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The Thoracic Surgery Directors Association In-Training Exam: Development, Implementation, and 6-Year Trends.

Cherie P Erkmen1, Aitua Salami2, Anastasiia K Tompkins3

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Summary
This summary is machine-generated.

The Thoracic Surgery Directors Association In-Training Exam (TSITE) is a reliable assessment tool for cardiothoracic surgery trainees. Performance data from 2020-2025 shows stable trends and high reliability, supporting its role in self-assessment and benchmarking.

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Area of Science:

  • Cardiothoracic Surgery Education
  • Surgical Assessment Tools
  • Medical Education Research

Background:

  • The Thoracic Surgery Directors Association In-Training Exam (TSITE) is an annual standardized assessment for cardiothoracic surgery trainees.
  • This report details the TSITE's history, governance, administration, and performance data from 2020 to 2025.

Purpose of the Study:

  • To outline the historical development, governance, administration, and performance data of the TSITE.
  • To assess the reliability and validity of the TSITE as a formative assessment tool.

Main Methods:

  • The TSITE is an annual multiple-choice exam (160 questions: 80 cardiac, 80 thoracic) aligned with American Board of Thoracic Surgery (ABTS) content.
  • Exam metrics include completion time, average scores, performance distribution, and Cronbach alpha.
  • Exam format was updated in 2025 to three options with two distractors.

Main Results:

  • Examinee numbers grew from 437 (2020) to 567 (2025).
  • Cronbach alpha values ranged from 0.80 to 0.86, indicating high reliability.
  • Score distributions remained stable, with most trainees scoring 50-69%, and exam time decreased after the 2025 format change.

Conclusions:

  • The TSITE is a valid and reliable tool for trainee self-assessment and programmatic benchmarking.
  • Iterative refinements ensure alignment with clinical practice, ABTS standards, and user feedback.
  • The TSITE functions as an evolving personalized learning tool for cardiothoracic surgery trainees.