Analysis of the Shoulder and Elbow Section of the Korean Orthopedic In-training Examination Kim, Joon Yub; Jung, Myung Gon; Kwon, Ki Bum; Chung, Seok Won;
Background: The aim of this study was to analyze the questions in the shoulder and elbow section of the Korean Orthopaedic In-Training Examination (KOITE) and compare them with those of the US Orthopaedic In-Training Examination (US OITE). Methods: Twenty-nine questions in the shoulder and elbow section of the KOITE from 2010 to 2014 were analyzed and compared with those of the US OITE (80 questions) by literature review. A thorough analysis of the contents was performed after categorizing as topics, diagnostic tools, treatment modalities, taxonomic classification, and references. Results: The shoulder and elbow section of the KOITE was 5.8% weight which was similar to the US OITE (5.9%). The most commonly appearing topic was anterior labral injury (17.2%) on the KOITE compared to instability and arthritis (21.3%, each) on the US OITE. Magnetic resonance imaging was most frequently appeared imaging modality on the KOITE (41.0%) compared to the radiograph on the US OITE (43.0%). The Latarjet procedure was the most commonly asked treatment modality (22.2%) on the KOITE, whereas arthroplasty (33.3%) on the US OITE. The KOITE showed an even taxonomic classification distribution compared to the US OITE. Campbell's operative orthopaedics covered 96.6% questions as a reference on the KOITE compared to the Journal of Bone and Joint Surgery, American Volume on the US OITE, which covered 45.0%. Conclusions: This specific analysis shows us current trends of the shoulder and elbow section of the KOITE and it might be developed for use in the educational curricula for the trainee.
Black KP, Abzug JM, Chinchilli VM. Orthopaedic in-training examination scores: a correlation with USMLE results. J Bone Joint Surg Am. 2006;88(3):671-6.
Barr CR, Cheng I, Chou LB, Hunt KJ. Foot and ankle questions on the orthopaedic in-training examination: analysis of content, reference, and performance. Orthopedics. 2012;35(6): e880-8.
Cross MB, Osbahr DC, Nam D, Reinhardt KR, Bostrom MP, Dines JS. An analysis of the hip and knee reconstruction section of the orthopaedic in-training examination. Orthopedics. 2011;34(9):e550-5.
Farjoodi P, Khanna AJ, Marker DR, Frassica FJ. Evaluation of the Orthopaedic In-Training Examination: spine questions. J Surg Educ. 2010;67(3):139-42.
Krueger CA, Shakir I, Fuller BC. Prevalence of answers to orthopaedic in-training examination questions in 3 commonly used orthopedic review sources. Orthopedics. 2012;35(9):e1420-6.
Marker DR, Mont MA, McGrath MS, Frassica FJ, LaPorte DM. Current hand surgery literature as an educational tool for the orthopaedic in-training examination. J Bone Joint Surg Am. 2009;91(1):236-40.
Osbahr DC, Cross MB, Bedi A, et al. Orthopaedic in-training examination: an analysis of the sports medicine section. Am J Sports Med. 2011;39(3):532-7.
Osbahr DC, Cross MB, Taylor SA, Bedi A, Dines DM, Dines JS. An analysis of the shoulder and elbow section of the orthopedic in-training examination. Am J Orthop (Belle Mead NJ). 2012;41(2):63-8.
Papp DF, Ting BL, Sargent MC, Frassica FJ. Analysis of the pediatric orthopedic surgery questions on the Orthopaedic In- Training Examination, 2002 through 2006. J Pediatr Orthop. 2010;30(5):503-7.
Sayeed SA, Marker DR, Mears SC, Delanois RE, Mont MA. Reconstructive knee surgery literature as a tool for the orthopaedic in-training examination. Bull NYU Hosp Jt Dis. 2011;69(2): 168-72.
Sheibani-Rad S, Arnoczky SP, Walter NE. Analysis of the basic science section of the orthopaedic in-training examination. Orthopedics. 2012;35(8):e1251-5.
Srikumaran U, Freehill MT, Spiker AM, McFarland EG, Petersen SA. Evaluation of shoulder and elbow questions on the orthopaedic in-training examination as an instrument for enhancing examination preparation. J Bone Joint Surg Am. 2011; 93(11):e63.
Srinivasan RC, Seybold JD, Kadakia AR. Analysis of the foot and ankle section of the Orthopaedic In-Training Examination (OITE). Foot Ankle Int. 2009;30(11):1060-4.
Taylor BC, Fowler TT. Analysis of the trauma section of the orthopaedic in-training examination. Orthopedics. 2011;34(7): e261-6.
Health Insurance Review & Accessment Service (HIRA) [Internet]. Wonju: HIRA; 2014 [cited 2015 May 31]. Available from: http://www.hira.or.kr/rd/dissdic/infoSickList.do?sickType=1&pgmid=HIRAA020044020100.
Kerr R, Resnick D, Pineda C, Haghighi P. Osteoarthritis of the glenohumeral joint: a radiologic-pathologic study. AJR Am J Roentgenol. 1985;144(5):967-72.
Oh JH, Chung SW, Oh CH, et al. The prevalence of shoulder osteoarthritis in the elderly Korean population: association with risk factors and function. J Shoulder Elbow Surg. 2011;20(5):756-63.
Petersson CJ. Degeneration of the gleno-humeral joint. An anatomical study. Acta Orthop Scand. 1983;54(2):277-83.