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Performance in Irish Selection and Future Performance in Surgical Training.

Conor Toale¹, Marie Morris¹, Sara Gross¹

¹Department of Surgical Affairs, RCSI University of Medicine and Health Sciences, Royal College of Surgeons in Ireland, Dublin, Ireland.

|March 6, 2024

Summary

This summary is machine-generated.

Surgical training selection scores predict trainee success. Higher scores correlate with better progression to higher specialist training and improved performance in workplace and simulated assessments.

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Area of Science:

Medical Education
Surgical Training
Assessment

Background:

Effective selection for surgical training is crucial for identifying competent practitioners.
High standards of reliability and validity in selection processes are essential.

Purpose of the Study:

To determine the association between candidate selection factors and outcomes in Irish surgical training.
To examine progression rates to Higher Specialist Training (HST), attrition, and performance via multimodal assessments.

Main Methods:

Retrospective observational cohort study of 303 trainees in the Royal College of Surgeons in Ireland (RCSI) Core Surgical Training (CST) program (2016-2020).
Selection composite score derived from technical aptitude, academic performance, and multiple mini-interviews.
Analysis of assessment data, attrition, and HST progression using correlation and regression models.

Main Results:

Composite selection scores positively associated with HST progression (OR, 1.09).
Weak positive correlation between selection scores and CST performance (0.23-0.34).
Technical aptitude scores predicted operative performance in workplace (β=0.31) and simulated (β=0.57) settings.
Interpersonal skills interview associated with simulated communication performance (β=0.55).

Conclusions:

Multimodal assessment during Irish national selection is linked to future surgical trainee performance.
Selection measures predict success in both workplace and simulated surgical training environments.
Further research needed on the consequential validity and potential unintended effects of selection processes.