Board review course effect on resident in-training examination

BACKGROUND The in-training examination is a national and yearly exam administered by the American Board of Emergency Medicine to all emergency medicine residents in the USA. The purpose of the examination is to evaluate a resident's progress toward obtaining the fundamental knowledge to practice independent emergency medicine. AIMS The purpose of this study was to determine the effects of a 40 hour board review lecture course on the resident in-training examination in emergency medicine. METHODS A 40 hour board review lecture course was designed and implemented during the weekly 5 hour long resident conferences during the 8 weeks preceding the in-training examination date in 2006. Attendance was mandatory at the Accreditation Council for Graduate Medical Education (ACGME) standard of 70% or greater. A positive result was considered to be a 10% increase or greater in the resident's individual national class percentile ranking among their national peers for their class year for the emergency medicine in-training examination. A resident was excluded from the study if there was no 2005 in-training examination score for self-comparison. The 95% confidence intervals (CI) were used to analyze the results. RESULTS Of 16 residents, 1 (6.25%; 95% CI: 0-18%) showed a positive result of increasing their national class percentile ranking by 10% or greater. For the PGY2, one of the eight had a positive result (12.5%; 95% CI: 0-35.4%). For PGY3, no resident (0%; 95% CI: 0-35.4%) had a positive result. CONCLUSIONS A 40 hour board review lecture course has no positive effect on improving a resident's in-training examination score.