--- title: July 10, 2024 Residency Newsletter description: EM Resident Test Scores Declining, It’s So Hard to Find a Pediatrician, Elevate Your Residents' ITE Performance, Physicians’ Struggle and Patient Outcomes image: https://challengercme.com/hubfs/nl%20header.jpg --- [![Med-Challenger-green-logo-1024x244](https://challengercme.com/hubfs/Med-Challenger-green-logo-1024x244.webp) ](https://challengercme.com/) - [SHOP EXAM PREP & CME ](https://challengercme.com/blog/july-10-2024-residency-newsletter-0#) ### [EMERGENCY MEDICINE](https://challengercme.com/emergency-medicine-exam-review-cme-course) [ABEM exam prep](https://challengercme.com/emergency-medicine-exam-review-cme-course), [MyEMCert](https://challengercme.com/emergency-medicine-myemcert-exam-review-course), etc. ### [FAMILY MEDICINE](https://challengercme.com/family-medicine-exam-review-cme-course) [ABFM exam prep](https://challengercme.com/family-medicine-exam-review-cme-course), [ABFM KSA](https://challengercme.com/family-medicine-moc-ksa-course), etc. ### [INTERNAL MEDICINE ABIM exam prep, MOC points, etc.](https://challengercme.com/internal-medicine-exam-review-cme-course) ### [OBGYN ABOG exam prep, CREOG, etc.](https://challengercme.com/obgyn-exam-review-cme-course) ### [PEDIATRICS ABP exam prep, MOCA-PEDS, etc.](https://challengercme.com/pediatric-medicine-exam-review-cme-course) ### [PEDIATRIC EM](https://challengercme.com/pediatric-emergency-medicine-3rd-edition) [ABP/ABEM exam prep Ed.3](https://challengercme.com/pediatric-emergency-medicine-3rd-edition), [Ed.2](https://challengercme.com/pediatric-emergency-medicine-pack2), etc. ### [SPECIAL PURPOSE / SPEX FSMB exam prep, etc.](https://challengercme.com/special-purpose-exam-review-spex-exam-preparation-course) ### [PHYSICIAN ASSISTANT](https://challengercme.com/physician-assistant-exam-review-cme-course) [PANCE / PANRE](https://challengercme.com/physician-assistant-exam-review-cme-course), [CAQ-EM](https://challengercme.com/pa-caq-em-review-course), etc ### [NURSE PRACTITIONER](https://challengercme.com/family-nurse-practitioner-exam-review-cme-course) [FNP](https://challengercme.com/family-nurse-practitioner-exam-review-cme-course), [ENP](https://challengercme.com/emergency-nurse-practitioner-exam-review-cne-course), [AGNP](https://challengercme.com/adult-gerontology-nurse-practitioner-exam-review-cne-course), [PNCB/CPNP](https://challengercme.com/pediatric-nurse-practitioner-exam-review-cne-course), etc. ### [NURSING / NCLEX NCLEX, CNE, etc.](https://challengercme.com/nursing-certification-nclex-exam-review-cne-courses) ### [STATE-REQUIRED CME / CE State CME requirements, etc.](https://challengercme.com/state-required-cme) ### [JOINT COMMISSION CME](https://challengercme.com/stroke-center-ce-review-course) [Stroke](https://challengercme.com/stroke-center-ce-review-course), [Cardiac](https://challengercme.com/cardiac-center-ce-review-course), [Trauma](https://challengercme.com/trauma-center-ce-review-course), [ALS](https://challengercme.com/advanced-life-support-and-resuscitation-center-ce-review-course), etc. ### [PROFESSIONALISM CME Professionalism review with CME](https://challengercme.com/professionalism-review-course) ### [DERMATOLOGY CME Dermatology review with CME](https://challengercme.com/dermatology-review-course) ### [USMLE STEP 2CK / STEP 3 USMLE exam prep, etc.](https://challengercme.com/usmle-certification-exam-review-clerkship-exams-shelf-exam-review) - [INSTITUTIONS ](https://challengercme.com/atlas-pro-inst) - [BLOG ](https://challengercme.com/blog) - [SUPPORT ](https://support.challengercme.com/knowledge) [SIGN IN ](https://fuse.challengercme.com/sign-in?redirectURL=%2Fuserdash) # July 10, 2024 Residency Newsletter EM Resident Test Scores Declining, It’s So Hard to Find a Pediatrician, Elevate Your Residents' ITE Performance, Physicians’ Struggle and Patient Outcomes [ Challenger Corporation ](https://challengercme.com/blog/author/challenger-corporation) Jul 10, 2024 ### < [All Posts](https://challengercme.com/blog) Try Med-Challenger Start a free trial today and save! 