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Page 735 – Stanford Medicine X

MKSAP marathon meets poll everywhere

Tony Hung tonyhung.ucla@gmail.com


Description of how the problem was identified and explored:
While the American Board of Internal Medicine (ABIM) pass rates for first-time initial certification exam takers have remained fairly stable in the eightieth percentile, many residency programs have actually experienced an unexpected decline in ABIM initial certification exam pass rate over the past several years according to the statistics released annually by ABIM. In 2012, researchers at the Cleveland Clinic found that the strongest predictors for passing the ABIM to be scores on other standard exams and making more time available for dedicated study.

Description of the innovation:
In an effort to engage resident participation for board preparation, a dedicated team-based learning curriculum with incorporation of a novel live audience technology was implemented in an internal medicine residency. Every five-weeks for a dedicated one-hour session, residents participated in a team-based learning environment to study a set of selected, high-yield questions from the Medical Knowledge Self-Assessment Program (MKSAP). The session coined as the “MKSAP Marathon” is structured as a protected learning period prior to any clinical work during the outpatient block of a well-established “4+1” resident rotation schedule. Poll Everywhere, a novel live audience technology, was incorporated to promote a professional audience engagement during the session as residents work together through the MKSAP questions.

Results to date:
All 75 residents in an internal medicine residency participated in the MKSAP Marathon, at which time residents would work through a selected 20 high-yield MKSAP questions. For a total of 10 sessions annually through a traditional 3-year internal medicine residency, 600 MKSAP questions (approximately 50% of all MKSAP questions) will be efficiently covered in only 30 dedicated hours during MKSAP Marathon alone. After the 5-month pilot of MKSAP Marathon, preliminary focus group analysis found that residents feel more comfortable in answering Board-type questions, are more aware of personal gaps in medical knowledge necessary for more focused learning, and the interactive, nonjudgmental environment created by Poll Everywhere makes learning comfortable and engaging.

Final discussion, reflection, and lessons learned:
With the implementation of MKSAP Marathon and incorporation of Poll Everywhere, we hope to introduce a novel, replicable learning environment for Board preparation in any internal medicine residency.
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