2013 APGO Exxcellence Award – Jovana Y. Martin, MD
Jovana Y. Martin, M.D., from the University of Alabama at Birmingham has been awarded the 2013 APGO Exxcellence Award for her study titled, "Exxcellence in Life Long Learning (L3/ObGyn) and Resident Knowledge: What is the Relationship?" (abstract below).
Dr. Martin’s study showed that there was a trend towards improved performance on the CREOG exam for residents who utilized LLL modules provided by The Foundation for Exxcellence in Women’s Health Care.
The 2013 APGO Exxcellence Award, the first of its kind, was accompanied by a $500 cash award for Dr. Martin.
Exxcellence in Life Long Learning (L3Ob/Gyn) and Resident Knowledge, What is the Relationship?
Jovana Y. Martin, MD
University of Alabama at Birmingham, Birmingham, AL
Britt K. Erickson MD, Bin Zhang Ph.D, Alice R. Goepfert MD
OBJECTIVE: The Foundation for Exxcellence in Women’s Health Care releases quarterly Life Long Learning (LLL) modules, which consist of relevant journal articles followed by assessment questions. Data suggest that continuing medical education (CME) improves physician knowledge. However, no data specifically address resident knowledge using journal articles with a self-directed question and answer format. Since 2008, Ob/Gyn residents at the University of Alabama at Birmingham (UAB) have been given access to the LLL modules and are encouraged to complete them. Additionally, residents complete an objectively scored in-service examination (CREOG), yearly. The primary objective of this study is to see if there is a correlation between the percent of LLL modules (% L3Ob/Gyn) completed and resident performance on CREOG exams. The secondary objective is to see if there is a correlation between performance on USMLE Step I and CREOG scores.
METHODS: After obtaining UAB IRB approval we collected post-graduate year (PGY) 3 and PGY-4 CREOG examination scores, USMLE Step 1 scores, and the % L3Ob/Gyn from resident classes starting between the years 2006-2009. Data from 28 residents were obtained from the residency program office staff after it was de-identified using HIPPA privacy rules. Data analysis was performed using Pearson Correlation Coefficients in order to determine the relationships between the % L3Ob/Gyn, CREOG scores, and USMLE scores.
RESULTS: There is a strong positive correlation between USMLE Step I and PGY-3 as well as PGY-4 CREOG scores (Correlation Coefficient 0.67, p< 0.001 and Correlation Coefficient 0.60, p<0.001 respectively). Although not statistically significant there was a positive correlation between % L3Ob/Gyn and PGY-4 CREOG scores (Correlation Coefficient 0.24, p=0.2284).
CONCLUSIONS: Performance on USMLE step 1 correlates strongly with CREOG scores. There was a trend towards improved performance on the CREOG exam for residents who completed more LLL modules. As LLL modules continue to be integrated into resident curriculum, further assessment of their educational efficacy is warranted.
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