Impact of inpatient caseload, emergency department duties, and online learning resource on General Medicine In-Training Examination scores in Japan

Kinoshita K, Tsugawa Y, Shimizu T, Tanoue Y, Konishi R, Nishizaki Y, Shiojiri T, Tokuda Y. Impact of inpatient caseload, emergency department duties, and online learning resource on General Medicine In-Training Examination scores in Japan. International Journal of General Medicine 2015:8.

The authors conducted a survey with a clinical knowledge evaluation involving postgraduate year (PGY)-1 and -2 resident physicians at teaching hospitals offering 2-year postgraduate training programs required for residents in Japan, using the General Medicine In-Training Examination (GM-ITE).

  • Residents with four or five times per month of the emergency department (ED) duties exhibited the highest mean scores compared to those with greater or fewer ED duties.
  • Those with largest number of inpatients in charge exhibited the highest mean scores compared to the residents with fewer inpatients in charge.
  • Hospitals with the greater UpToDate topic viewing showed significantly greater mean score.

Appropriate ED workload and inpatient caseload, as well as use of evidence-based electronic resources, were associated with greater clinical knowledge of residents.