The unexplainable drift of the MIR examination questions on macular disease

González Martín-Moro, J.

doi:10.1016/j.oftale.2016.09.014

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Aronés-Santivañez, A. Dyrda, I. Alarcón Valero" "autores" => array:3 [ 0 => array:2 [ "nombre" => "J.R." "apellidos" => "Aronés-Santivañez" ] 1 => array:2 [ "nombre" => "A." "apellidos" => "Dyrda" ] 2 => array:2 [ "nombre" => "I." 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González Martín-Moro" "autores" => array:1 [ 0 => array:4 [ "nombre" => "J." "apellidos" => "González Martín-Moro" "email" => array:1 [ 0 => "juliogmm@yahoo.es" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "b" "identificador" => "aff0010" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Servicio de Oftalmología, Hospital Universitario del Henares, Coslada, Madrid, Spain" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Universidad Francisco de Vitoria, Pozuelo de Alarcón, Madrid, Spain" "etiqueta" => "b" "identificador" => "aff0010" ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "La inexplicable deriva de las preguntas del examen MIR hacia la patología macular" ] ] "textoCompleto" => "Ophthalmic pathologies comprise a high percentage of the diseases exhibited by patients visiting hospitals and health centers, and without a doubt the most frequent surgical procedure is cataracts. However, the Resident Internal Physician (MIR in Spanish) examination comprises 3, 4 or at the most 5 out of 235 questions in the entire examination.In addition, in recent years the ophthalmology questions clearly tend toward macular pathologies. For instance, 2 years ago the ophthalmology questions were age-related macular degeneration, while the latest MIR included 4 ophthalmology questions, all of them related to the retina and 2 to the macula. One of the questions was about the macular complications of myopia magna and the options included infrequent conditions such as retinal detachment secondary to macular hole, polypoid vasculopathy and tractional maculopathy.The purpose of questions in an examination is to differentiate between students who know what they should know and those who do not. An extremely difficult question such as the one mentioned above, on a highly specific subject, does not fulfill that purpose. The diseases posed in the question would be of interest only for students who choose ophthalmology as a specialty. Accordingly, only 1% of the students doing the exam would benefit from this knowledge.Apart from the unfairness inherent in evaluating students who have just finished their career on the basis of their knowledge of highly infrequent diseases, said questions have other practical consequences. Considering that the main goal of the students is to approve the MIR exam, the content of study programs and to a smaller extent the content of what is taught in universities is focused on the most frequent questions in said exam. If the MIR continues to focus on macular pathology, within a few years general physicians will have a theoretical knowledge about polypoid vasculopathy but will be unable to make a differential diagnostic between conjunctivitis and acute glaucoma.It is a pity that the MIR exam does not take into account the importance or the huge diversity comprised in our specialty and that the questions are not focused on the pathologies which the primary care and emergency physicians will have to approach on a daily basis." "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "Please cite this article as: González Martín-Moro J. La inexplicable deriva de las preguntas del examen MIR hacia la patología macular. Arch Soc Esp Oftalmol. 2016;91:608." ] ] ] "idiomaDefecto" => "en" "url" => "/21735794/0000009100000012/v1_201612011629/S2173579416301372/v1_201612011629/en/main.assets" "Apartado" => array:4 [ "identificador" => "5813" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Letter to the Editor" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/21735794/0000009100000012/v1_201612011629/S2173579416301372/v1_201612011629/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173579416301372?idApp=UINPBA00004N"]

ISSN: 2173-5794
e-ISSN: 1989-7286

Archivos de la Sociedad Española de Oftalmología is the official journal of the Ophthalmology Society of Spain, that has over 4,000 members. It gives priority to the publication of basic, translational and clinic research including reviews, original articles, short communications, editorials, letters to the editor and clinic practice guides related to Ophthalmology and its subspecialties. A small section of the journal is reserved for the most relevant papers presented at the annual Congress of the Society. All manuscripts considered for publication are reviewed by expert examiner peers (double blind). The journal is published monthly and even though its official language is Spanish all articles are translated into English to increase the dissemination of scientific information. At present, Archivos is the only Spanish language Ophthalmology journal indexed in PubMed/MEDLINE in addition to other prestigious international databases such as Scopus.

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