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SCORE - Leveling the Playing Field for Surgical Training Programs.

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Summary
This summary is machine-generated.

The Surgical Council on Resident Education (SCORE) web portal offers equal access to educational resources for general surgery residents. Analysis shows no significant difference in portal usage duration between university and independent programs, or across geographic regions, indicating equitable resource availability.

Keywords:
CurriculumEducational resourcesMedical KnowledgePractice-Based Learning and ImprovementResident educationSCORE

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Area of Science:

  • Medical Education Technology
  • Surgical Training Resources
  • Competency-Based Medical Education

Background:

  • The Surgical Council on Resident Education (SCORE) web portal was established to provide a standardized, competency-based curriculum for general surgery residents.
  • A key objective of SCORE was to ensure equitable access to educational resources across diverse residency programs in the United States, which have varying resource availability.
  • Previous observations suggested potential disparities in resource utilization among different program types and locations.

Purpose of the Study:

  • To investigate whether general surgery resident usage of the SCORE web portal differs between independent and university-affiliated programs.
  • To determine if geographic location influences the duration and pattern of SCORE portal engagement among surgical trainees.
  • To assess the accessibility and utilization of SCORE as an educational tool across different training environments.

Main Methods:

  • Trainee usage data from 246 subscribing general surgery programs were analyzed using analytic software from August 2015 to March 2017.
  • The primary metric was the average duration of SCORE use per login; secondary outcomes included program type (university vs. independent) and geographic region.
  • Sessions exceeding 8 hours were excluded to prevent data skew from log-off failures; statistical analyses included t-tests and ANOVA.

Main Results:

  • A total of 669,501 SCORE sessions were recorded, with 50% lasting 30 minutes or less, indicating frequent short-term usage.
  • No statistically significant difference was found in the average duration of SCORE portal use between university and independent programs (p=0.3).
  • Comparison of mean encounter length by geographic region also revealed no significant differences across the analyzed time categories (p values ranging from 0.2 to 0.9).

Conclusions:

  • The findings suggest that the SCORE web portal is utilized in short, frequent bursts by surgical trainees, consistent with prior research.
  • Despite a higher number of encounters from university programs, the mean duration of individual SCORE sessions did not vary significantly by program type or geographic region.
  • These results support the hypothesis that SCORE serves as an equally accessible and utilized educational resource for general surgery residents, irrespective of their program's affiliation or location.