BY THE NUMBERS: Pediatrics / Binocular Vision / Vision Therapy CAP Assessment

February 7, 2024

Analysis of the Fall 2023 CAP assessment is complete and the results are shared below. 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 4th 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.

Pediatrics / Binocular Vision / Vision Therapy CAP Assessment

Dates available: September 15, 2023 through December 31, 2023

Overall Performance

Pass/fail cut point: 80% (20/25 questions)

Passing rate: 95.0%

Average score: 90.1% (22.5/25 questions correct)

Performance by Question   

Digital devices article (Questions 1-4): Average percentage correct: 95.0%
Nystagmus article (Questions 5-9): Average percentage correct: 94.4%
Intermittent exotropia article (Questions 10-13): Average percentage correct: 94.3%
Fundamental knowledge (Questions 14-25): Average percentage correct: 85.0%
Easiest questions: 2 questions (both reference-based) had 100% correct answers and 5 questions had 99% correct answers
Most difficult question (61% correct): Question 22 (VT activities for patients with divergence insufficiency)

Timing             

Average time to answer each question: 97 seconds
Digital devices article (Questions 1-4): Average time to answer: 84 seconds
Nystagmus article (Questions 5-9): Average time to answer: 66 seconds
Intermittent exotropia article (Questions 10-13): Average time to answer: 115 seconds
Fundamental knowledge (Questions 14-25): Average time to answer: 108 seconds

Survey Responses

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

13.1% I do not anticipate implementing any changes.
35.4%My current practice will not change, but it has been reinforced by the information in this article.
2.6%I need more information before making changes to my practice
43.6%I will be more aware of binocular vision problems in my pediatric patients.
21.5%I will ask more questions about digital device usage during case history.

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

14.9%I do not anticipate implementing any changes.
30.3%My current practice will not change, but it has been reinforced by the information in this article.
3.9%I need more information before making changes to my practice.
46.2%I am more confident in my ability to manage patients with pediatric nystagmus.
17.9%I am more confident in my ability to appropriately refer patients with pediatric nystagmus.

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

15.4%I do not anticipate implementing any changes
41.0%My current practice will not change, but it has been reinforced by the information in this article.
2.9%I need more information before making changes to my practice.
31.1%I am likely to change the way I treat and/or provide patient education to patients with IXT.
19.8%I am more confident in my ability to appropriately refer children with IXT.

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

16.2%I’m confident in my knowledge of Peds/BV/VT topics and the FK section did nothing to change that.
21.3%I was confident in my knowledge of Peds/BV/VT topics, but now realize that I need to improve/update my knowledge.
55.2%I’m now more confident in my overall knowledge of Peds/BV/VT topics.
7.3%I’m not very confident in my knowledge of Peds/BV/VT topics and the FK section did nothing to change that.
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