Background?In-service training examinations (ITEs) are used to assess residents across specialties. However, it is not clear how they are integrated with the Accreditation Council for Graduate Medical Education Milestones and competencies.Objective?This study explored the distribution of specialty-specific milestones and competencies in ITEs for plastic surgery and orthopaedic surgery.Methods?In-service training examinations were publicly available for plastic surgery (PSITE) and orthopaedics (OITE). Questions on the PSITE for 2014–2016 and the OITE for 2013–2015 were mapped to the specialty-specific milestones and the 6 competencies.Results?There was an uneven distribution of milestones and competencies in ITE questions. Nine of the 36 Plastic Surgery Milestones represented 52% (341 of 650) of questions, and 3 were not included in the ITE. Of 41 Orthopaedic Surgery Milestones, 7 represented 51% (201 of 394) of questions, and 5 had no representation on the ITE. Among the competencies, patient care was the most common (PSITE = 62% [403 of 650]; OITE = 59% [233 of 394]), followed by medical knowledge (PSITE = 34% [222 of 650]; OITE = 31% [124 of 394]). Distribution of the remaining competencies differed between the 2 specialties (PSITE = 4% [25 of 650]; OITE = 9% [37 of 394]).Conclusions?The ITEs tested slightly more than half of the milestones for the 2 specialties, and focused predominantly on patient care and medical knowledge competencies.
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机译：背景：在职培训考试（ITE）用于评估各个专业的居民。然而，目前尚不清楚如何将其与研究生医学教育认可委员会的里程碑和能力整合在一起。目的？本研究探讨了整形外科和整形外科的ITE中特定专业的里程碑和能力的分布。整形外科（PSITE）和骨科（OITE）公开接受了培训考试。关于2014–2016年的PSITE和2013–2015年的OITE的问题已映射到特定于专业的里程碑和6个能力。结果？ITE问题中的里程碑和能力分布不均。 36个整形外科里程碑中有9个代表了52％（650个中的341个）问题，而3个未包括在ITE中。在41个骨科手术里程碑中，有7个代表了51％（394个中的201个）的问题，而5个在ITE上没有任何代表。在这些能力中，患者护理最为常见（PSITE = 62％[650的403]; OITE = 59％[394的233]），其次是医学知识（PSITE = 34％[650的222]; OITE = 31 ％[394 of 124]。其余能力的分布在这两个专业之间有所不同（PSITE = 4％[650 of 25]; OITE = 9％[394 of 394]）。结论：ITE对这两个专业的里程碑测试的时间略超过一半，并且主要侧重于患者护理和医学知识能力。
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