Effects of repeated oral examinations on ophthalmology residents.

BACKGROUND/AIM Oral examinations are required for board certification in Ophthalmology in the USA. The current literature offers no recommendation on the number of administrations during residency. The purpose of this study was to determine how often oral examinations (OEs) should be administered and what effects repeated OEs might have on residents' comfort level with OEs and confidence level in their knowledge base. METHODS From 2004 to 2006, a structured oral examination was administered every 4 months to ophthalmology residents at the University of Arkansas for Medical Sciences. A survey was administered just prior to each oral examination. RESULTS After two oral examinations, self-confidence and ability to self-assess one's knowledge increased and anxiety decreased in the residents. Residents' belief that they could pass an oral examination for board certification statistically improved after the third oral examination. CONCLUSIONS To achieve the full benefits of oral examination training, the exam should be taken at least three times during residency. Formal, structured oral examinations, repeated over time, seem to reduce resident anxiety and improve the residents' ability to realistically assess their level of preparation for an OE.