SHM Converge Scientific Abstract ePoster Gallery-Learning Augmentation Plan for at-Risk Residents for Licensing Exam Failure

Pdf Summary

The document describes <strong>“Increasing Cadence—A Learning Augmentation Plan (LAP) for Residents at Risk for Licensing Exam Failure,”</strong> a resident support program developed in an internal medicine training program at Emory University/Atlanta VA.

<h3>Main points:</h3>
- <strong>Background:</strong> ABIM Initial Certification Exam pass rates declined during the COVID-19 pandemic, prompting the need for targeted support for residents at risk of failing.
- <strong>Purpose:</strong> To identify and coach residents who may struggle on the ABIM-CE and provide longitudinal support through residency and after graduation.
- <strong>Criteria for LAP enrollment:</strong> Residents could qualify through:
  - USMLE Step 1 score <strong>220 or below</strong>
  - Internal Medicine In-Training Exam (ITE) score in the <strong>25th percentile</strong>
  - Referral from program leadership or the Clinical Competency Committee
  - Self-referral
- <strong>Intervention:</strong> Enrolled residents were given all 4 LAP components and coached over time, including structured self-regulated learning strategies and microanalytic questioning to strengthen diagnostic reasoning, monitoring, and adaptive planning.
- <strong>Results so far:</strong>  
  - LAP launched in Fall 2021
  - About <strong>13 of 158 residents per year</strong> were reached
  - <strong>38 of 39</strong> residents meeting criteria enrolled
  - <strong>100% completion</strong> among participants
  - Early analysis showed a <strong>75% ABIM-CE pass rate</strong>
  - Participant feedback was overwhelmingly positive
- <strong>Conclusion:</strong> LAP identified a meaningful group of high-risk residents and achieved strong enrollment and participation. Early outcomes are encouraging, but final evaluation data are still pending.
- <strong>Future directions:</strong> Ongoing analysis will use objective measures such as program evaluation, self-assessment, ABIM-CE pass rates, later ITE scores, and validation across disciplines and institutions.

Asset Subtitle

Dustin T. Smith

Meta Tag

Author List Alexander Matelski, Dustin T. Smith, Karen Law, Reena Hemrajani, Theresa Vettese, Varun Phadke

Category Innovations

Concept Learning Augmentation Plan

Concept ABIM Blueprint

Concept Self-Regulated Learning

Concept Internal Medicine Residency

Concept USMLE Step 1

Distinguished Non-Finalist

Presenter Organization Emory University School of Medicine

Presenting Author Dustin T. Smith

Track Education

Keywords

ABIM

licensing exam

resident support

learning augmentation plan

internal medicine

Emory University

risk assessment

diagnostic reasoning

self-regulated learning

exam failure

Learning Augmentation Plan

ABIM Blueprint

Self-Regulated Learning

Internal Medicine Residency

USMLE Step 1