Godellas C V, Hauge L S, Huang R
Department of General Surgery, Department of Preventive Medicine, Rush University, 1653 West Congress Parkway, Chicago, Illinois, 60612, USA.
J Surg Res. 2000 Jun 1;91(1):1-4. doi: 10.1006/jsre.2000.5852.
American Board of Surgery In-Training Exam (ABSITE) performance can be used to assess resident knowledge and to evaluate surgical curriculum. To determine factors that lead to improved resident ABSITE performance, a prospective study was performed.
Thirty-four surgical residents in Program Years 2-5 completed pre- and a post-ABSITE questionnaires about their anxiety, self-efficacy, physical preparation, and academic preparation for the ABSITE. Department records were used to determine resident probationary status and conference attendance. A preliminary analysis of ABSITE scores indicated a significant improvement between 1998 and 1999 percentile scores (paired t = -2. 25, P = 0.03; m = 11.9, SD = 30.5, median = 7). An improvement in percentile rank score was calculated and used as the dependent variable in a stepwise regression analysis. The following served as independent variables: previous exam performance, anxiety, probationary status, amount of sleep before exam, confidence to score in the 25th and the 50th percentiles, and attendance at the three conferences rated most valuable by the residents.
Results of the regression analysis demonstrate that all factors account for 62.3% of the variance in improvement scores. A stepwise analysis indicated that the combination of attendance (40.2%) and previous performance (18.3%) was significant in explaining 58.5% of the variance in improvement scores. Furthermore, Pearson's correlations indicated that probationary status (+.58, P = 0.001), anxiety (+0.53, P = 0.001), amount of study (+0.61, P = 0.001), past ABSITE performance (-0.60, P = 0.001), and conference attendance (+0. 56, P = 0.001) were correlated with ABSITE improvement.
This study demonstrates that resident individual effort, past ABSITE performance, and academic conference attendance have led to resident ABSITE improvement.
美国外科医师学会住院医师培训考试（ABSITE）成绩可用于评估住院医师的知识水平并评价外科课程。为确定能提高住院医师ABSITE成绩的因素，开展了一项前瞻性研究。
34名处于第2至第5培训年的外科住院医师完成了ABSITE考试前后关于焦虑、自我效能感、身体准备及学术准备情况的问卷调查。利用科室记录确定住院医师的见习状态和参会情况。对ABSITE成绩的初步分析表明，1998年至1999年百分位分数有显著提高（配对t=-2.25，P=0.03；均值=11.9，标准差=30.5，中位数=7）。计算百分位排名分数的提高值，并将其用作逐步回归分析中的因变量。以下作为自变量：既往考试成绩、焦虑程度、见习状态、考试前睡眠时间、在第25百分位和第50百分位得分的信心，以及参加住院医师认为最有价值的三场会议的情况。
回归分析结果表明，所有因素占成绩提高值方差的62.3%。逐步分析表明，参会情况（40.2%）和既往成绩（18.3%）的组合在解释成绩提高值方差的58.5%方面具有显著性。此外，皮尔逊相关性分析表明，见习状态（r=+0.58，P=0.001）、焦虑程度（r=+0.53，P=0.001）、学习量（r=+0.61，P=0.001）、既往ABSITE成绩（r=-0.60，P=0.001）和参会情况（r=+0.56，P=0.001）与ABSITE成绩提高相关。
本研究表明，住院医师的个人努力、既往ABSITE成绩和参加学术会议情况导致了住院医师ABSITE成绩的提高。
