Article Text

Download PDFPDF
Low performance of internal medicine senior residents in in-service examinations
  1. Syed Ahsan Ali1,
  2. Qamar Riaz2,
  3. Zain Muhammad Mushtaq1,
  4. Safia Awan1,
  5. Muhammad Tariq1
  1. 1 Medicine, Aga Khan University, Karachi, Sind, Pakistan
  2. 2 Department of Educational Development, Faculty of Health Sciences, The Aga Khan University, Karachi, Pakistan
  1. Correspondence to Dr Syed Ahsan Ali, Medicine, Aga Khan University, Karachi 74800, Pakistan; syed.ahsan{at}aku.edu

Abstract

We observed an unprecedented and consistent low performance of senior residents as compared with juniors in monthly examinations. This compelled us to evaluate systematically and compare the scores of senior residents with their junior colleagues. This retrospective observational study was conducted in April 2020 among internal medicine residents. Residents in first and second year of their training were labelled as junior residents. Residents in third or fourth year of their training were labelled as senior residents. Comparison of mean scores of each resident level was done separately both for monthly formative multiple-choice questions tests, and summative yearly end of term examinations. We discussed the possible reasons as well. There were 67 residents in year 2018 and 69 in 2019. There is no significant difference between scores of monthly examinations of years 2018 and 2019 among residents of each level. Rather, in March and December 2018, junior residents perform better than senior residents with p values of 0.01 and 0.04, respectively. In February and September 2019, senior residents performed better than junior residents with p value of 0.02. Similarly, there is no significant difference in scores of residents of each level in end-of-term examinations of years 2018 and 2019 with p values 0.18 and 0.25, respectively. Performance of senior residents in our residency programme in in-service examinations is relatively low as compared with their junior colleagues. There is a need to evaluate reasons for this relatively low performance of senior residents.

  • internal medicine
  • medical education & training

Data availability statement

Data are available on reasonable request. Data are available on reasonable request from corresponding author through email. Permission is subject to author's institutional policies.

Statistics from Altmetric.com

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.

Data availability statement

Data are available on reasonable request. Data are available on reasonable request from corresponding author through email. Permission is subject to author's institutional policies.

View Full Text

Footnotes

  • Contributors SAA conceived the idea, retrieved the data, was the main contributor towards writing the manuscript and is responsible for the overall content as guarantor. QR reviewed and edited the manuscript, and gave expert opinion as medical educationist in manuscript writing and results. ZMM searched the literature, and reviewed and edited the manuscript. SA was the main contributor towards statistical analysis and reviewed and edited the manuscript. MT reviewed the manuscript, contributed towards discussion and supervised the study as a senior medical educationist.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.