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Related Concept Videos

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Related Experiment Video

Updated: Sep 1, 2025

Evaluating Usability Aspects of a Mixed Reality Solution for Immersive Analytics in Industry 4.0 Scenarios
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Identifying Potential Attrition during the Residency Applicant Screening Process Using a Situational Judgment Test.

Ross E Willis1, Jason W Kempenich1, Ronit Patnaik1

  • 1Department of Surgery, UT Health San Antonio, San Antonio, Texas.

Journal of Surgical Education
|August 15, 2022
PubMed
Summary

Situational judgment tests (SJTs) can predict general surgery resident attrition. Low values congruence on SJTs indicates a 4.14 times higher likelihood of attrition, aiding residency program selection.

Keywords:
attritioninterviewingselectionsituational judgment test

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Area of Science:

  • Medical Education
  • Surgical Training
  • Psychometrics

Background:

  • Residency program selection faces challenges with USMLE Step 1 transitioning to pass/fail.
  • General surgery residency has high attrition rates (up to 26%).
  • Identifying applicants with shared values is crucial for program retention.

Purpose of the Study:

  • To evaluate the predictive validity of Situational Judgment Tests (SJTs) for general surgery resident attrition.
  • To determine if SJTs can identify applicants at higher risk of leaving the program.

Main Methods:

  • Fifty-six general surgery residents completed an SJT assessing values congruence (high, moderate, low).
  • Resident attrition was tracked from 2018 to 2021.
  • Signal detection theory was used to analyze SJT scores against attrition data.

Main Results:

  • Overall attrition was 16.1%.
  • Residents with low values congruence (n=13) had a 38.5% attrition rate.
  • Low congruence scores predicted a 4.14 times higher likelihood of attrition (p=0.0121).

Conclusions:

  • SJTs are valuable tools for predicting general surgery resident attrition.
  • SJTs help residency programs identify and mitigate the risk of applicant attrition.
  • Utilizing SJTs can improve selection processes and enhance resident retention.