ArticleCureus2025
Trends in Pediatric In-Training Exam Scores and Association With Clinical Encounters Across the COVID-19 Pandemic.
Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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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.
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.
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Authors and funding
10 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Pediatric In-Training Exam (ITE) scores dropped during the pandemic and prior work showed this drop was unrelated to clinical volume. It remained unclear how ITE scores would change post pandemic peak. We compared ITE scores with data on patient notes for five classes of pediatric residents matriculating from 2018 through 2022 at four residency programs which included a total of 391 residents. Post-graduate year (PGY) 2 ITE was 11.6 points lower for residents starting in 2020 compared to other classes (95% CI 8.3-14.8 points). While number of inpatient admission notes (p = 0.012) and progress notes (p = 0.0044) were associated with statistically significant gains in PGY2 ITE scores, clinical note volume only accounted for a small amount of the cohort effect (4.8%). There are some types of clinical encounters that are statistically associated with ITE score gains and while there was partial recovery of scores compared to pre-pandemic cohorts, total PGY3 scores remain lower than the 2018 class.
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