Performance of Family Medicine Residents on Difficult Test Questions

Introduction: As part of the University of Toronto’s Department of Family and Community Medicine’s training program, residents write four assessments throughout their training each assessment comprising of 100+ questions, of scenario-based with single best responses. 
Methods: We conducted a statistical review of a recent progress test completed in November 2023. 
Results: We found that residents who performed better on the test likewise performed better on clinical scenarios where patients had personality comorbidity. As well, we found that residents who performed better on the test were no better with respect to clinical scenarios where patients present with undifferentiated presentations. 
Discussion: Given the complexity of personality comorbidities, there can be a greater need for education and support for our residents in this domain.