Evidence map›Paper›PMID 17468889›Full record

ArticleJournal of general internal medicine2007

Factors associated with medical knowledge acquisition during internal medicine residency.

Furman S McDonald, Scott L Zeger, Joseph C Kolars

Open access · bronzeAbstract read
In one paragraph

Article in Journal of general internal medicine, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 47 papers.

0numbers the graph read from it
0cells of the map it votes in
47citing papers in PubMed
3.9field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

47 citing papers in PubMed, 92 citations in OpenAlex.

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  17. Impact of Benign Hematology Didactic Lectures on In-service Exam in a Hematology-Oncology Fellowship Program: a Cross-sectional Longitudinal Study.Journal of cancer education : the official journal of the American Association for Cancer Education · 2020
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  18. Article
  19. Analgesic prescribing habits and patterns of Canadian chief urology residents: A national survey.Canadian Urological Association journal = Journal de l'Association des urologues du Canada · 2020
    Article
  20. General Surgery Resident Use of Electronic Resources: 15 Minutes a Day.Journal of the American College of Surgeons · 2020
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

3 authors at 2 institutions in 1 country.

Furman S McDonaldGeneral Internal Medicine-Hospital Internal Medicine, Mayo Clinic College of Medicine, 200 1st Street SW, Rochester, MN 55905, USA. mcdonald.furman@mayo.edu
Scott L Zeger
Joseph C Kolars
Mayo Clinic · USJohns Hopkins University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundKnowledge acquisition is a goal of residency and is measurable by in-training exams. Little is known about factors associated with medical knowledge acquisition.

objectiveTo examine associations of learning habits on medical knowledge acquisition. DESIGN,

participantsCohort study of all 195 residents who took the Internal Medicine In-Training Examination (IM-ITE) 421 times over 4 years while enrolled in the Internal Medicine Residency, Mayo Clinic, Rochester, MN. MEASUREMENTS: Score (percent questions correct) on the IM-ITE adjusted for variables known or hypothesized to be associated with score using a random effects model.

resultsWhen adjusting for demographic, training, and prior achievement variables, yearly advancement within residency was associated with an IM-ITE score increase of 5.1% per year (95%CI 4.1%, 6.2%; p < .001). In the year before examination, comparable increases in IM-ITE score were associated with attendance at two curricular conferences per week, score increase of 3.9% (95%CI 2.1%, 5.7%; p < .001), or self-directed reading of an electronic knowledge resource 20 minutes each day, score increase of 4.5% (95%CI 1.2%, 7.8%; p = .008). Other factors significantly associated with IM-ITE performance included: age at start of residency, score decrease per year of increasing age, -0.2% (95%CI -0.36%, -0.042%; p = .01), and graduation from a US medical school, score decrease compared to international medical school graduation, -3.4% (95%CI -6.5%, -0.36%; p = .03).

conclusionsConference attendance and self-directed reading of an electronic knowledge resource had statistically and educationally significant independent associations with knowledge acquisition that were comparable to the benefit of a year in residency training.

Indexed as

Educational MeasurementInternship and ResidencyLearningAdultClinical CompetenceCohort StudiesComputer-Assisted InstructionEducation, Medical, GraduateFemaleHumansInternal MedicineMaleMinnesotaTransfer, Psychology

Identifiers

PMID17468889
PMCPMC2219722
OpenAlexW2057337979

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.