Assessment of Resident Knowledge of Allergic and Immunologic Diseases (ARKAID)
Sunday, March 5, 2017: 2:15 PM
Room B407 (Georgia World Congress Center, Building B)
Bharat Kumar, MD, , ,
Rationale: Published evidence demonstrates a broad lack of familiarity that Internal Medicine (IM) physicians have for Allergy/Immunology (A/I).  We created a reliable survey instrument to gauge IM resident physician knowledge of A/I topics, and implemented this to assess longitudinal trends at two Midwestern academic and community-based programs.

Methods: 20 multiple-choice questions were drafted by 2 A/I fellows, 1 A/I faculty member, and 1 IM program director.  Content was based on the 2015 American Board of Internal Medicine certification exam blueprint, and style was adopted from the National Board of Medical Examiners guidelines.  The survey was administered to IM residents at the University of Iowa in Iowa City, IA and UnityPoint Health in Des Moines, IA.  Descriptive statistics were calculated via Microsoft Excel.

Results: 76 out of 105 IM residents (72%) participated at the two sites.  There were slightly more first-year residents than second- or third-year residents (41, compared to 36 and 28, respectively).  The reliability index (Cronbach-alpha) of the survey instrument was 0.73.  The mean score was 12.7 (63.5%), and were comparable between the two sites (12.8 at the University of Iowa and 12.5 at UnityPoint).  There was a significant difference in mean scores between first- and third-year physicians (p=0.008) and a decline in scores with each advancing year of training (15.2, 12.6, and 10.3, respectively).

Conclusions: An instrument with high reliability was created to assess A/I knowledge among IM residents.  Knowledge of A/I topics tends to actually decrease as residency progresses.  This demonstrates an urgent need to highlight A/I in IM curricula.