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Kim, Kim, Shim, and Kim: Analysis of Korean Orthopedic In-Training Examination: The Hand and Wrist Section
ORIGINAL ARTICLE

J Korean Soc Surg Hand 2016;21(1):1-7.

Published online: 11 March 2016

DOI: https://doi.org/10.12790/jkssh.2016.21.1.1

Analysis of Korean Orthopedic In-Training Examination: The Hand and Wrist Section

Dong Hee Kim1, Joon Yub Kim2, , Seung Bo Shim1, Joo Hak Kim2

1Departments of Orthopedic Surgery, Samsung Changwon Hospital, Sungkyunkwan University School of Medicine, Changwon

2Departments of Orthopedic Surgery, Myongji Hospital, Seonam University College of Medicine, Goyang Korea

Correspondence to: Joon Yub Kim, Departments of Orthopedic Surgery, Myongji Hospital, Seonam University College of Medicine, Goyang, 55 Hwasu-ro, 14 beon-gil, Deokyang-gu, Goyang 10475, Korea, TEL: +82-31-810-5114, FAX: +82-31-969-0500, E-mail: doctoryub@naver.com

Received 16 January 20163 March 2016       Accepted 5 March 2016

Copyright © 2016 The Korean Society for Surgery of the Hand

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose:

To evaluate the questions of hand and wrist section of Korean orthopedic in-training examination (KOITE).

Methods:

We analyzed questions of hand and wrist section of KOITE between 2010 and 2014. The weight of hand and wrist section was calculated and topics were thoroughly analyzed. The construct of questions were evaluated and taxonomic classifications were also performed. The frequency of presentations of physical examinations and radiologic evaluations in diagnosis and treatment related questions were analyzed. The coverage of available references which were recommended by Korean Orthopedic Association (KOA) were analyzed.

Results:

Sixty one out of 500 questions (weight: 12.2%) were related with hand and wrist section. Disease (30/61, 48.2%) was more commonly asked than trauma, however most frequently asked topic with a broad classification was fractures and dislocations (19/61, 31.1%). The description only questions (46/61, 75.4%) were most commonly asked construct of question. According to taxonomic classification, taxonomy B (diagnosis; 27/61, 44.3%) was most frequently asked. The Campbell's operative orthopedics (54/61, 88.5%) and textbook of KOA (53/61, 86.9%) were representative references covering questions most widely.

Conclusion:

This analysis of hand and wrist section of KOITE could be used as the check-up tools for resident training programs of each training hospitals.

Keywords: Korea, Orthopedics, Examination, Hand, Wrist

REFERENCES

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Fig. 1.
Topics in wrist and hand section of Korean Orthopedic In-training Examination between 2010 and 2014.
jkssh-21-1f1.tif
Fig. 2.
Prevalence of questions in hand and wrist section of Korean Orthopedic In-training Examination (KOITE) which were classified according with anatomic locations.
jkssh-21-1f2.tif
Fig. 3.
Distribution of constructs of questions which were classified as description only (basic descriptive type), description plus image and (or) diagram and description plus movie.
jkssh-21-1f3.tif
Table 1.
Topics tested in hand and wrist section of Korean Orthopedic In-training Examination by years (Broad classification)
Topic 2010 2011 2012 2013 2014 Total
Hand, wrist/fracture 4 5 1 5 4 19
Congenital anomaly 0 0 1 0 0 1
General affections of the bone 0 0 0 0 0 0
Arthritis 1 1 2 1 1 6
Infections 0 0 0 0 0 0
Tumors 0 1 1 0 0 2
Microsurgery 1 0 1 0 1 3
Disorders of tendon 1 4 3 3 4 15
Nerve entrapment syndrome 3 0 4 2 1 10
Paralytic hands 0 0 0 0 0 0
Hand contracture 1 0 0 0 0 1
Kienböck's disease 0 1 0 0 1 2
Etc. 1 0 0 1 0 2
Total 12 12 13 12 12 61
Table 2.
Topics in hand and wrist section of Korean Orthopedic In-training Examination by years (Specific classification)
Topic 2010 2011 2012 2013 2014 Total
Phalangeal fracture 0 2 0 0 2 4
DRUJ injury (including TFCC injury) 2 1 1 0 0 4
Scaphoid fracture/nonunion 1 0 0 1 1 3
Carpal instability 1 0 0 1 1 3
Button hole deformity 0 1 1 1 0 3
De Quervain disease 0 1 0 1 1 3
AIN syndrome 1 0 0 1 0 2
Extensor rupture-related rheumatoid arthritis 1 0 0 0 1 2
Tenorrhaphy 1 1 0 0 0 2
Thoracic outlet syndrome 1 0 1 0 0 2
Skier's thumb 0 1 0 1 0 2
Kienböck's diseaase 0 1 0 0 1 2
Lumbrical plus finger 0 1 0 1 0 2
EPL rupture-related distal radius fracture 0 1 0 1 0 2
Trigger finger 0 0 1 0 1 2
Carpal tunnel syndrome 0 0 2 0 0 2
Intrinsic muscle contracture 0 0 1 0 1 2

DRUJ, distal radioulnar joint; TFCC, triangular fibrocartilage complex; AIN, anterior interosseous nerve; EPL, extensor pollicis longus.

Table 3.
Ratio of coverage of questions in hand and wrist section of Korean Orthopedic In-training Examination by each Korean Orthopedic Association recommended reference
Recommended references Total number Percentage
Campbell's operative orthopedics 54 88.5
Korean Orthopedic Association textbook of orthopedics (7th) 53 86.9
Instructional course lecture (AAOS) 3 4.9
Journal of Korean Orthopedic Association 4 6.5

AAOS, American Academy of Orthopaedic Surgeons.

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