Medicine and Health Sciences Commons^™

Development And Validation Of A Basic Skill-Based Swimming Training Model For Beginner Athletes: An Addie Approach, Martinus Martinus, Hilmy Aliriad, Karmila Utari, I Bagus Endrawan, Muhamad Rohadi

Indonesian Journal of Research in Physical Education, Sport, and Health

Background: Mastery of basic swimming skills is foundational for the development of beginner athletes, yet structured, validated training models tailored to the Indonesian context remain scarce. Objective: This study aims to develop a basic skill-based swimming training model that is content-valid, practical, and effective in improving swimming technical ability in beginner athletes aged 8-12 years, through systematic, staged development procedures. Methods: The research used the Research and Development (R&D) ADDIE model approach with staged procedures: (1) drafting the initial model based on needs analysis, (2) expert validation by four active swimming coaching validators using the Content Validity Ratio (CVR) instrument …

Global Trends And Research Directions Of Augmented Reality In Sports: A Bibliometric And Scoping Review, Novri Gazali, Ahmad Rahmadani, Romi Cendra, M. Fransazeli Makorohim, Syed Kamaruzaman Syed Ali, Joseph Lobo, Edi Setiawan

Indonesian Journal of Research in Physical Education, Sport, and Health

Background: Advances in digital technology have accelerated the adoption of augmented reality (AR) in sports, enhancing training quality, performance analysis, and learning experiences. However, comprehensive studies that systematically map global research trends and sport-specific applications remain limited. Objective: This study aims to analyze global trends and applications of augmented reality (AR) in sports using a mixed-method approach combining bibliometric analysis and a scoping review. Methods: Bibliographic data were retrieved from Scopus and Web of Science (WoS) databases, covering the period 2016–2025. Following a PRISMA-ScR-based selection process, a total of 520 articles were included. Bibliometric analysis was conducted using VOSviewer and …

Improving Academic Learning Time Effectiveness Through Lesson Study In Elementary Physical Education, Nora Antika, Meirizal Usra, Wahyu Indra Bayu, Iyakrus Iyakrus, Herri Yusfi, Arizky Ramadhan, Asha Hasnimy Mohd Hashim, Japhet Ndayisenga, José Vicente García-Jiménez

Indonesian Journal of Research in Physical Education, Sport, and Health

Background: Academic Learning Time in Physical Education (ALT-PE) is a key indicator of instructional effectiveness, reflecting the time students spend actively engaged in meaningful learning activities. However, PE lessons often involve excessive Management and waiting time, reducing opportunities for active participation. Although Lesson Study (LS) is recognized as a collaborative professional development approach that can improve instructional quality, its impact on ALT-PE remains underexplored. Objective: This study examined the effectiveness of Lesson Study (LS) in improving instructional effectiveness and optimizing ALT-PE among elementary school PE teachers. Methods: A qualitative-dominant mixed-methods action research design was employed involving 10 PE teachers from …

Cardiorespiratory Fitness In Indonesian Adolescents: Limited Role Of Bmi And Dominant Influence Of Age And Sex In A Large Cross-Sectional Study, Anies Setiowati, Sri Sumartiningsih, Nur Ilhaini Sucipto, Fatih Hazar, Philip X. Fuchs

Indonesian Journal of Research in Physical Education, Sport, and Health

Background: Cardiorespiratory fitness (CRF) is a crucial indicator of long-term cardiovascular and metabolic health. Whether body mass index (BMI) independently predicts CRF beyond demographic factors in large, real-world adolescent cohorts remains inconsistently defined. Objective: To determine the independent contributions of body mass index (BMI), age, and sex to cardiorespiratory fitness among Indonesian adolescents using a large community-based dataset.. Methods: A cross-sectional study was conducted using community-based fitness screening data from Central Java, Indonesia. A total of 2,730 adolescents aged 10-18 years (mean 13.3 +/- 2.2 years; 49.6% male) were included. The primary outcome was CRF measured by the 1,600-meter run …

Association Between Eating Disorders, Macronutrient Intake Levels, And Muscle Mass Percentage Among University Martial Arts Athletes, Emyr Reisha Isaura, Kinasih Josephine Gusti Wiyarso, Lindsay Ozora Sanyaezra Simanjuntak, Amanda Humaira Febriyanti, Sekar Arum Kinasih, Sri Sumartinigsih

