A time-efficient web-based teaching tool to improve medical knowledge and decrease ABIM failure rate in select residents

Figures & data

Fig. 1.  Screenshot of resident and teaching physician Directed Reading web pages.

Table 1 Resident ITE scores 2002–2013 (N=446)

Group	Residents with ITE ≤35%	Residents with ITE >35%
ITE first attempt	120 (26.9%)	326 (73.1%)
ITE second attempt	122 (27.4%)	324 (72.7%)
ITE third attempt	98 (22%)	348 (78%)
Ever scored	192 (43.1%)	254 (57%)
Total times
Never	254 (57.0%)
1	92 (20.6%)
2	52 (11.7%)
3	48 (10.8%)

Table 2 ABIM exam pass/fail first attempt and DR eligibility over time

Pass first attempt	Never ≤35%, pre-intervention	Never ≤35%, post-intervention	Ever ≤35%, pre-intervention	Ever ≤35%, post-intervention	P
No	0	2 (1.3%)	12 (14.8%)	9 (8.1%)	<0.001
Yes	100 (100%)	162 (98.7%)	69 (85.2%)	102 (91.9%)

Fig. 2.  Time trend of American Board of Internal Medicine (ABIM) failure rates nationally and at the institution. Directed Reading was instituted in 2007. Note the increase in passing rate; a slight decrease occurred after 2010 which is consistent with national decrease in passing rates.