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The Impact of a Structured ABSITE® Remediation Program on Resident Performance.

Hannah K Holland¹, Thomas Hosseini², Halen M Turner¹

¹Department of Surgery, Medical College of Wisconsin, Milwaukee, Wisconsin.

Journal of Surgical Education

|September 16, 2025

Summary

A formal American Board of Surgery In-Training Examination (ABSITE®) remediation program improved resident performance. Gradual practice question completion and mock exam scores correlated with better outcomes, showing the value of structured support for surgical residents.

Keywords:

ABSITE®performance improvement remediation resident education

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Area of Science:

Medical Education
Surgical Training
Assessment and Evaluation

Background:

The American Board of Surgery In-Training Examination (ABSITE®) is crucial for assessing surgical resident progress.
Underperformance on the ABSITE® necessitates targeted intervention strategies.
Developing effective remediation programs is essential for resident development and program success.

Purpose of the Study:

To evaluate the impact of a structured remediation program on resident performance on the ABSITE®.
To identify factors within the remediation program that correlate with improved ABSITE® scores.
To assess the program's effectiveness in helping residents avoid ongoing remediation.

Main Methods:

A mandatory remediation program was implemented for residents scoring below the 30th percentile or predetermined targets on the ABSITE®.
The program included assigned question bank quizzes, individualized learning plans (ILPs) developed with faculty, and mock ABSITE® exams.
Resident performance and question bank usage were compared to national ABSITE® medians.

Main Results:

In the first year, 50% of residents in the remediation program improved their scores above the threshold; in the second year, 40% improved.
Higher volume of practice questions, especially when completed gradually, correlated with greater score improvement.
Mock ABSITE® scores showed significant correlation with actual ABSITE® performance in both study years.

Conclusions:

A formalized ABSITE® remediation program can lead to improved resident performance.
Structured support, including practice questions and mock exams, is valuable for addressing underperformance.
The findings support the continued development and refinement of remediation strategies for surgical residents.