Indonesian Journal of Research in Physical Education, Sport, and Health

Background: Combat sport athletes often engage in rapid weight-management practices that may increase the risk of disordered eating and inadequate nutritional intake, potentially affecting muscle mass and athletic performance. However, evidence regarding the relationship between eating disorder risk, macronutrient intake, and muscle mass among university martial arts athletes remains limited. Objective: This study examined the association between eating disorder risk and macronutrient intake with muscle mass among martial arts student club members at Universitas Airlangga. Methods: A cross-sectional study was conducted among 60 university students (≥18 years) selected through stratified random sampling from martial arts student activity clubs. Eating disorder …

The Relationship Between Macronutrient Intake And Cardiometabolic Indicators In College Students Who Regularly Exercise, Yosef Ferdy Yangkara, Akhmad Lutfi, Bagus Kusuma Putra, Siti Baitul Mukarromah, Adi S

Indonesian Journal of Research in Physical Education, Sport, and Health

Background: Macronutrient intake plays a crucial role in determining body composition and cardiovascular health. Studies that simultaneously examine macronutrient intake and various cardiometabolic indicators in physically active populations without a clinical history remain limited. Objective: This study aims to analyze the relationship between macronutrient intake and BMI, blood pressure, and heart rate among a gymnastics community at Semarang State University. Methods: The study used a cross-sectional design involving 30 students (12 males and 18 females) aged 18–35 years, selected through purposive sampling. Macronutrient intake data were collected using a 2×24-hour food recall method, while BMI, blood pressure, and heart rate …

Body Composition Profiles And Physical Readiness Among Paragliding Trainees: A Cross-Sectional Study, Nanang Indardi, Anies Setiowati, Fajar Syamsudin, Didik Cahyono, Johnlenon Aliser, Sangheon Park

Indonesian Journal of Research in Physical Education, Sport, and Health

Background: Physical readiness is essential for performance and safety in paragliding. Body composition has been recognized as an important factor associated with physical performance; however, evidence regarding its collective influence on physical readiness among paragliding trainees remains limited. Objective: This study aimed to examine the role of body composition as an integrated correlate of physical readiness among paragliding trainees using a multiple regression analysis. Methods: A quantitative cross-sectional study was conducted involving 24 paragliding trainees selected through purposive sampling. Body composition variables, including body mass index (BMI), body fat percentage (PBF), skeletal muscle mass (SMM), and basal metabolic rate (BMR), …

Analysis Of Rule Violations Leading To Disqualification In Youth Swimming Competitions: Evidence From Indonesia, Ika Novitaria Marani, Ari Subarkah, Heni Widyaningsih, Ricky Susiono, Muhammad Syahrul Ramadhan

Indonesian Journal of Research in Physical Education, Sport, and Health

Background: The purpose of this study was to determine how disqualifications of competition rules in swimming competitions are committed. Rules must be obeyed when competing, and there are consequences for swimmers who violate them. Objective: To find out how the disqualification of the rules of the competition game in the swimming sport is carried out in the swimming competition. Methods: The research was conducted at the GBK Senayan Swimming Pool, and the study used a descriptive observational design. The population in this study consists of all beginner-level swimmers who take part in the 2025 DKI Jakarta swimming competition in Indonesia. …

Reflective Case Study: The Role Of Repeated Observations In Identifying Sepsis In Older Adults With Indwelling Catheters In The Community, Lia Baldock

South West Clinical School Journal

No abstract provided.

Lgr5: From Stem Cell Marker To Therapeutic Target, Peyton C High, Maya G Cappellino, Tiffani A Blackburn, Kendra S Carmon

Faculty, Staff and Student Publications

Leucine-rich repeat-containing G protein-coupled receptor 5 (LGR5) is an established marker of normal and cancer stemlike cells. LGR5 has been implicated in promoting cancer cell plasticity that drives tumorigenesis, metastasis, and therapeutic resistance. LGR5 rapidly and constitutively internalizes and potentiates Wnt (Wingless/Int-1)/β-catenin and adhesion signaling pathways, though its precise mechanisms and interacting partners remain unresolved. An improved understanding of LGR5 signaling may provide invaluable insight into its intricate and important functions in cancer progression. Moreover, several LGR5-targeting therapies, including peptibody- and antibody-drug conjugates and bispecific antibodies, are showing promising efficacy and tolerability in colorectal cancer and other tumor types. This …

