Department of Surgery, Providence Hospital and Medical Centers, Southfield, Michigan 48075, USA.
J Surg Educ. 2011 Jan-Feb;68(1):24-8. doi: 10.1016/j.jsurg.2010.09.002. Epub 2010 Nov 7.
The implementation of the 80-hour week compounded by the need for the current trainee to be well versed technically with the newer developments in surgery has resulted in limited time for didactic education. Commercial American Board of Surgery in Training examination (ABSITE) review courses are flourishing and may seem to be filling the gap in didactic education.
This study ascertained the opinion of the general surgery program directors across the country on the role of the review courses in the ABSITE performance of a surgical resident.
A questionnaire was designed and sent out to all program directors using online survey.
Sixty-five of 242 program directors completed the questionnaire. Fifty-seven percent belonged to university-based surgical residency programs. Seventy-two percent used ABSITE performance as a measure while evaluating the resident for promotion. Although 60% agreed that review courses help the performance of the residents, 80% did not have any institutional or regional review courses. Ninety percent allowed their residents to attend commercial review courses but 60% did not reimburse them.
Program directors do feel that ABSITE by itself is important in evaluating the progression of surgical residents and has a correlation with the boards' pass percentile. Due to the limited hours available for didactics in current surgical residency, intensive review course over a 2- to 3-day period may help the surgical residents to perform better. In the current economy, review courses offered by a consortium of programs geared toward improving ABSITE performance and conducted by the surgical faculty may be of essence.
80 小时工作周的实施，加上当前受训者需要精通手术领域的最新发展，这导致可用于教学的时间有限。商业性美国外科学委员会住院医师培训考试（ABSITE）复习课程如雨后春笋般涌现，似乎填补了教学的空白。
本研究旨在了解全美普通外科住院医师项目主任对复习课程在外科住院医师 ABSITE 表现中的作用的看法。
设计并通过在线调查向所有项目主任发送了一份问卷。
在 242 名项目主任中，有 65 名完成了问卷。57%来自大学附属的外科住院医师培训计划。72%在评估住院医师晋升时将 ABSITE 表现作为衡量标准。尽管 60%的人认为复习课程有助于提高住院医师的表现，但 80%的人没有任何机构或地区性的复习课程。90%允许其住院医师参加商业性复习课程，但只有 60%的人会报销费用。
项目主任确实认为 ABSITE 本身对于评估外科住院医师的进展非常重要，并且与委员会通过百分比相关。由于当前外科住院医师的教学时间有限，在 2-3 天的时间内进行密集的复习课程可能有助于住院医师表现更好。在当前的经济环境下，由一系列旨在提高 ABSITE 表现的项目组成的复习课程，由外科教员授课，可能至关重要。
