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Updated: Nov 4, 2025

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Orthopaedic In-training Exam Preparation among Orthopaedic Surgery Residency Programs.

Nicholas Rowe1, Mc Cayn Familia2, Symone M Brown3

  • 1Department of Orthopaedic Surgery, School of Medicine, Tulane University, New Orleans, Louisiana.

Journal of Surgical Education
|May 30, 2021
PubMed
Summary

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Orthopaedic In-Training Examination (OITE) preparation varies, with Orthobullets most recommended. Practice tests and setting goal scores improve OITE performance, while formal programs may lower scores.

Area of Science:

  • Orthopaedic Surgery
  • Medical Education
  • Resident Assessment

Background:

  • The Orthopaedic In-Training Examination (OITE) assesses resident knowledge annually.
  • Understanding effective OITE preparation resources is crucial for program directors.

Purpose of the Study:

  • To identify resources recommended or required by orthopaedic residency programs for OITE preparation.
  • To determine which resources are perceived as most beneficial for resident performance.

Main Methods:

  • An anonymous electronic survey was distributed to program directors of ACGME-accredited orthopaedic surgery residency programs in the US.
  • The survey collected data on recommended/required OITE preparation resources and program characteristics.

Main Results:

Keywords:
Exam preparationOrthopaedic in-training examination (OITE)Orthopaedic residency

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  • Orthobullets (85%) and Res Study (AAOS) (67.5%) were the most recommended resources.
  • Programs utilizing practice tests/old OITE exams reported better scores (73.2%).
  • Programs with formal/required preparation had lower mean OITE scores (53.3rd percentile) compared to those without (60th percentile).

Conclusions:

  • Practice tests and setting goal scores positively impact OITE performance.
  • Avoiding formal/required preparation programs may enhance resident scores.
  • Variability exists in OITE preparation resources, with Orthobullets being most common.