原创力文档associations between subspecialty fellowship interest and knowledge of internal medicine a hypothesis-generating study of internal medicine residents内科医学附属专业奖学金的兴趣和知识之间的关联的存活率存在研究内科居民.pdfVIP
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associations between subspecialty fellowship interest and knowledge of internal medicine a hypothesis-generating study of internal medicine residents内科医学附属专业奖学金的兴趣和知识之间的关联的存活率存在研究内科居民
Ofoma et al. BMC Medical Education 2011, 11:5
/1472-6920/11/5
RESEARCH ARTICLE Open Access
Associations between subspecialty fellowship
interest and knowledge of internal medicine: A
hypothesis-generating study of internal medicine
residents
1* 2 1 3
Uchenna R Ofoma , Erik E Lehman , Paul Haidet , Andrew C Yacht
Abstract
Background: Little is known about whether and how medical knowledge relates to interest in subspecialty
fellowship training. The purpose of this study was to examine the relationships between residents’ interest in
subspecialty fellowship training and their knowledge of internal medicine (IM).
Methods: A questionnaire was emailed to 48 categorical postgraduate-year (PGY) two and three residents at a
New York university-affiliated IM residency program in 2007 using the Survey Monkey online survey instrument.
Overall and content area-specific percentile scores from the IM in-training examination (IM-ITE) for the same year
was used to determine objective knowledge.
Results: Forty-five of 48 residents (response rate was 93.8%) completed the survey. Twenty-two (49%) were PG2
residents and 23(51%) were PGY3 residents. Sixty percent of respondents were male. Six (13%) residents were
graduates of U.S. medical schools. Eight (18%) reported formal clinical training prior to starting internal medicine
residency in the U.S. Of this latter group, 6 (75%) had training in IM and 6 (75) % reported a training length of
3 years or less. Thirty-seven of 45 (82%) residents had a subspecialty fellowship interest. Residents with a fellowship
interest had a greater mean overall objective knowledge percentile score (56.44 vs. 31.67; p = 0.04) as well as
greater mean percentile scores in all content areas of IM. The adjusted mean difference
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