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Ranking Surgical Residency Programs: Reputation Survey or Outcomes Measures?
Adam B Wilson1, Laura J Torbeck1, Gary L Dunnington1
1Department of Surgery, Indiana University School of Medicine, Indianapolis, Indiana.
Journal of Surgical Education
|May 19, 2015
Summary
Residency program rankings based on reputation show only a moderate association with objective outcomes like board pass rates and publications. Objective measures are crucial for accurately assessing general surgery program quality.
Area of Science:
- Medical Education
- Surgical Training
- Program Evaluation
Background:
- Residency program rankings are increasingly influential in medical education.
- Existing rankings often rely on subjective measures like peer nominations.
- There is a need for objective, measurable standards to assess program quality.
Purpose of the Study:
- To evaluate the correlation between general surgery residency program rankings based on reputation and those based on objective outcomes.
- To determine if reputation is a reliable surrogate for overall program quality.
Main Methods:
- Collected publicly available data for 254 general surgery residency programs.
- Created an outcomes-based ranking using board pass rates and alumni publication prevalence.
- Utilized Kendall τ-b rank correlation to compare reputation-based and outcomes-based rankings.
Main Results:
- A moderate correlation (0.428) was found between reputation-based and outcomes-based rankings.
- Board pass rates averaged 72% (SD 14%) for 218 analyzed programs.
- 60 programs ranked in the top quartile for alumni publications.
Conclusions:
- Program reputation alone is insufficient to accurately represent program quality.
- Quantifiable indicators and unique program attributes should be prioritized in ranking systems.
- Caution is advised when interpreting and using current program rankings.
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