ABEM has always done a pretty good job of maintaining reasonable certification regimes. They were the first to adopt article-based continuing education to fulfill MOC requirements from the ABMS. Aiming for 2026, they are working to overhaul the certification exam process, though the direction moves away from local testing centers and back to centralized testing, including simulation with standardized patients and procedural testing.
ABEM to Overhaul Certification Exam in 2026 - Emergency Medicine News
Error Management Training (EMT) in residency education for imaging resulted in a 15%-20% increase in diagnostic performance compared to non-EMT cohorts. It’s a sophisticated form of the question-answer-remediation structure commonly used in question-based training: get it wrong first, understand why you got it wrong, and retention improves significantly.
Not fun for the residents or students, but it works. This study was on head CT’s, and the paper is linked in the article.
Guided Errors in Medical Training Improve Interpretation Skills Post-Residency - Health Imaging
Are the often grueling hours involved in residency a hazard or a benefit? This KevinMD article comes down squarely on ‘hazard,’ citing medical errors and fatalities. The counter-argument is usually that the intensity of residency is necessary to prepare physicians for high-pressure, high-stakes environments, where maintaining effectiveness and competence, even when fatigued, is a form of experiential knowledge.
The Cost of Exhaustion: Resident Fatigue is a Public Health Emergency - KevinMD