By the Numbers: Posterior Segment CAP Summary

July 17, 2023

By popular demand, ABO will provide a summary of the results of each triannual CAP assessment after it closes. ABO Diplomates have indicated an interest in seeing how their performance compares to the overall performance of 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 individual questions as some Diplomates will be retaking the assessment in their 4th year.

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

Posterior Segment CAP Assessment Summary

Dates available: January 15, 2023 through April 30, 2023

Overall Performance

Pass/fail cut point: 80% (20/25 questions)
Passing rate: 95.3%
Average score: 90.8% (22.7/25 questions correct)

 Performance by Question      

PVD article (Questions 1-5): Average percentage correct: 83%
OSA article (Questions 6-10): Average percentage correct: 93%
HTCR article (Questions 11-14): Average percentage correct: 93%
Fundamental knowledge (Questions 15-25): Average percentage correct: 92%

Easiest question (100% correct): Question 12 (question from the HTCR article about Elschnig pearls)

Most difficult question (76% correct): Question 1 (question from the PVD article asking which symptom was NOT predictive of significantly higher risk of complicated PVD)

 Timing      

Average time to answer each question: 137 seconds

PVD article (Questions 1-5): Average time to answer: 237 seconds
OSA article (Questions 6-10): Average time to answer: 101 seconds
HTCR article (Questions 11-14): Average time to answer: 100 seconds
Fundamental knowledge (Questions 15-25): Average time to answer: 76 seconds

Survey Responses

How will your practice behavior change as a result of the “Complications of Acute Posterior Vitreous Detachment” article?  (Select all that apply)

0.8% I do not anticipate implementing any changes.
32.6%My current practice will not change, but it has been reinforced by the information in this article.
0.6% I need more information before making changes to my practice.
53.8%I will be more aware of which patients are at high risk for complicated PVD. 
36.4%I will use the information in the article to better triage my patients with PVD symptoms.
24.4%I will follow patients with symptomatic PVD more frequently.
24.7%I will schedule patients with symptomatic PVD to return sooner for follow up.

How will your practice behavior change as a result of the “Obstructive Sleep Apnea and the Retina” article?  (Select all that apply)

4.3%I do not anticipate implementing any changes.
17.9%My current practice will not change, but it has been reinforced by the information in this article.
1.2%I need more information before making changes to my practice.
56.5%I will be more aware of patients who may be at risk for OSA based on retinal findings.
39.5%I will ask additional questions on my patient intake form or during the case history to screen for OSA and/or identify patients on CPAP treatment.
36.4%I will refer patients to a primary care physician more often for suspicion of OSA based on retinal findings and/or case history.
35.2%I will provide more education to OSA patients, particularly patients with diabetes, about the benefits of compliance with CPAP treatment. 

How will your practice behavior change as a result of the “Review of Hypertensive Retinopathy and Chorioretinopathy” article?  (Select all that apply)

4.8%I do not anticipate implementing any changes.
25.6%My current practice will not change, but it has been reinforced by the information in this article.
0.4%I need more information before making changes to my practice.
41.2%I will be more aware of the association between hypertensive retinopathy and cardiovascular mortality.
40.4%I will be more aware of the signs of hypertensive choroidopathy. 
33.2%I am more likely to refer patients without a diagnosis of hypertension who present with mild hypertensive retinopathy to a primary care practitioner.
34.7%I will refer patients without a diagnosis of hypertension who present with mild or moderate hypertensive retinopathy to a primary care practitioner more quickly.

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

31.8%I’m confident in my knowledge of posterior segment topics and the FK section did nothing to change that.
26.0%I was confident in my knowledge of posterior segment topics, but now realize that I need to improve/update my knowledge.
42.9%I’m now more confident in my overall knowledge of posterior segment topics.
0.7%I’m not very confident in my knowledge of posterior segment topics and the FK section did nothing to change that.
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