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[BROWSE COURSES](https://fuse.challengercme.com/store) --- ### Share this article [mailto:?subject=Check%20out%20https://challengercme.com/blog/july-10-2024-residency-newsletter-0&utm_medium=social&utm_source=email%20&body=Check%20out%20https://challengercme.com/blog/july-10-2024-residency-newsletter-0&utm_medium=social&utm_source=email](mailto:?subject=Check%20out%20https://challengercme.com/blog/july-10-2024-residency-newsletter-0&utm_medium=social&utm_source=email%20&body=Check%20out%20https://challengercme.com/blog/july-10-2024-residency-newsletter-0&utm_medium=social&utm_source=email) ### Subscribe ### Subscribe ![Med-Challenger Newsletter Image](https://challengercme.com/hubfs/nl%20header.jpg) ![nl header](https://challengercme.com/hs-fs/hubfs/nl%20header.jpg?width=800&height=400&name=nl%20header.jpg) - EM Resident Test Performance Declining - It’s So Hard to Find a Pediatrician - Elevate Your Residents' ITE Performance - Physicians’ Struggle and Patient Outcomes ![divider 4 mindframe_picture_of_beaches_in_summer_highly_detailed_happy__79748ff6-82b3-4559-be19-b575910037f7_1](https://challengercme.com/hs-fs/hubfs/divider%204%20mindframe_picture_of_beaches_in_summer_highly_detailed_happy__79748ff6-82b3-4559-be19-b575910037f7_1.jpg?width=800&height=56&name=divider%204%20mindframe_picture_of_beaches_in_summer_highly_detailed_happy__79748ff6-82b3-4559-be19-b575910037f7_1.jpg) ## EM Resident Test Performance Declining From Emergency Medicine News: a comparison and discussion of dropping ITE scores in the EM field. ITE scores have dropped pretty much every year, in every PGY, down 8.7% in PGY1 and down 4.1% in PGY3. For certification, first-time pass rates are down 7% since 2018. That’s a failure rate on first-time certification that has gone from 5% to 12% in seven years. We haven’t seen any data from ABEM about the topical scores on the blueprints, so it is impossible to say if it is specific segments of the EM Model, or whether there are any anomalies in question types or areas. [EM Resident Test Performance Declining](https://journals.lww.com/em-news/fulltext/2024/07000/em_resident_test_performance_declining.1.aspx?utm_source=hs_email&utm_medium=email&_hsenc=p2ANqtz-88HS8SbL-RjdDGqvMHhLgsSE2ouXubZaBRGMuqVvtnefGj1JZCy9OUoWONkGhMzGdRGr16) - Emergency Medicine News [Increase Resident ITE Scores](https://challengercme.com/medical-education-lms-for-residency-training-programs?utm_source=hs_email&utm_medium=email&_hsenc=p2ANqtz-88HS8SbL-RjdDGqvMHhLgsSE2ouXubZaBRGMuqVvtnefGj1JZCy9OUoWONkGhMzGdRGr16) ## ![divider 3 mindframe_picture_of_beaches_in_summer_highly_detailed_happy__38108a56-dbc1-4b68-8601-f0a04222f4f7_2](https://challengercme.com/hs-fs/hubfs/divider%203%20%20mindframe_picture_of_beaches_in_summer_highly_detailed_happy__38108a56-dbc1-4b68-8601-f0a04222f4f7_2.jpg?width=800&height=56&name=divider%203%20%20mindframe_picture_of_beaches_in_summer_highly_detailed_happy__38108a56-dbc1-4b68-8601-f0a04222f4f7_2.jpg)Why It’s So Hard to Find a Pediatrician These Days A New York Times external opinion article on the decreasing number of