A Qualitative Analysis Of Pediatricians' Perspectives Regarding Barriers, Facilitators, And Strategies For Providing Timely Autism Spectrum Disorder Screening And Diagnosis, Mallika Mathur, Jinni Tang, Christine Markham, Sandra Mckay, Ruosha Li, Deepali Ernest, Allison Marshall, Shreela Sharma

Faculty, Staff and Student Publications

Background: Autism spectrum disorder (ASD) is a developmental disorder that has increased in prevalence over the years. Diagnosis and subsequent intervention by the age of 3 is essential for development. However, recent estimates indicate that less than 50% of children receive an evaluation by age 3. Underserved populations are more likely to receive an evaluation at an older age. Several barriers in the diagnostic process have been identified; however, limited studies have aimed at understanding the specifics of these barriers among underserved populations and whether current strategies are beneficial for all children.

Objectives: The aim of this study was to …

Mitochondrial Presequences Harbor Variable Strengths To Maintain Organellar Function, Youmian Yan, Baigalmaa Erdenepurev, Thiago N Menezes, Ian Collinson, Natalie M Niemi

2020-Current year OA Pubs

Hundreds of mitochondrial proteins rely on N-terminal presequences for organellar targeting and import. While generally described as positively charged amphiphilic helices, presequences lack a consensus motif and thus likely promote protein import into mitochondria with variable efficiencies. Indeed, the concept of presequence strength underlies biological models such as stress sensing, yet a quantitative analysis of what dictates strong versus weak presequences is lacking. Furthermore, the extent to which presequence strength affects mitochondrial function and cellular fitness remains unclear. Here, we capitalize on the MitoLuc protein import assay to define multiple aspects of presequence strength. We find that select presequences, including …

Snip Or Skip? Consumer Attitudes And Marketing Message Development For Spay/Neuter Efforts, Rebecca Burcham

Atlantic Marketing Association Proceedings

No abstract provided.

Healthcare Facility Distribution And Utilization Of Tertiary Services: The Case Of Korea, Thomas L. Powers, Seongwon Choi

Atlantic Marketing Association Proceedings

No abstract provided.

Epidemiological Survey Of Abortion In Camels (Camelus Dromedarius) And Histopathological Investigation Of Toxoplasmosis And Neosporosis In Those Animals From Slaughterhouses In Southeastern Algeria, Amira Djeddou-Benabid, Hind Houssou, Omar Bennoune, Ferhat Nouicer, Amel Djaout

The Thai Journal of Veterinary Medicine

Toxoplasma gondii and Neospora caninum are heteroxenous apicomplexan parasites recognized as major causes of reproductive disorders in numerous mammalian species. The present study aimed to assess through an epidemiological survey, the prevalence of reproductive losses in 75 dromedary herds during the period 2022-2025, as well as the associated risk factors, and to detect these protozoa by histopathological analysis in 63 dromedaries slaughtered at the slaughterhouse of El Oued province (126 samples: 63 hearts and 63 diaphragms). The survey revealed that 80% of the herds had a history of abortions, of which 60% also reported cases of stillbirth. Risk factor analysis …

Effect Of Root Canal Sealer Type On Obturation Density: An In Vitro Comparison Of Ah Plus, Bioactive Rcs, Novel Bioactive Glass-Based Bioceramic Sealer, And Zinc Oxide Eugenol, Poulomi Guha, Pradeep Solete, Nishitha Arun, Praveen Kumar Elango, Sanyukta Singh

International Arab Journal of Dentistry

Objectives: To compare the obturation density of four root canal sealers—AH Plus, Bioactive RCS, a novel bioactive glass-based bioceramic sealer, and zinc oxide eugenol (ZOE) using a standardized single-cone obturation technique.

Methods: Forty extracted premolars were endodontically prepared to a 15 mm working length and divided into four groups (n=10). Each group was obturated with the same F2-sized guttapercha cones and one of the sealers being evaluated. Weight variations pre-obturation and postobturation, and after complete sealer setting were used to calculate obturation density. Data were analyzed using one-way ANOVA and Tukey’s post hoc test (p < 0.05) to test for group differences.

