Unfortunately, the ASCP has been very vague on the purpose of the RISE. There are several schools of thought regarding the purpose of the exam:
1. Review/assessment for residents with the purpose of improving readiness and facility with the ABP Board exam:
About 5 years ago they stopped providing test-takers with copies of the exam and in my opinion the exam lost relevance. It used to be an excellent review resource for residents to not only realize their weaknesses (and strengths) but also to guide further study. I don't know about anyone else here, but I find the followup materials (brief non-specific keywords and page #s in books) to be very unsatisfactory.
2. Assessment of resident progress/program progress in "pathology".
I think as an assessment tool the RISE is worthless. The subject matter is skewed toward cytopathology and forensics (much more so than the ABP) and does not truly reflect an evaluation of resident achievement or program curriculum quality. Especially, when there is known widespread "cheating" on the exam.
3. A means of evaluating residents so that staff may address weaknesses/play toward strengths.
Maybe. I don't know. The ACGME is pretty clear that it is not just the residency director who is responsible in setting guidelines for resident education. It is a staff responsibility. For that reason one could argue that the staff should be privy to resident results. I agree to a degree. Implicit in this argument is that staff would appropriately address resident needs. That's obviously not always going to be respected. In addition it would imply that the RISE is a statistically significant and relevant measurement tool of resident progress. How do you judge that? Board scores? Future success? Salary? Respect among peers and colleagues? Board scores would seem the most relevant. However, everyone I have spoken to after they have taken the boards does not seem to indicate that the RISE is particularly useful in preparing for the board exam.
I could obviously go on all day about how the RISE used to be useful and is now irrelevant, but I won't.
For what it's worth, I usually do pretty well on the exam. I just wish I didn't have to take it.