residents entering Pediatrics as a specialty mentions some of the proposed solutions. The issue of geographic distribution isn’t mentioned, nor are the complexities of dealing with Medicaid reimbursement systems. For that matter, there is also a decreasing number of support specialties around pediatric medicine—social services, psychologists, and pediatric specialists. Pay is one issue, but the overall administrative burden from Medicaid, geographic location needs, and the availability of support professions also have a big impact. [Opinion: Why It’s So Hard to Find a Pediatrician These Days](https://www.sltrib.com/opinion/commentary/2024/07/04/opinion-why-its-so-hard-find/?utm_source=hs_email&utm_medium=email&_hsenc=p2ANqtz-88HS8SbL-RjdDGqvMHhLgsSE2ouXubZaBRGMuqVvtnefGj1JZCy9OUoWONkGhMzGdRGr16) ## ![divider 2 mindframe_picture_of_Chesapeake_Bay_sailboats_in_summer_highl_bb6f4568-a5eb-4371-b9f9-40c1d96ded15_0](https://challengercme.com/hs-fs/hubfs/divider%202%20mindframe_picture_of_Chesapeake_Bay_sailboats_in_summer_highl_bb6f4568-a5eb-4371-b9f9-40c1d96ded15_0.jpg?width=800&height=56&name=divider%202%20mindframe_picture_of_Chesapeake_Bay_sailboats_in_summer_highl_bb6f4568-a5eb-4371-b9f9-40c1d96ded15_0.jpg) ## [![Elevate residents' ITE performance with Med-Chllenger](https://challengercme.com/hs-fs/hubfs/Sky%20Blue%20Pastel%20blurb%20newsletter%20%20residency.png?upscale=true&upscale=true&width=1120&height=373&name=Sky%20Blue%20Pastel%20blurb%20newsletter%20%20residency.png)](https://challengercme.com/medical-education-lms-for-residency-training-programs?utm_source=hs_email&utm_medium=email&_hsenc=p2ANqtz-88HS8SbL-RjdDGqvMHhLgsSE2ouXubZaBRGMuqVvtnefGj1JZCy9OUoWONkGhMzGdRGr16)Elevate Your Residents' ITE Performance to New Heights With the ACP Internal Medicine and ABFM In-Training Exams (ITEs) coming up, we want you to unlock your residents' full potential with Med-Challenger's Medical Residency Training assessment platform. Our custom learning tools are designed to boost ITE preparedness, increasing board scores and giving your residency program the edge it needs to excel. Transform your training approach today and watch your residents soar. With Med-Challenger, success knows no bounds. [Learn How Med-Challenger for Residencies Can Raise Your Program's ITE Scores](https://challengercme.com/medical-education-lms-for-residency-training-programs?utm_source=hs_email&utm_medium=email&_hsenc=p2ANqtz-88HS8SbL-RjdDGqvMHhLgsSE2ouXubZaBRGMuqVvtnefGj1JZCy9OUoWONkGhMzGdRGr16) ## ![divider 1 mindframe_picture_of_beaches_in_summer_highly_detailed_happy__38108a56-dbc1-4b68-8601-f0a04222f4f7_3](https://challengercme.com/hs-fs/hubfs/divider%201%20%20mindframe_picture_of_beaches_in_summer_highly_detailed_happy__38108a56-dbc1-4b68-8601-f0a04222f4f7_3.jpg?width=800&height=56&name=divider%201%20%20mindframe_picture_of_beaches_in_summer_highly_detailed_happy__38108a56-dbc1-4b68-8601-f0a04222f4f7_3.jpg)Financial Crossroads of Care: Physicians’ Struggle and Patient Outcomes With a few buzzwords (OK, a lot), a discussion of the CMS overhaul highlights one of the many issues that RVU-based billing is creating. The increased cost of student loans is mentioned, but the primary fiscal problem is that, like VATs (value-added taxes), RVU-based billing has the ability to complicate physician billing and induce largely hidden changes to reimbursements. The facts are that of healthcare costs in the US, which total $4,500 billion, $187 billion is physician pre-tax pay, or 4.1% of healthcare spending. APPs and RNs are in something of the same boat. The last four years of inflation