Correspondence  |   December 2018
In Reply
Author Notes
  • Washington University School of Medicine, St. Louis, Missouri (D.J.M.). murrayd@wustl.edu
  • (Accepted for publication August 31, 2018.)
    (Accepted for publication August 31, 2018.)×
Article Information
Correspondence
Correspondence   |   December 2018
In Reply
Anesthesiology 12 2018, Vol.129, 1190-1191. doi:10.1097/ALN.0000000000002462
Anesthesiology 12 2018, Vol.129, 1190-1191. doi:10.1097/ALN.0000000000002462
The letter from Pivalizza et al. confirms that residency programs do respond rapidly to changes in certification requirements.1  The program directors at this relatively large residency program suggest that both attrition of residents earlier in their training and changes to the curriculum could impact the conclusions about knowledge acquisition in the study by Zhou et al.2  The letter suggests that these factors, especially attrition of residents who likely had lower in-training examination scores, may have contributed to higher in-training examination scores in clinical anesthesia year 2, potentially tainting the “acceleration of knowledge” argument.2  Information about the training outcomes of residents who do not successfully pass their BASIC exam, either on initial or further attempts, could help alleviate the concerns regarding the representativeness of the resident cohort.