G276(P) The international in-training examination (I-ITE) as a tool to measure pediatric knowledge acquisition by rwandan pediatric residents

Abstract

Results 77 UASC were seen in clinic, 91% were male, median age was 16 years (range 11-18). They came from 14 different countries; 31 were from Afghanistan, 15 from Eritrea and 10 from Albania. All were tested for TB. 51 were tested for hepatitis B, of whom four (8%) were positive. 51 UASC tested negative for HIV and hepatitis C. Of 24 children tested for schistosomiasis four (16.6%) were positive. Of 74 asymptomatic UASC, 17 (23%) had LTBI. Three UASC with active tuberculosis were referred following presentation at emergency departments, all originally from Afghanistan. Two had been symptomatic for over four months. The median length of time between arriving in the UK and infection screening was 10 months (range 1-60 months; data available on 37 children). Conclusion We demonstrate clinically important rates of detection of treatable infections. Patients were offered testing as recommended by RCPCH guidance but there was significant delay due to high non-attendance and delays in IHA Intensive liaison work by specialist Table 1: Outcomes within each domain for the Core Outcome Set (COS) during each Delphi round nurses is ongoing to improve the time to testing, with promising results. We recommend that timely and tailored infection screening be offered to all UASC, by informed consent following expert counselling about their individual risk More data are needed to inform best practice and develop consistent guidance.

Experiences of the International In-Training Examination (I-ITE) by Rwandan pediatric residents – a mixed-methods description of candidate feedback

“…The I-ITE was implemented into the UR pediatric residency program from 2012 to 2018 by the faculty of UR and the Human Resources for Health (HRH) program 5,10,11 . A full description of the implementation of the I-ITE in Rwanda, and the performance of the residents in this assessment, has been previously described in the literature 5,12 .…”

“…While developing the bank of questions for the I-ITE, the ABP had one or more medical editors to review the I-ITE to ensure current/relevant information and to remove any Americanisms before each year's administration 12 . However, because the I-ITE has to be comparable to the ITE undertaken by the residents in the US, only a limited number of questions could be adapted or removed.…”