Saturday, January 3, 2015

Can We Predict Surgical Residency Achievement?



QUESTION: do USMLE scores or in-training exam scores predict the receipt of awards given out during residency? Specifically, the awards (1) Best Resident in Research, (2) Best Resident in Teaching, or (3) Best Resident Overall?

METHODS: This was a single institution study. Files of 103 graduating surgical residents were reviewed. Objective parameters reviewed were residents' United States Medical Licensing Examination (USMLE) scores, American Board of Surgery In-Training Examination (ABSITE) scores, first-time American Board of Surgery Certifying and Qualifying Examination pass rates, Alpha Omega Alpha membership status, and number of research years.

RESULTS: Of the 103 residents, 16 received the Best Resident in Research award, 15 received the Best Resident in Teaching award, and 17 received the Best Resident Overall award. Award winners had a significantly lower median USMLE Step 1 scores (p = 0.04) and marginally lower median USMLE Step 2 scores (p = 0.05). Alpha Omega Alpha membership status, ABSITE scores, first-time American Board of Surgery examination pass rates, and number of research years during residency were not significantly different between the 2 groups.

CONCLUSION: Success on multiple choice examinations did not predict success during surgical residency.

J Surg Educ. 2014 Mar-Apr;71(2):176-81