MCQs in-training examination scores of the surgical residency program in Thailand: the relationship between medical school vs public health-based training institutions

TL;DR

This study compares the exam scores of surgical residents in Thailand based on their training institution type and experience level.

Contribution

It identifies differences in categorical knowledge scores between medical school and public health-based training institutions.

Findings

Residents from medical school institutions scored higher in four out of ten categories.

Institutions with over 7 years of experience scored higher in the Liver, Biliary and Pancreas category.

Overall scores did not significantly differ between training institution types or experience levels.

Abstract

This study aims at investigating and evaluating the categorical knowledge of residency using an internet-based examination.

All in-training examinees from 32 Thailand’s general surgery residency training institutions participating in the online examination. One hundred fifty Multiple Choice questions (MCQs) were selected for this examination from a pool of previous MCQs used for board certification examinations. Baseline chracteristic of the examinee including residency year, training institution (medical schools and public health-based training institutions), regional-based area of the institution, overall test score, scoring by subcategory, total time to complete the examination, and the length of accredited as a training centre time were collected and analysed.

Total 613 examinees. The mean total score of 1st and 3rd year residency of a public health hospital institution differed from those with medical school-based training. On average, the scores in 4 out of 10 categories of residency from medical school training institutions were higher. However, residency from institutions with over 7 years of experience tended to score higher in the Liver, Biliary and Pancreas category.

The average scores of MCQs exams which reflect the medical knowledge for general surgical residency training at medical schools do not significantly differ from those of individuals undergoing public health training. Additionally, the mean scores of MCQs exams did not differ between high-experience training institutions and recent accredited training centers.