Results: The bioactive glass-based sealer …

A Regional Scoping Review Of School-Based Nutrition Interventions Conducted Across Nordic Countries, Basil H. Aboul-Enein, Stephen Gambescia, Nada Benajiba, Norah Eid Aljohani, Teresa Keller, Patricia J. Kelly

College of Nursing Faculty Papers & Presentations

BACKGROUND AND AIMS: While Nordic countries have a relatively high socioeconomic status population, they are challenged by the health deficit of rising obesity and overweight among young people. The aim of this regional scoping review is to identify best practices for designing and implementing effective school nutrition programs in Nordic countries and identify gaps for further research.

METHODS: Using the PRISMA-ScR guidelines, a scoping review was conducted across nine academic databases between 1980 and May 2025.

RESULTS: Fifty-three studies met the inclusion criteria, from small pilot interventions to large national or international cohorts involving thousands of students across the five …

The Effect Of The Mind Diet On Cognitive Decline In Als Patients With Frontotemporal Dementia, Riya Thomas, Reba Thomas, Eliana Gitelman

Department of Nutrition Student Projects

Amyotrophic lateral sclerosis (ALS) is a progressive disease that affects nerve cells in the brain and the spinal cord, leading to a broad range of neurological issues. Individuals with ALS experience progressive muscle weakness, dysphagia, slurred speech, and impaired movement and cognition. In addition to physical symptoms, around 15-20% of individuals with ALS also develop frontotemporal dementia (FTD). There are limited interventions to slow cognitive decline in this specific population. The Mediterranean-DASH Intervention for Neurodegenerative Delay (MIND) diet has been associated with slower cognitive decline and reduced risk in neurodegenerative disease among older adults; however, its effects have not been …

Comparative Evaluation Of Irrigants On Sealer Penetration: An In Vitro Confocal Laser Scanning Microscopy Study, Savani Purohit, Priyanka Zinge, Roshan Samuel, Aayush Bhatt, Rucha Pawar

International Arab Journal of Dentistry

Objectives: Effective smear layer removal enhances sealer penetration in endodontics. Chelating agents vary in their efficacy, influencing treatment outcomes. In this study, the depth of penetration of AH Plus and Bio-C root canal sealers into dentinal structures was analysed using confocal laser scanning microscopy (CLSM), following the application of four final irrigants: 17% EDTA, 20% citric acid, 0.2% chitosan, and 5% fulvic acid.

Methods: Ninety-six single-rooted human premolars were prepared and irrigated with sodium hypochlorite. Final irrigation used one of four agents: 17% EDTA, 20% citric acid, 0.2% chitosan, or 5% fulvic acid, followed by sonic activation. Canals were obturated …

Study Of The Changes In Vestibular Bone Plate Absorption Values After Implant Placement Under Immediate Loading For A Period Of 5 Months Using Cbct: An In Vivo Study, Hassen Merzouk, Samir Habibi, Ben Ali Boutabout

International Arab Journal of Dentistry

Introduction: The study focuses on the success and durability of dental implants, which depends heavily on the bone surrounding them. Changes in this bone affect how the implant looks and functions. The researchers aimed to use CBCT, a modern three-dimensional imaging tool, to accurately measure changes in the thickness of the bone plate on the cheek side (vestibular bone plate) around implants placed in the lower jaw (mandible). Specifically, they looked at bone changes five months after placing implants that were immediately loaded (meaning they were used for chewing right away) in 15 patients who had missing molars or premolars. …

Oral Rehabilitation Of A Pediatric Patient With A Dental Anomaly: A Case Report, Enas Almasri, Mohamed Altinawi, Shadi Azzawi, Imad Katbeh, Anas Abdo

International Arab Journal of Dentistry

Objective: Tooth fusion is an uncommon dental abnormality, occurring in 0.1% of permanent dentition. Fusion of a normal permanent tooth and a supernumerary tooth is unusual. This case report delineates a multidisciplinary strategy for the management of a child with a fused tooth and a concomitant supernumerary tooth. The objective is to progressively illustrate the aesthetic and functional restoration of a smile impacted by a dental fusion abnormality.

