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An Analysis of the Musculoskeletal Trauma Section of the Orthopaedic In-Training Examination (OITE)
Michael B. Cross, MD1; Daryl C. Osbahr, MD1; Michael J. Gardner, MD2; Joseph T. Nguyen, MPH1; David L. Helfet, MD1; Dean G. Lorich, MD1; Joshua S. Dines, MD1
1 Hospital for Special Surgery, 535 East 70th Street, New York, NY 10021. E-mail address for J.S. Dines: DinesJ@hss.edu
2 Barnes-Jewish Hospital, Washington University in St. Louis, One Barnes-Jewish Hospital Plaza, St. Louis, MO 63110
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Disclosure: The authors did not receive any outside funding or grants in support of their research for or preparation of this work. One or more of the authors, or a member of his or her immediate family, received, in any one year, payments or other benefits in excess of $10,000 or a commitment or agreement to provide such benefits from commercial entities (Biomet and Synthes).

Copyright © 2011 by The Journal of Bone and Joint Surgery, Inc.
J Bone Joint Surg Am, 2011 May 04;93(9):e49 1-6. doi: 10.2106/JBJS.J.00573
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Since 1963, the Orthopaedic In-Training Examination (OITE) has been used to assess the knowledge of orthopaedic surgery residents1,2. Written and administered by the American Academy of Orthopaedic Surgeons (AAOS), the OITE is composed of approximately 275 questions that test residents’ knowledge in twelve categories: foot and ankle, hand, orthopaedic science, hip and knee reconstruction, orthopaedic diseases, spine, pediatric orthopaedics, medical-related issues, sports medicine, musculoskeletal trauma, rehabilitation, and shoulder and elbow. Although the OITE was initially intended to measure an individual resident's knowledge against a national standard1,2, recent studies have shown that scores on the OITE correlate with passing scores on the American Board of Orthopaedic Surgery (ABOS) Part-I written examination, which is taken at the completion of residency3,4. Prior to 2008, however, there were no analyses of the questions on the OITE. It seemed logical that an in-depth analysis of the test questions on the OITE would be a step toward improving OITE scores and, on the basis of the correlation between the OITE and the ABOS examination, might result in higher passing rates on the ABOS certifying examination as well.
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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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