total 17.3%. Generally, pay increases in the same period have not kept up with inflation. [Financial Crossroads of Care: Physicians’ Struggle and Patient Outcomes](https://www.ajmc.com/view/financial-crossroads-of-care-physicians-struggle-and-patient-outcomes?utm_source=hs_email&utm_medium=email&_hsenc=p2ANqtz-88HS8SbL-RjdDGqvMHhLgsSE2ouXubZaBRGMuqVvtnefGj1JZCy9OUoWONkGhMzGdRGr16) - American Journal of Managed Care ## Similar posts ### [February 12, 2025 Residency Newsletter](https://challengercme.com/blog/february-12-2025-residency-newsletter-0-0) Residency newsletter: ITE prep tips, residency LMS updates, and case quizzes for resident physicians. Challenger Corporation Feb 12, 2025 ### [September 18, 2024 Residency Newsletter](https://challengercme.com/blog/september-18-2024-residency-newsletter-0) ABEM Exam Overhaul, Prepare Your Residents, Errors Improve Interpretation Skills, The Cost of Exhaustion: Resident Fatigue is a Public Health... Challenger Corporation Sep 19, 2024 how to prepare ### [Boosting Residency Program ITE Scores: Proven Strategies for Success](https://challengercme.com/blog/boosting-residency-program-ite-scores-proven-strategies-for-success) In Training Exams (ITEs) are a critical part of residency. Ensuring your residents pass with high scores is important. Here are some steps to raise... Med-Challenger Jul 23, 2024 ## Stay informed. ### Subscribe to our [Medical Education Blog](https://challengercme.com/blog)  Stay informed of new medical education content, certification requirements and deadlines, case-based CME quizzes, and special offers. 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All rights reserved [Privacy Policy](https://support.challengercme.com/knowledge/what-are-your-terms-of-service-privacy-policy-user-agreement) ```json { "@context" : "https://schema.org", "@id" : "https://challengercme.com/blog#webpage", "@type" : "WebPage", "description" : "The Challenger Medical Education Blog offers informative patient cases, medical certification exam preparation courses and board exam review tips.", "inLanguage" : "en", "isPartOf" : { "@type" : "WebSite", "name" : "Med-Challenger", "url" : "https://challengercme.com/" }, "mainEntityOfPage" : { "@id" : "https://challengercme.com/blog", "@type" : "WebPage" }, "name" : "Challenger Medical Education Blog", "primaryImageOfPage" : { "@type" : "ImageObject", "url" : "https://challengercme.com/hubfs/Webpage%20Featured%20Images/Medical%20Education%20Blog%20-%20Free%20CME%20resources%2c%20certification%20exam%20tips%2c%20clinical%20challenge%20questions%20and%20more.png" }, "publisher" : { "@type" : "Organization", "name" : "Challenger Corporation", "url" : "https://challengercme.com/" }, "url" : "https://challengercme.com/blog" } ``` ```json { "@context" : "https://schema.org", "@type" : "BlogPosting", "about" : [ "Emergency Medicine ITE performance", "Pediatrics workforce trends", "Residency exam preparation", "RVU-based billing and physician compensation", "In-Training Exam (ITE) preparedness" ], "articleSection" : "Medical Education Newsletter", "author" : { "@type" : "Organization", "name" : "Challenger Corporation" }, "dateModified" : "2024-07-10T22:04:15.591Z", "datePublished" : "2024-07-10T22:04:15.000Z", "description" : "EM Resident Test Scores Declining, It’s So Hard to Find a Pediatrician, Elevate Your Residents' ITE Performance, Physicians’ Struggle and Patient Outcomes", "headline" : "July 10, 2024 Residency Newsletter", "image" : [ { "@type" : "ImageObject", "description" : "Med-Challenger Medical Education, a Division of Challenger