Experiences of the International In-Training Examination (I-ITE) by Rwandan pediatric residents – a survey-study describing candidate feedback [version 2; peer review: 1 approved, 2 approved with reservations]

Background: The University of Rwanda is the only African residency to have implemented the pediatric International In-Training Examination (I-ITE) as a tool to monitor resident knowledge acquisition. The objective of this study was to better understand the acceptance and relevance of this exam to re...

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Main Authors: Christian Umuhoza, Natalie McCall, Peter Thomas Cartledge
Format: Article
Language:English
Published: F1000 Research Ltd 2023-01-01
Series:F1000Research
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Online Access:https://f1000research.com/articles/9-1448/v2
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author Christian Umuhoza
Natalie McCall
Peter Thomas Cartledge
author_facet Christian Umuhoza
Natalie McCall
Peter Thomas Cartledge
author_sort Christian Umuhoza
collection DOAJ
description Background: The University of Rwanda is the only African residency to have implemented the pediatric International In-Training Examination (I-ITE) as a tool to monitor resident knowledge acquisition. The objective of this study was to better understand the acceptance and relevance of this exam to residents from this setting and their perceptions regarding this assessment tool. Methods: A retrospective, survey-study was undertaken to describe candidate feedback. Immediately on completing the I-ITE residents provided feedback by filling in an electronic questionnaire comprised of four closed Likert questions and an open text box for free-text feedback. Participants were pediatric residents from the University of Rwanda, the only university in Rwanda with a pediatric residency program. Quantitative analysis of the Likert questions was undertaken descriptively using SPSS. Free-text feedback was coded and analysed employing a phenomenological approach, with coding and analysis undertaken by two researchers. Results: Eighty-four residents completed a total of 213 I-ITE sittings during the five exam cycles undertaken during the study period. The survey was completed after 206 of the 213 exam sittings, giving a response rate of 97%.  Five themes emerged from the qualitative analysis; 1) undertaking the I-ITE was a positive experience; 2) exam content; 3) formative nature of the assessment; 4) challenges to completing the exam; 5) practicalities to undertaking the exam. Conclusion: Qualitative feedback demonstrates that the I-ITE, a standardized, and independent exam, produced by the American Board of Pediatrics, was valued and well accepted by Rwanda pediatric residents. Its formative nature and the breadth and quality of the questions were reported to positively contribute to the residents' formative development.
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spelling doaj-art-f06dcd80fe2d4a38a7a84611fdde6ee92025-01-10T01:00:00ZengF1000 Research LtdF1000Research2046-14022023-01-019142445Experiences of the International In-Training Examination (I-ITE) by Rwandan pediatric residents – a survey-study describing candidate feedback [version 2; peer review: 1 approved, 2 approved with reservations]Christian Umuhoza0https://orcid.org/0000-0003-0249-4721Natalie McCall1https://orcid.org/0000-0001-9387-4521Peter Thomas Cartledge2https://orcid.org/0000-0003-2523-763XDepartment of Pediatrics, Centre Hospitalier Universitaire de Kigali (CHUK), Kigali, RwandaDepartment of Pediatrics, Yale University – Rwanda Human Resources for Health Program, Kigali, RwandaDepartment of Pediatrics, Yale University – Rwanda Human Resources for Health Program, Kigali, RwandaBackground: The University of Rwanda is the only African residency to have implemented the pediatric International In-Training Examination (I-ITE) as a tool to monitor resident knowledge acquisition. The objective of this study was to better understand the acceptance and relevance of this exam to residents from this setting and their perceptions regarding this assessment tool. Methods: A retrospective, survey-study was undertaken to describe candidate feedback. Immediately on completing the I-ITE residents provided feedback by filling in an electronic questionnaire comprised of four closed Likert questions and an open text box for free-text feedback. Participants were pediatric residents from the University of Rwanda, the only university in Rwanda with a pediatric residency program. Quantitative analysis of the Likert questions was undertaken descriptively using SPSS. Free-text feedback was coded and analysed employing a phenomenological approach, with coding and analysis undertaken by two researchers. Results: Eighty-four residents completed a total of 213 I-ITE sittings during the five exam cycles undertaken during the study period. The survey was completed after 206 of the 213 exam sittings, giving a response rate of 97%.  Five themes emerged from the qualitative analysis; 1) undertaking the I-ITE was a positive experience; 2) exam content; 3) formative nature of the assessment; 4) challenges to completing the exam; 5) practicalities to undertaking the exam. Conclusion: Qualitative feedback demonstrates that the I-ITE, a standardized, and independent exam, produced by the American Board of Pediatrics, was valued and well accepted by Rwanda pediatric residents. Its formative nature and the breadth and quality of the questions were reported to positively contribute to the residents' formative development.https://f1000research.com/articles/9-1448/v2In-training Examination Formative Feedback Medical Education Global Health Rwanda Internship and Residencyeng
spellingShingle Christian Umuhoza
Natalie McCall
Peter Thomas Cartledge
Experiences of the International In-Training Examination (I-ITE) by Rwandan pediatric residents – a survey-study describing candidate feedback [version 2; peer review: 1 approved, 2 approved with reservations]
F1000Research
In-training Examination
Formative Feedback
Medical Education
Global Health
Rwanda
Internship and Residency
eng
title Experiences of the International In-Training Examination (I-ITE) by Rwandan pediatric residents – a survey-study describing candidate feedback [version 2; peer review: 1 approved, 2 approved with reservations]
title_full Experiences of the International In-Training Examination (I-ITE) by Rwandan pediatric residents – a survey-study describing candidate feedback [version 2; peer review: 1 approved, 2 approved with reservations]
title_fullStr Experiences of the International In-Training Examination (I-ITE) by Rwandan pediatric residents – a survey-study describing candidate feedback [version 2; peer review: 1 approved, 2 approved with reservations]
title_full_unstemmed Experiences of the International In-Training Examination (I-ITE) by Rwandan pediatric residents – a survey-study describing candidate feedback [version 2; peer review: 1 approved, 2 approved with reservations]
title_short Experiences of the International In-Training Examination (I-ITE) by Rwandan pediatric residents – a survey-study describing candidate feedback [version 2; peer review: 1 approved, 2 approved with reservations]
title_sort experiences of the international in training examination i ite by rwandan pediatric residents a survey study describing candidate feedback version 2 peer review 1 approved 2 approved with reservations
topic In-training Examination
Formative Feedback
Medical Education
Global Health
Rwanda
Internship and Residency
eng
url https://f1000research.com/articles/9-1448/v2
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AT peterthomascartledge experiencesoftheinternationalintrainingexaminationiitebyrwandanpediatricresidentsasurveystudydescribingcandidatefeedbackversion2peerreview1approved2approvedwithreservations