David P. Steensma, MD
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Steensma DP. The In-Training Examination in Internal Medicine. Ann Intern Med. 2003;138:1009. doi: 10.7326/0003-4819-138-12-200306170-00025
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Published: Ann Intern Med. 2003;138(12):1009.
TO THE EDITOR:
Since the In-Training Examination in Internal Medicine (IM-ITE) is administered to many internal medicine residents in categorical programs for 3 consecutive years, it is possible that repeated test-taking itself contributes in part to the improved performance seen in postgraduate year (PGY) 2 and PGY3. Certainly, ongoing training in internal medicine must have a substantial effect. Garibaldi and colleagues (1) report that IM-ITE performance correlates well with the cumulative number of internal medicine rotations undertaken. In addition, annual increments in scores were lower for medicine–pediatrics residents (who receive half the annual internal medicine training of categorical internal medicine residents) and for all residents during the shorter inter-test interval in 1999 to 2000, when examination administration was moved up to October (1).
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