Case Report: A 9-year-old boy was referred to the pediatric dental clinic with the chief complaint of a large upper anterior tooth. Intraoral and radiographic investigations showed fusion of the permanent maxillary …

Non-Diabetic Kidney Disease In A Patient With Type 2 Diabetes Mellitus: A Diagnostic Challenge, Nikhil R, Mahabaleshwar Mamadapur , Assistant Professor, Harshwardhan S Patil

Digital Journal of Clinical Medicine

Background: Diabetic kidney disease (DKD) is the most common cause of end-stage renal disease. However, non-diabetic kidney disease (NDKD) can coexist or mimic DKD, leading to misdiagnosis. Case Presentation: A 46-year-old female with type 2 diabetes presented with vomiting and abdominal pain. Physical examination revealed non-blanching erythematous papules on both lower limbs. Investigations showed uncontrolled diabetes, metabolic acidosis, and active urinary sediment. Absence of diabetic retinopathy prompted renal biopsy, which revealed immune-complex–mediated glomerulonephritis with small-vessel vasculitis. Diagnosis: Immune-complex–mediated glomerulonephritis with small-vessel vasculitis, not consistent with diabetic nephropathy. Management: Supportive care and immunosuppressive therapy were initiated with improvement in renal function. …

Comparative Evaluation Of The Antimicrobial Efficacy Of 2% Chlorhexidine And 10% Dimethyl Sulfoxide At The Resin–Tooth Bond Interface: A Pilot In Vitro Study, Kashmiri Chowdhury, Delphine Priscilla Antony, Praveen Kumar Elango, Amee Sanghavi

International Arab Journal of Dentistry

Objectives: To evaluate and compare the effectiveness of chlorhexidine (CHX) versus dimethyl sulfoxide (DMSO) in preventing Streptococcus mutans adhesion at the resin-tooth bond interface. H0 states no significant difference in antimicrobial efficacy between CHX and DMSO.

Methods: Fifteen extracted molars were randomly assigned to three groups: 2% CHX, 5% DMSO, and saline (control). Surfaces were treated for 60 seconds, bonded with a two-step etch-and-rinse adhesive, and restored with composite resin. Samples were incubated with S. mutans in BHI broth at 37°C for 14 days with broth changes every 48 hours. Confocal laser scanning microscopy (CLSM) assessed microbial viability.

Results: CHX …

Therapeutic Potential Of Bacillus Coagulans Unique Is2 Probiotic Supplementation On Early Periodontitis Patients: A Randomized Controlled Trial, Renu Gaur, Aysha Jebin A, Prabhuji M L V

International Arab Journal of Dentistry

Objectives: Bacillus coagulans (B. coagulans) is a probiotic commonly used for broad spectrum of systemic infections, its potential to treat oral infections, particularly periodontitis, is still being studied.The aim of the study was to evaluate the efficacy of probiotic B. coagulans as an adjunct to SRP in periodontitis patients.

Methods: Thirty systemically healthy patients with stage I/ stage II and grade A/ grade B periodontitis were selected and randomly divided into two groups. The control group received SRP along with placebo and the test group received SRP + B. coagulans probiotic chewable tablets. At baseline, one month, and three months …

Biologically Oriented Preparation Technique In Implant-Supported Fixed Prostheses: A Systematic Review, Ghida Lawand, Roudy Khayat, Yara Ismail, Maryse Nassif, Mahmood Dashti, Jimmy Londono, Rami Al Bahri, Hani Tohme

International Arab Journal of Dentistry

This systematic review was conducted to assess the clinical and esthetic outcomes associated with convergent collar implants and compare them to divergent collar implant. The review was registered on the PROSPERO register (registration number: CRD42022326338). The systematic literature search was conducted in accordance with PRISMA guidelines to identify studies on implant-supported prostheses related to the Biologically Oriented Preparation Technique (BOPT) until June 2023. Inclusion criteria involved experimental and clinical studies published in peer-reviewed journals, excluding expert opinions. Data extraction was performed, adhering to predefined parameters for BOPT, specifications of convergent collar implants, and the assessment of outcomes. The systematic review …

The Role Of Ai Chatbots In Dentistry: A Systematic Review Of Applications, Benefits, Challenges, And Future Directions, Arushi Kumari, Upasana Reddy, Mamatha Shekar Shetty

International Arab Journal of Dentistry

Introduction: Artificial intelligence (AI) aims to develop systems capable of performing tasks that require human intelligence, including learning, reasoning, and decision-making. In dentistry, AI is increasingly applied across multiple specialties, such as operative dentistry, periodontics, orthodontics, oral and maxillofacial surgery, and prosthodontics, particularly in diagnosis, treatment planning, and prognosis.

