Background: The Ophthalmic Knowledge Assessment Program (OKAP) Task Fo
rce of the American Academy of Ophthalmology has reviewed the present
OKAP examination and addressed the goals of this resident-in-training
examination. Simultaneously, the American Board of Ophthalmology has b
een assessing its Written Qualifying Examination (WQE) as a certifying
tool. Method: The history of the OKAP examination is chronicled along
with a discussion of the goals of this examination as a stimulus for
resident education. Conclusion: The new OKAP examination is structured
specifically for residents-in-training and is now administered separa
tely from the WQE. The OKAP examination is moving in the direction of
a criterion referenced examination based on a defined content outline.
Twelve subtest areas are tested. Future goals are to improve subtest
reliability and increase feedback to residents and program directors.