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Abstract Details

The Validity of the National In-training Examination for Canadian Pedatric Neurology Residents (NITECaP)
Research Methodology, Education, and History
P6 - Poster Session 6 (12:00 PM-1:00 PM)
13-013

With competence by design (CBD) starting in 2020 for all Canadian neurology programs, low stakes progress testing becomes an increasingly valuable method of evaluation.  The National In-training Examination for Canadian Pediatric Neurology Residents (NITECaP) has been offered to all 9 pediatric neurology programs in Canada since 2014 as a formative assessment tool.

1. To evaluate NITECaP performance based on post-graduate year of training

2. To correlate NITECaP performance with results of the Neurology Royal College of Physicians and Surgeons (RCPSC) certification examination

Exam construction and administration has been previously described (Venkateswaran et al, AAN, 2018).  NITECaP scores from 2014-2019 were available for correlation to RCPSC Neurology examination scores. For the group analyses, NITECaP examination scores were compared to PGY-level and administration year as factors using a univariate ANOVA. The NITECaP results from final year residents (PGY-5) were correlated to performance on the RCPSC examination scores.

A total of 123 residents participated in at least one administration of NITECaP with a total of 283 separate administrations. Group analysis of performance based on PGY-year resulted in scores that were higher for more senior residents ranging from a mean score of 366.2 (SD=54) for PGY-1 to 606.6 (SD=59.4) for PGY-5 residents.  Administration year and the interaction between administration year and PGY level were non-significant. Correlational analysis of 67 residents who had data from both the NITECaP and RCPSC Neurology examination were moderately high towards the end of training.

NITECaP is a valid pediatric neurology examination tool to evaluate progress by PGY-level and correlates well with final scores on the RCPSC neurology examination.

An increase in sample size is required for future individual analysis to determine at risk individuals at an earlier stage in training.

Authors/Disclosures
Sunita Venkateswaran, MD (Children'S Hospital of Eastern Ontario)
PRESENTER
Dr. Venkateswaran has nothing to disclose.
Serena Orr, MD (University of Calgary) The institution of Dr. Orr has received research support from Alberta Children's Hospital Research Institute. The institution of Dr. Orr has received research support from Canadian Institutes of Health Research. The institution of Dr. Orr has received research support from Department of Pediatrics, University of Calgary. Dr. Orr has received publishing royalties from a publication relating to health care. Dr. Orr has a non-compensated relationship as a associate editor with Headache: The Journal of Head and Face Pain that is relevant to AAN interests or activities. Dr. Orr has a non-compensated relationship as a editorial board member with Neurology that is relevant to AAN interests or activities. Dr. Orr has a non-compensated relationship as a editorial board member with American Migraine Foundation that is relevant to AAN interests or activities.
Jonathan Dupre No disclosure on file
Farhan Bhanji No disclosure on file
Timothy Wood No disclosure on file
Susan Humphrey-Murto No disclosure on file
Debra Pugh No disclosure on file
David Callen, MD (McMaster Univ Med Centre) No disclosure on file