Resident Performance on the Ophthalmic Knowledge Assessment Program and the Written Qualifying Examination for Board Certification

Philip P. Chen, MD and Anuja Bhandari, MD, FRCOphth

Abstract


Purpose: To examine the association between quantifiable measures of resident performance prior to and during residency training, including performance on the Ophthalmic Knowledge Assessment Program (OKAP), with a passing grade on the Written Qualifying Examination (WQE) of the American Board of Ophthalmology (ABO).
Methods: In this retrospective cohort study, data from residents entering the University of Washington Department of Ophthalmology over an 8 year period were tabulated from applicant files and from OKAP scores, and were correlated with passage of the ABO WQE.
Results: Thirty-five resident files were examined. Six residency graduates (17%) did not pass the WQE on the first attempt; this was associated strongly with mean OKAP score and OKAP score by year (P<0.001 and P≤0.007, respectively; 2-sided t-test). Mean OKAP score and OKAP score by year were significantly correlated with WQE score (r=0.715, P<0.001; and
r≥0.628, P<0.001, respectively). Mean OKAP percentile score in the 33rd percentile or below was significantly associated with failure to pass the WQE on the first attempt (P=0.002).
Conclusions: Performance on the OKAP is correlated with passage of the WQE of the ABO on the first attempt, and can be considered a valid measure of the Medical Knowledge competency of the American Council on Graduate Medical Education.

Journal of Academic Ophthalmology 2010; 3: 11-14. (c) Journal of Academic Ophthalmology

View full article in the Virtual JAO Online.

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