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{
    "pk": 17076,
    "title": "Number of Patient Encounters in Emergency Medicine Residency Does Not Correlate with In-Training Exam Domain Scores",
    "subtitle": null,
    "abstract": "Introduction: \nEmergency medicine (EM) residents take the American Board of Emergency Medicine (ABEM) In-Training Examination (ITE) every year. This examination is based on the ABEM Model of Clinical Practice (Model). The purpose of this study was to determine whether a relationship exists between the number of patient encounters a resident sees within a specific clinical domain and their ITE performance on questions that are related to that domain.\n \nMethods: \nChief complaint data for each patient encounter was taken from the electronic health record for EM residents graduating in three consecutive years between 2016-2021. We excluded patient encounters without an assigned resident or a listed chief complaint. Chief complaints were then categorized into one of 20 domains based on the 2016 Model. We calculated correlations between the total number of encounters seen by a resident for all clinical years and their ITE performance for the corresponding clinical domain from their third year of training. \nResults:\n Available for analysis were a total of 232,625 patient encounters and 69 eligible residents who treated the patients. We found no statistically significant correlations following Bonferroni correction for multiple analyses.\nConclusion: \nThere was no correlation between the number of patient encounters a resident has within a clinical domain and their ITE performance on questions corresponding to that domain. This suggests the need for separate but parallel educational missions to achieve success in both the clinical environment and standardized testing.",
    "language": "en",
    "license": {
        "name": "Creative Commons Attribution 4.0",
        "short_name": "CC BY 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by/4.0"
    },
    "keywords": [
        {
            "word": "In-training examination"
        },
        {
            "word": "Residency: Case Mix"
        },
        {
            "word": "Experiential Learning Theory"
        }
    ],
    "section": "Education Special Issue - Brief Research Report (Limit 1500 words)",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/7956n13w",
    "frozenauthors": [
        {
            "first_name": "Michael",
            "middle_name": "W.",
            "last_name": "Kern",
            "name_suffix": "",
            "institution": "Mayo Clinic Health System – Northwest Wisconsin Region, Department of Emergency Medicine, Eau Claire, Wisconsin",
            "department": "None"
        },
        {
            "first_name": "Corlin",
            "middle_name": "M.",
            "last_name": "Jewell",
            "name_suffix": "",
            "institution": "BerbeeWalsh Department of Emergency Medicine, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin",
            "department": "None"
        },
        {
            "first_name": "Dann",
            "middle_name": "J.",
            "last_name": "Hekman",
            "name_suffix": "",
            "institution": "BerbeeWalsh Department of Emergency Medicine, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin",
            "department": "None"
        },
        {
            "first_name": "Benjamin",
            "middle_name": "H.",
            "last_name": "Schnapp",
            "name_suffix": "",
            "institution": "BerbeeWalsh Department of Emergency Medicine, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin",
            "department": "None"
        }
    ],
    "date_submitted": "2022-07-11T01:53:41Z",
    "date_accepted": "2022-07-11T01:53:41Z",
    "date_published": "2022-12-21T08:00:00Z",
    "render_galley": null,
    "galleys": [
        {
            "label": "",
            "type": "pdf",
            "path": "https://journalpub.escholarship.org/westjem/article/17076/galley/8631/download/"
        }
    ]
}