ArticleBMC medical education2021
Difference in the general medicine in-training examination score between community-based hospitals and university hospitals: a cross-sectional study based on 15,188 Japanese resident physicians.
Article in BMC medical education, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.
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Who cites it
27 citing papers in PubMed.
- Development and Validation of the Shorter Versions of the Patient Care Ownership Scale for Use in Japan.JMA journal · 2026Article
- Association between community medicine rotation duration and general medicine in-training examination scores among second-year resident physicians in Japan: a nationwide cross-sectional study.BMC medical education · 2026Article
- Nationwide survey of formal mentorship characteristics and perceptions among resident physicians in Japan.BMC medical education · 2026Article
- Club Activity, Study Groups, and Academic Achievement: A Nationwide Study of Japanese Medical Students' Extracurricular Life.Journal of general and family medicine · 2026Article
- Association between resident physicians from foreign medical schools and general medicine in-training examination scores: a nationwide cross-sectional study in Japan.BMC medical education · 2026Article
- Associations between patient care ownership, burnout, and job satisfaction among medical residents: a nationwide cross-sectional study in Japan.Scientific reports · 2026Article
- Time-at-bedside and competency acquisition: a secondary analysis of GM-ITE domain scores in Japanese resident physicians.BMC medical education · 2025Article
- Supervising physicians' perceptions on physician work-hour regulations in Japan: a nationwide cross-sectional study.BMC medical education · 2025Article
- Impact of the new Japanese medical specialty system on residents' career choices in general medicine: a nationwide cross-sectional study.BMC medical education · 2025Observational
- Self-Reported Time-at-Bedside and Its Association with In-Training Examination Scores of Residents in Japan.Journal of general internal medicine · 2025Article
- Educational environment changes toward resident duty hour restrictions in Japan.Scientific reports · 2025Article
- Evaluating the Use of a Note-Taking App by Japanese Resident Physicians: Nationwide Cross-Sectional Study.JMIR formative research · 2025Article
- Association between residents' work hours and patient care ownership: a nationwide cross-sectional study in Japan.BMC medical education · 2025Article
- Association of clinical knowledge with patient care ownership among resident physicians: a nationwide cross-sectional study in Japan.BMC medical education · 2025Article
- Optimal outpatient training for resident physicians' general medicine in-training examination score: a cross-sectional study.BMC medical education · 2025Article
- Article
- Current State and Challenges of Dental Intervention in Aspiration Pneumonia Management from the Perspective of Hospitalists: A Cross-Sectional Survey in Japan.International journal of general medicine · 2025Article
- Integrating psychiatry into basic clinical skills: A three-year nationwide quantitative assessment of postgraduate training programs.PCN reports : psychiatry and clinical neurosciences · 2024Article
- A novel resident physician examination using clinical simulation video to assess clinical competence in Japan: a cross-sectional study.BMC medical education · 2024Article
- Article
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe general medicine in-training examination (GM-ITE) is designed to objectively evaluate the postgraduate clinical competencies (PGY) 1 and 2 residents in Japan. Although the total GM-ITE scores tended to be lower in PGY-1 and PGY-2 residents in university hospitals than those in community-based hospitals, the most divergent areas of essential clinical competencies have not yet been revealed.
methodsWe conducted a nationwide, multicenter, cross-sectional study in Japan, using the GM-ITE to compare university and community-based hospitals in the four areas of basic clinical knowledge". Specifically, "medical interview and professionalism," "symptomatology and clinical reasoning," "physical examination and clinical procedures," and "disease knowledge" were assessed.
resultsWe found no significant difference in "medical interview and professionalism" scores between the community-based and university hospital residents. However, significant differences were found in the remaining three areas. A 1.28-point difference (95% confidence interval: 0.96-1.59) in "physical examination and clinical procedures" in PGY-1 residents was found; this area alone accounts for approximately half of the difference in total score.
conclusionsThe standardization of junior residency programs and the general clinical education programs in Japan should be promoted and will improve the overall training that our residents receive. This is especially needed in categories where university hospitals have low scores, such as "physical examination and clinical procedures."
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