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Better ABSITE performance with increased operative case load during surgical residency
Andrea R Marcadis1, Tanya Spencer1, Danny Sleeman1
1DeWitt Daughtry Family Department of Surgery, University of Miami Leonard M. Miller School of Medicine, Miami, Florida.
Surgery
|August 3, 2018
Summary
General surgery residents who complete more surgical cases score higher on the American Board of Surgery In-Training Exam. This positive correlation suggests that increased operative experience enhances resident performance on standardized assessments.
Area of Science:
- Medical Education
- Surgical Training
- Assessment Metrics
Background:
- Traditional metrics for surgical resident progression include In-Training Exam scores and operative case logs.
- The relationship between the volume of surgical cases performed and In-Training Exam performance requires further investigation.
Purpose of the Study:
- To evaluate the association between the number of operative cases logged and American Board of Surgery In-Training Exam scores among general surgery residents.
Main Methods:
- Retrospective analysis of In-Training Exam scores and operative case logs for postgraduate year 1-5 residents (2008-2017).
- Comparison of total logged operative cases against corresponding annual In-Training Exam scores.
Main Results:
- A positive linear relationship was observed between logged cases and In-Training Exam scores (percentile and scaled) across all postgraduate years.
- Residents in the top quartile of case volume significantly outperformed those in the bottom quartile on the In-Training Exam (P < .05).
Conclusions:
- Increased operative case volume in general surgery residency correlates with improved performance on the American Board of Surgery In-Training Exam.
- This association may stem from enhanced clinical experience, broader pathology exposure, or resident motivation.
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