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Multifaceted remediation program: experience of a residency program to rescue residents who failed the American Board of Anesthesiology basic examination

PROBLEM: Passing the American Board of Anesthesiology (ABA) basic examination is required to progress through anesthesiology training in USA. Failing the test may be related to medical knowledge gaps, presence of negative psychosocial factors, and/or individual approaches to learning. This article d...

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Autores principales: Riveros-Perez, Efrain, Arthur, Mary E, Jain, Ankit, Kumar, Vikas, Rocuts, Alexander
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Dove Medical Press 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6263215/
https://www.ncbi.nlm.nih.gov/pubmed/30538598
http://dx.doi.org/10.2147/AMEP.S180627
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author Riveros-Perez, Efrain
Arthur, Mary E
Jain, Ankit
Kumar, Vikas
Rocuts, Alexander
author_facet Riveros-Perez, Efrain
Arthur, Mary E
Jain, Ankit
Kumar, Vikas
Rocuts, Alexander
author_sort Riveros-Perez, Efrain
collection PubMed
description PROBLEM: Passing the American Board of Anesthesiology (ABA) basic examination is required to progress through anesthesiology training in USA. Failing the test may be related to medical knowledge gaps, presence of negative psychosocial factors, and/or individual approaches to learning. This article describes the experience of development and implementation of a multifaceted remediation program (MRP) in residents who failed the ABA basic test. INTERVENTION: This is a retrospective analysis of four cases of residents who failed the ABA basic test between 2016 and 2017. The MRP is described. Pedagogical diagnosis, objectives, teaching strategies and assessment, and their constructive alignment are presented. Information regarding test performance is also presented. CONTEXT: This study involves accredited anesthesiology residency program in USA. Outcomes: Four subjects (11% of program residents) failed the ABA basic test. Superficial approach to learning was observed in 100% of cases. The total possible number of participants was 4. The actual number of participants was 4, and the response rate was 100%. Four residents fell under 10th percentile on the first attempt, and 100% passed the test on the second attempt. There was 38% improvement in the number of failed keywords between the two attempts. LESSONS LEARNED: Implementation of the MRP developed at our institution is successful to remediate anesthesiology residents who fail the ABA basic examination. We learned that the deep analysis of learning approaches, psychosocial factors, and medical knowledge gaps can be used to develop a remediation program based on the constructive alignment between objectives, curriculum, and assessment.
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spelling pubmed-62632152018-12-11 Multifaceted remediation program: experience of a residency program to rescue residents who failed the American Board of Anesthesiology basic examination Riveros-Perez, Efrain Arthur, Mary E Jain, Ankit Kumar, Vikas Rocuts, Alexander Adv Med Educ Pract Case Series PROBLEM: Passing the American Board of Anesthesiology (ABA) basic examination is required to progress through anesthesiology training in USA. Failing the test may be related to medical knowledge gaps, presence of negative psychosocial factors, and/or individual approaches to learning. This article describes the experience of development and implementation of a multifaceted remediation program (MRP) in residents who failed the ABA basic test. INTERVENTION: This is a retrospective analysis of four cases of residents who failed the ABA basic test between 2016 and 2017. The MRP is described. Pedagogical diagnosis, objectives, teaching strategies and assessment, and their constructive alignment are presented. Information regarding test performance is also presented. CONTEXT: This study involves accredited anesthesiology residency program in USA. Outcomes: Four subjects (11% of program residents) failed the ABA basic test. Superficial approach to learning was observed in 100% of cases. The total possible number of participants was 4. The actual number of participants was 4, and the response rate was 100%. Four residents fell under 10th percentile on the first attempt, and 100% passed the test on the second attempt. There was 38% improvement in the number of failed keywords between the two attempts. LESSONS LEARNED: Implementation of the MRP developed at our institution is successful to remediate anesthesiology residents who fail the ABA basic examination. We learned that the deep analysis of learning approaches, psychosocial factors, and medical knowledge gaps can be used to develop a remediation program based on the constructive alignment between objectives, curriculum, and assessment. Dove Medical Press 2018-11-26 /pmc/articles/PMC6263215/ /pubmed/30538598 http://dx.doi.org/10.2147/AMEP.S180627 Text en © 2018 Riveros-Perez et al. This work is published and licensed by Dove Medical Press Limited The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed.
spellingShingle Case Series
Riveros-Perez, Efrain
Arthur, Mary E
Jain, Ankit
Kumar, Vikas
Rocuts, Alexander
Multifaceted remediation program: experience of a residency program to rescue residents who failed the American Board of Anesthesiology basic examination
title Multifaceted remediation program: experience of a residency program to rescue residents who failed the American Board of Anesthesiology basic examination
title_full Multifaceted remediation program: experience of a residency program to rescue residents who failed the American Board of Anesthesiology basic examination
title_fullStr Multifaceted remediation program: experience of a residency program to rescue residents who failed the American Board of Anesthesiology basic examination
title_full_unstemmed Multifaceted remediation program: experience of a residency program to rescue residents who failed the American Board of Anesthesiology basic examination
title_short Multifaceted remediation program: experience of a residency program to rescue residents who failed the American Board of Anesthesiology basic examination
title_sort multifaceted remediation program: experience of a residency program to rescue residents who failed the american board of anesthesiology basic examination
topic Case Series
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6263215/
https://www.ncbi.nlm.nih.gov/pubmed/30538598
http://dx.doi.org/10.2147/AMEP.S180627
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