessing physician's reasoning skills in the context of the uncertainties in pediatric emergency practice. In this study, we developed the Japanese version of the PEM-SCT (Jpem-SCT) and confirmed its validity by collecting relevant evidence.Methods: The Jpem-SCT was developed by translating the PEM-SCT into Japanese using the Translation, Review, Adjudication, Pretest, Documentation team translation model, which follows cross-cultural survey guidelines for proper translation and cross-cultural and linguistic equivalences between the English and Japanese version of the survey. First, 15 experienced pediatricians participated in the pre-test session, serving as a reference panel for modifying the test descriptions, incorporating Japanese context, and establishing the basis for the scoring process. Then, a 1-h test containing 60 questions was administered to 75 trainees from three academic institutions. Following data collection, we calculated the item-total correlations of the scores to optimize selection of the best items in the final version of the Jpem-SCT. The reliability of the finalized Jpem-SCT was calculated using Cronbach's α coefficient for ensuring generalizability of the evidence. We also conducted multiple regression analysis of the test score to collect evidence on validity of the extrapolation.Results: The final version of the test, based on item-total correlation data analysis, contained 45 questions. The participant's specialties were as follows: Transitional interns 12.0%, pediatric residents 56.0%, emergency medicine residents 25.3%, and PEM fellows 6.7%. The mean score of the final version of the Jpem-SCT was 68.6 (SD 9.8). The reliability of the optimized test (Cronbach's α) was 0.70. Multiple regression analysis showed that being a transitional intern was a negative predictor of test scores, indicating that clinical experience relates to performance on the Jpem-SCT.Conclusion: This pediatric emergency medicine Script Concordance Test was reliable and valid for assessing the development of clinical reasoning by trainee doctors during residency training.

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“…Scholarship has become increasingly important in postgraduate medical education 1–4 . The core competencies for residents include scholarship, 1,2,5 and trainees themselves have reported a desire for and satisfaction from participation in scholarly activities 4,6–10 .…”

Section: Introductionmentioning

confidence: 99%

“…

Scholarship has become increasingly important in postgraduate medical education. [1][2][3][4] The core competencies for residents include scholarship, 1,2,5 and trainees themselves have reported a desire for and satisfaction from participation in scholarly activities. 4,[6][7][8][9][10] However, it has been reported that scholarly activities, particularly article publication, were scarce in pediatrics residency training in Japan.

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confidence: 99%

Association between residents' scholarly activities and publication requirement policy

Nakao,

Nomura,

Yoshihara

et al. 2023

Pediatrics International

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BackgroundScholarship is recognized as important in residency training worldwide. The Japan Pediatric Society (JPS) enacted a reform in 2017 to require publication of an article as a prerequisite for taking the board certification test, with the goal of increasing scholarly activity.MethodsThe purpose of this study was to provide a detailed description of the trends in residents' scholarly activities related to the JPS reform. A secondary analysis was performed on the cross‐sectional database of pediatrics residents who took the certification test in 2015–2018.ResultsThe enrolled participants were 2399 residents of which 79.7% passed the test. Publication of any type of article increased significantly (21%–22% to 100%; 0.1 to 0.3/person‐year) after the implementation of the JPS reform, whereas academic presentations did not (89% to 91%; 1.2 to 1.3/person‐year), both in terms of the percentage of the number of those who created them and the average rate of research production. Not only Japanese articles (11%–13% to 49%–53%; 0.04 to 0.15–0.17/person‐year) or case reports (10%–14% to 51%–52%; 0.03–0.05 to 0.16–0.17/person‐year), but also English articles (4%–5% to 15%–16%; 0.01–0.02 to 0.05/person‐year) and original articles (5% to 11%–17%; 0.01 to 0.03–0.05/person‐year) increased significantly. The number of each type of article publication was correlated with success in the board certification test (odds ratio 1.5–1.8).ConclusionsScholarly activities of pediatrics residents were enhanced by the JPS implementation of the article requirement policy, which is crucial to fostering a scholarly culture. The most efficient measures to promote scholarship need to be persistently investigated.

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Predictors of performance on the pediatric board certification examination

Cited by 8 publications

References 28 publications

Implementation and assessment of a pediatric point-of-care ultrasound training course in Japan: a pilot study

Implementation and assessment of a pediatric point-of-care ultrasound training course in Japan: a pilot study

Creating Clinical Reasoning Assessment Tools in Different Languages: Adaptation of the Pediatric Emergency Medicine Script Concordance Test to Japanese

Association between residents' scholarly activities and publication requirement policy

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