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Association between In-Training Exam Scores and Clinical Exposure during the Covid-19 Pandemic.


ABSTRACT:

Background

We sought to evaluate changes in ITE scores and associations with clinical work during the COVID-19 pandemic. We hypothesized that residents saw a decrease in clinical encounters during the pandemic and that this would be associated with smaller gains in ITE score.

Methods

We compared ITE score changes with data on patient notes for three classes of pediatric residents at four residency programs: one not exposed to the pandemic during their intern year who entered residency in 2018, one partially exposed to Covid-19 in March of their intern year (2019-2020), and one that was fully exposed to the pandemic, starting residency in June of 2020.

Results

ITE scores on average improved from the PGY1 to PGY2 year in the "no covid" and "partial covid" cohorts. The "full covid" cohort had little to no improvement, on average. The total number of patient encounters was not associated with a change in ITE scores from PGY1 to PGY2. There was a small but statistically significant association between change in ITE score and number of inpatient H+P notes.

Discussion

A drop in ITE scores occurred in pediatric residents who entered residency during the COVID-19 pandemic. This change was largely unrelated to clinical encounter number changes.

SUBMITTER: Rao P 

PROVIDER: S-EPMC10225061 | biostudies-literature | 2023 May

REPOSITORIES: biostudies-literature

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Publications

Association Between In-Training Exam Scores and Clinical Exposure During the COVID-19 Pandemic.

Rao Priyanka P   Jordan Katherine K   Burrows Heather H   Helms Lauren L   Latch Rebecca R   Perin Rebecca R   Crawford Michael Andrew MA   Kang Daniel D   Morgan Andrew A   Beck Dallaghan Gary L GL   Zwemer Eric E  

Academic pediatrics 20230528 1


<h4>Background</h4>We sought to evaluate changes in In-Training Examination (ITE) scores and associations with clinical work during the COVID-19 pandemic. We hypothesized that residents saw a decrease in clinical encounters during the pandemic and that this would be associated with smaller gains in ITE scores.<h4>Methods</h4>We compared ITE score changes with data on patient notes for three classes of pediatric residents at four residency programs: one not exposed to the pandemic during their in  ...[more]

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