Objectives: This review focuses on the application of AI chatbots in dentistry, exploring their potential benefits and limitations. The objective of this review is to addresses the questions: 1. Which dental domains employ AI chatbots? 2. What evidence exists for their performance in diagnostics, patient engagement, and education? 3. What ethical, …

Intravascular Position-Sensitive Positron-Counting Catheter For Atherosclerotic Plaques, Takehiro Nakahara, Shinichiro Fujimoto, Jagat Narula, H William Strauss, Navneet Narula, Tohru Minamino, Hiroyuki Daida, Masahiro Jinzaki

Faculty, Staff and Student Publications

Purpose: Rupture prone high-risk atheromatous plaques are characterized by large necrotic core volumes covered by thin fibrous caps which are positively remodeled; these plaques are significantly inflamed by the cells of monocyte-macrophage origin. We propose that the development of a position-sensitive positron-counting catheter, adding directionality with lead shields (sCath), would help record quantitative location-specific uptake of specifically targeted radiotracers against inflammation.

Methods: For in-vitro study, the catheter was placed on 18F point sources to measure the radioactivity counts. For ex-vivo study, the 9 aortas dissected from the rabbit model of atherosclerosis were exposed, and catheters were pulled back every 1 …

Balneotherapy For Sleep Improvement And Reducing Depression In Knee Osteoarthritis Patients, Anca Paula Ciurba, Alexandru Bogdan Ilieș, Ionel Haidu, Doriana Ioana Ciobanu, Theodora Ursu, Florin Mihai Marcu, Dorina Ianc

Baltic Journal of Health and Physical Activity

Background: Knee osteoarthritis (OA) is the most common chronic condition and a leading cause of global disability, often associated with pain, depression, and sleep disturbances. The purpose of this study was to investigate the effectiveness of warm mineral water combined with physical therapy on sleep quality, depression and pain intensity in patients with knee osteoarthritis. Materials and Methods: The study involved 101 subjects (68.78±6.92 years) who were assigned to  a control group (CG) or an experimental group (EG). All subjects benefited from physical therapy and electrotherapy for 10 days. The experimental group additionally benefited from therapy with hot mineral water. …

Development Of The U.S. Academic Ophthalmology Faculty Database (Us-Aofd): A Cross-Sectional Descriptive Analysis, Brenton T. Bicknell, Josephine M. Rudd Zhong Manis, Haley Chishom, Yejin Heo, Lance Dzubinski, Alvina Liang, Taylor L. Aaserud, Shayan Massoumi, Thanushri Srikantha, John Stoffer, Emily Mccourt, Sruthi Arepalli, Beeran Meghpara, Ayan Chatterjee, Basil K. Williams, Janice Law, Steven E. Brooks, Robert Tauscher

Journal of Academic Ophthalmology

Background: Academic ophthalmology plays a critical role in advancing eye care and training the next generation of ophthalmologists. However, comprehensive data on the U.S. academic ophthalmology workforce remains limited. Existing databases focus on individual subspecialties or specific demographics, without capturing a national, integrated perspective.

Purpose: To develop and analyze the U.S. Academic Ophthalmology Faculty Database (US-AOFD), a comprehensive, national resource that characterizes the demographic composition, academic ranks, leadership roles, and research productivity of ophthalmology faculty at Accreditation Council for Graduate Medical Education (ACGME)–accredited programs in the United States.

Methods: This cross-sectional descriptive study compiled data for 4,028 …

Impact Of An Ophthalmic Knowledge Assessment Program (Okap) Pre-Test: A Pilot Study At Two Institutions, Lindsey S. Fields, Jee Young Moon, Saras Ramanathan, Matthew S. Wieder, Jamie B. Rosenberg

Journal of Academic Ophthalmology

Background: A formal assessment of knowledge prior to the Ophthalmic Knowledge Assessment Program (OKAP) may help ophthalmology residents identify areas of weakness and organize their study plans.

Purpose: To assess the utility of an OKAP pre-test as a means of helping students prepare for the OKAP.

Methods: A 91-question OKAP pre-test was formulated from the American Academy of Ophthalmology self-assessment study bank and administered in January to 28 residents at two academic institutions. Residents were given the results of their January test scores with a breakdown by subtest before the OKAP. Overall and subtest scores from the …