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OBJECTIVE: To improve In-Training Examination (ITE) Scores and American Board of Pediatrics (ABP) Certifying Examination pass rates, our program implemented two longitudinal learning curricula; the objective of this study was to evaluate the effectiveness of these curricula. BACKGROUND: In 2018, we developed the “ITE Study Plan” which requires participation for residents whose ITE score falls below the national average. Residents develop a study plan that incorporates a minimum of 10 PREP questions per week along with any additional learning modalities they wish to utilize. Progress and compliance with the study plan is monitored monthly by an Associate Program Director. In 2019, the program implemented the Structured Independent Learner Curriculum (SILC), based on the work of Dr. Kris Rooney at Lehigh Valley Reilly Children’s Hospital. The SILC curriculum is required for all residents in the program and consists of earning “credits” for completing various board-relevant learning objectives each month. For lighter rotations, 6 credits per month are required. For more time-intensive months, 3 credits per month are required. Residents obtain credits for required learning such as conference attendance, online modules, and presentation of Morning Report. Additional credits can be earned according to the resident’s learning preferences and include online questions, articles, and podcasts. METHODS: In-Training Exam scores, ABP Certifying Exam scores, and ABP pass rates were tracked over a five-year period. Program scores were compared with the mean scores of all programs published with the ITE and ABP score reports. RESULTS: Since implementation of these two measures, our program has seen increased compliance with conference attendance and rotation requirements, a 330% increase in completed PREP questions, and an incremental rise in ITE scores above national means for both second- and third-year residents. ITE scores for interns remained stable over the study period. The program also saw an increase in ABP Certifying Examination pass rates, including in 2021 when nationally ABP pass rates were significantly lower. CONCLUSION: Implementation of longitudinal learning curricula improves both In-Training Examination Scores and American Board of Pediatrics Certifying Examination pass rates while reinforcing habits of life-long learning.

Publication Date



Medical Education

When and Where Presented

Presented at the Association of Pediatric Program Directors Annual Conference; San Diego, CA; May 15-19, 2022

Implementation of Longitudinal Learning Curricula Results in Improved ITE Scores and ABP Certifying Examination Pass Rates