Multifaceted remediation program: experience of a residency program to rescue residents who failed the American Board of Anesthesiology basic examination

Figures & data

Table 1 Stages of MRP

Stages	Tools
Conformation of intervention team	Open mind, flexible, open to dialogue
Psychological and social evaluations	Academic motivation, efficient time use, perceived social support, identification with residency program/institution, healthy habits
Identification of learning approaches	Observation and application of structured questionnaires
Medical knowledge gaps and strategies	Keywords, question banks, study blocks, one-on-one discussion, simulated examinations

Abbreviation: MRP, multifaceted remediation program.

Table 2 Demographic characteristics and baseline USMLE test scores

Resident	Age (years)	Gender	PGY	IMG	Years after medical school	USMLE Step 1 score	USMLE Step 2 score
1	30	Male	3	No	4	202	215
2	36	Male	3	Yes	10	184	202
3	35	Male	3	Yes	9	216	223
4	35	Female	3	No	2	198	210

Abbreviations: IMG, international medical graduate; PGY, postgraduate training year; USMLE, United States Medical Licensing Examination.

Figure 1 Percentage of right answers (residents 1, 2, 3, and 4) in simulated timed multiple-choice tests.

Note: Tests 1, 2, and 3 included 25 questions and tests 4 and 5 had 50 questions.

Figure 2 Resident comfort level scale (1–10) measured halfway through remediation program and at the end.

Note: 1, fully uncomfortable; 10, completely comfortable.

Table 3 ABA basic examination and ITE scores

Resident	ABA basic examination – attempt 1 (status/percentile)	ABA basic examination – attempt 2	ITE-scaled score (%) (CA-1)	ITE-scaled score (%) (CA-2)
1	Failed/1	Passed	1	30
2	Failed/9	Passed	25	38
3	Failed/8	Passed	27	Not taken yet
4	Failed/1	Passed	24	Not taken yet

Abbreviations: ABA, American Board of Anesthesiology; CA-1, clinical anesthesia year 1; CA-2, clinical anesthesia year 2; ITE, In-Training Examination.