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Resident selection: how we are doing and why?

David B Thordarson1, Edward Ebramzadeh, Sophia N Sangiorgio

  • 1Department of Orthopaedic Surgery, Keck School of Medicine, University of Southern California, Los Angeles, CA 90033, USA. thordars@usc.edu

Clinical Orthopaedics and Related Research
|April 7, 2007
PubMed
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Selecting orthopaedic residents is challenging. Faculty rankings at entry and graduation showed weak correlation with standardized test scores, indicating a need for better selection methods.

Area of Science:

  • Orthopaedic Surgery
  • Medical Education
  • Residency Selection

Background:

  • Orthopaedic residency selection relies heavily on quantifiable metrics like grades and test scores.
  • These metrics may not fully capture essential qualities such as patient care, professionalism, and integrity.
  • Developing robust selection criteria is crucial for identifying successful residents.

Purpose of the Study:

  • To evaluate the correlation between initial faculty rankings of orthopaedic residents and their performance metrics.
  • To compare initial rankings with final residency rankings and standardized test scores.
  • To assess the predictive validity of current selection methods in orthopaedic surgery.

Main Methods:

  • Faculty members ranked four classes of orthopaedic residents at entry and upon completion of residency.

Related Experiment Videos

  • Rankings were compared with United States Medical Licensing Examination (USMLE) Part I, American Board of Orthopaedic Surgery (ABOS) Part I, and Orthopaedic-in-Training Examination (OITE) scores.
  • Correlation analyses were performed to assess the relationships between different metrics.

    • Main Results:

    • Fair to poor correlations were observed between initial rankings, graduation rankings, and USMLE, ABOS, and OITE scores.
    • A relatively strong correlation was found only between OITE and ABOS scores.
    • Faculty consensus on selection criteria did not translate to consistent agreement in final resident rankings.

    Conclusions:

    • Current quantifiable metrics and initial faculty assessments show limited predictive power for orthopaedic resident success.
    • Standardized test scores like OITE and ABOS demonstrate some correlation, but do not fully encompass resident performance.
    • Further research is needed to refine the science of selecting orthopaedic residency applicants for improved outcomes.