Corporation", "url" : "https://challengercme.com/blog/july-10-2024-residency-newsletter-0#image1" }, { "@type" : "ImageObject", "description" : "Elevate residents' ITE performance with Med-Chllenger", "url" : "https://challengercme.com/blog/july-10-2024-residency-newsletter-0#image2" }, { "@type" : "ImageObject", "description" : "Improve ITE scores", "url" : "https://challengercme.com/blog/july-10-2024-residency-newsletter-0#image3" } ], "inLanguage" : "en-US", "keywords" : [ "EM ITE scores", "pediatrician shortage", "residency ITE preparation", "Med-Challenger", "RVU billing", "physician pay", "residency newsletter" ], "mainEntityOfPage" : { "@id" : "https://challengercme.com/blog/july-10-2024-residency-newsletter-0", "@type" : "WebPage" }, "publisher" : { "@type" : "Organization", "logo" : { "@type" : "ImageObject", "url" : "https://challengercme.com/logo.png" }, "name" : "Challenger Corporation" } } ``` ```json { "@context" : "https://schema.org", "@type" : "QAPage", "mainEntity" : { "@type" : "Question", "acceptedAnswer" : { "@type" : "Answer", "text" : "The newsletter reports declines in EM ITE scores across PGYs (down 8.7% in PGY1 and down 4.1% in PGY3). First-time certification pass rates are reported as down 7% since 2018, and first-time certification failure increased from 5% to 12% over seven years. The article notes ABEM topical score data were not available to determine whether declines map to specific blueprint areas." }, "name" : "Trends in EM resident ITE scores and first-time certification pass rates", "text" : "According to the newsletter, how have Emergency Medicine resident ITE scores and first-time certification pass rates changed in recent years?" } } ``` ```json { "@context" : "https://schema.org", "@type" : "ItemList", "description" : "Exam-style review questions based on this article’s teaching points.", "itemListElement" : [ { "@type" : "ListItem", "item" : { "@type" : "Question", "acceptedAnswer" : { "@type" : "Answer", "text" : "The newsletter reports EM ITE scores down 8.7% in PGY1 and down 4.1% in PGY3." }, "name" : "What specific declines in EM ITE scores were reported for PGY1 and PGY3?" }, "position" : 1 }, { "@type" : "ListItem", "item" : { "@type" : "Question", "acceptedAnswer" : { "@type" : "Answer", "text" : "The article cites pay concerns, administrative burden from Medicaid, geographic distribution issues, and a decreasing number of support specialties (social services, psychologists, pediatric specialists) as contributing factors." }, "name" : "What factors does the article cite as contributing to difficulty finding pediatricians?" }, "position" : 2 }, { "@type" : "ListItem", "item" : { "@type" : "Question", "acceptedAnswer" : { "@type" : "Answer", "text" : "Med-Challenger offers a Medical Residency Training assessment platform with custom learning tools designed to boost ITE preparedness and help increase board scores for residency programs." }, "name" : "What does Med-Challenger claim to offer residency programs preparing for ITEs?" }, "position" : 3 }, { "@type" : "ListItem", "item" : { "@type" : "Question", "acceptedAnswer" : { "@type" : "Answer", "text" : "The newsletter discusses RVU-based billing complicating reimbursements and notes physician pre-tax pay is $187 billion (about 4.1% of US healthcare spending of $4,500 billion). It also states that inflation over the last four years totaled 17.3% and pay increases generally have not kept up." }, "name" : "What fiscal concern related to physician compensation is described in the newsletter?" }, "position" : 4 } ], "name" : "Practice Questions", "numberOfItems" : 4 } ```