BY THE NUMBERS: Neuro-ophthalmic CAP Assessment

May 21, 2024

Final results are now available for the Spring 2024 CAP assessment. ABO Diplomates who took the assessment may be curious about their performance in comparison to their colleagues. Others may be interested in survey responses showing the impact of the readings and preparation for the assessment on Diplomates’ patient care.

Please note that we’re unable to provide direct answers to specific questions as some Diplomates will be retaking the assessment in their 4^th year.

If there is specific information that you’d like to see in future CAP summaries that we haven’t provided here, please let us know.

Neuro-ophthalmic CAP Assessment

Dates available: January 15, 2024 through April 30, 2024

Overall Performance

Pass/fail cut point: 80% (20/25 questions)
Passing rate: 96.1%
Average score: 91.0% (22.8/25 questions correct)

Performance by Question

Optic neuritis article (Questions 1-5): Average percentage correct: 96.8%
OCT for disc edema article (Questions 6-9): Average percentage correct: 89.3%
Post-concussion oculomotor disorders article (Questions 10-13): Average percentage correct: 94.3%
Fundamental knowledge (Questions 14-25): Average percentage correct: 88.3%

Easiest question (99% correct): Question 12 from the post-concussion article (most common oculomotor post-concussion diagnoses)

Most difficult question (68% correct): Question 7 from OCT article (peripapillary shape pattern expected with pseudopapilledema)

Special Instance

Our psychometric analysis of the assessment results flagged an issue with Question 25 – a fundamental knowledge question about a homonymous hemianopsia visual field defect), and it was determined that two answers could be considered correct. The assessment was rescored and all Diplomates whose pass/fail status changed were notified by email.

Survey Questions

How will your practice behavior change as a result of the “Optic Neuritis” article? (Select all that apply)

5.9%	I do not anticipate implementing any changes.
32.9%	My current practice will not change, but it has been reinforced by the information in this article.
3.5%	I need more information before making changes to my practice.
54.1%	I will be more confident in my ability to manage patients with signs of optic neuritis.
23.2%	I will be more detailed in my ROS when I encounter a patient with signs of optic neuritis.

How will your practice behavior change as a result of the “OCT for Disc Edema” article? (Select all that apply)

6.8%	I do not anticipate implementing any changes.
23.5%	My current practice will not change, but it has been reinforced by the information in this article.
7.6%	I need more information before making changes to my practice.
76.0%	I am more confident in my ability to distinguish between optic disc edema and pseudopapilledema using SD-OCT.
25.9%	I will use more qualitative information when interpreting the results of my SD-OCT scans.

How will your practice behavior change as a result of the “Post-concussion Oculomotor Disorders” article? (Select all that apply)

7.2%	I do not anticipate implementing any changes
27.1%	My current practice will not change, but it has been reinforced by the information in this article.
6.5%	I need more information before making changes to my practice.
42.9%	I am likely to change the way I examine and/or provide patient education to post-concussion patients.
31.6%	I will be more aware of the possibility of post-concussion syndrome in symptomatic patients.

Which of the following best describes your experience with the fundamental knowledge (FK) section of this assessment?

14.5%	I’m confident in my knowledge of neuro-ophthalmic topics and the FK section did nothing to change that.
27.7%	I was confident in my knowledge of neuro-ophthalmic topics, but now realize that I need to improve/update my knowledge.
55.0%	I’m now more confident in my overall knowledge of neuro-ophthalmic topics.
2.8%	I’m not very confident in my knowledge of neuro-ophthalmic topics and the FK section did nothing to change that.