BackgroundAnesthesiology resident physicians across the United States complete an annual in-training examination (ITE). The ITE evaluates resident knowledge and provides personalized feedback to guide future study in low scoring sections. Performance on the ITE correlates with outcomes on the American Board of Anesthesiology (ABA) written board examination.Over the last several years, declining ITE scores were observed at the University of North Carolina (UNC). In response to this decline, our department reprioritized the ITE by instituting an academic improvement policy (AIP). The AIP employed both reward for satisfactory achievement and consequence for under-performance to elevate the ITE as a “high stakes” examination. Our hypothesis was that implementation of this AIP would improve ITE scores.
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