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Assessing Competence of Orthopaedic Residents: The Reliability and Validity of an Objective Structured Clinical Examination After a Sports Medicine Rotation
Tim Dwyer, MBBS, FRACS, FRCSC1; John S. Theodoropoulos, MD, MSC, FRCSC1; Jodi Herold, PhD1; Patrick Henry, MD, FRCSC2; David Wasserstein, MD, MSc, FRCSC1; M. Lucas Murnaghan, MD, MEd, FRCSC1; Veronica Wadey, MD, MA, FRCSC3; Brian Hodges, MD, MEd, FRCPC, PhD4; John Semple, MD, MSc, FRCSC1; Darrell Ogilvie-Harris, MD, MSc, FRCSC1
1 Women’s College Hospital, Toronto Western and Sunnybrook Hospital, University of Toronto Orthopaedics Sports Medicine, 76 Grenville Street, Toronto, ON M5S 1B1, Canada. E-mail address for T. Dwyer: dwyer.orthopedics@gmail.com
2 Sunnybrook Health Sciences Centre 2075 Bayview Avenue, Toronto, ON M4N 3N5, Canada
3 Sunnybrook Health Sciences Centre, 43 Wellesley Street, 6th Floor, Toronto, ON M4Y 1H1, Canada
4 University Health Network, University of Toronto, Toronto General Hospital, 200 Elizabeth Street, Toronto, ON M5G 2C4, Canada
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  • Disclosure statement for author(s): PDF

Investigation performed at Women’s College Hospital, University of Toronto, Toronto, Ontario, Canada

Disclosure: None of the authors received payments or services, either directly or indirectly (i.e., via his or her institution), from a third party in support of any aspect of this work. One or more of the authors, or his or her institution, has had a financial relationship, in the thirty-six months prior to submission of this work, with an entity in the biomedical arena that could be perceived to influence or have the potential to influence what is written in this work. No author has had any other relationships, or has engaged in any other activities, that could be perceived to influence or have the potential to influence what is written in this work. The complete Disclosures of Potential Conflicts of Interest submitted by authors are always provided with the online version of the article.

Copyright © 2013 by The Journal of Bone and Joint Surgery, Inc.
J Bone Joint Surg Am, 2013 Nov 20;95(22):e177 1-9. doi: 10.2106/JBJS.M.00148
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The traditional method of orthopaedic training in Canada utilizes a time-based system, combined with a formal exit examination. Increasing interest in competency-based curriculum has raised the issue of how to test in-training competence. Currently, the most commonly used method is the In-Training Evaluation Report (ITER), which is known to be relatively subjective in nature; the true establishment of competence would likely benefit from the addition of an objective assessment1,2.
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    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
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