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.