The Ophthalmic Knowledge Assessment Program (OKAP) Examination and Global Evaluation

Graff JM, Oetting TA, and Lee AG


Purpose: The Ophthalmic Knowledge Assessment Program (OKAP) examination is an in-training educational assessment tool administered by the Clinical Education portion of the American Academy of Ophthalmology (AAO). The goals of this study are to review the use of the OKAP at a single academic institution and to compare faculty global evaluations of resident knowledge and performance against OKAP scores. Methods: A retrospective analysis was performed of the percentile rank OKAP examination score for 15 ophthalmology resident physicians over 3 years at a university-based ophthalmology residency training facility in the United States (The University of Iowa Hospitals and Clinics). The percentile rank was compared to the average summative evaluation score for all rotations awarded to these same residents by supervising faculty who were masked to the OKAP score results. Results: There was no correlation between OKAP examination results and masked faculty scoring of resident overall performance (r = 0.11). Conclusions: Our data suggest that the OKAP score and global evaluation of resident performance might not correlate well and we recommend that caution and additional study are warranted before applying the self-assessment, preparatory OKAP examination as an external competency tool for employment or fellowship selection.

Journal of Academic Ophthalmology 2008: 1: 20-24. (c) Journal of Academic Ophthalmology

View full article in the Virtual JAO Online.


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