Department of Surgery, Providence Hospital and Medical Centers, Southfield, MI, USA.
J Surg Educ. 2012 Jul-Aug;69(4):554-8. doi: 10.1016/j.jsurg.2012.04.008. Epub 2012 May 9.
The American Board of Surgery (ABS) provides program directors with ABS In-Training Examination (ABSITE) scores in the following forms: Percent correct score and percentile score. It is of interest to note how residency programs utilize the different forms of ABSITE scores in assessment of surgical residents for progression in training. We conducted a survey of program directors to ascertain the present situation.
A structured questionnaire was sent to all program director members of the Association of Program Directors in Surgery.
114/210 program directors (54%) answered the survey. To assess residents, 3 programs used only the percentage correct score, 23 programs used only the percentile score, and 88 programs used both scores. The majority (70/89 or 79%) of the programs used a 30th percentile score as the minimum passing score. 88/111 (79%) programs had a remedial process for residents with poor performance on ABSITE. 60 percent of the programs had never used poor ABSITE performance to defer individual resident promotion. Programs that used ABSITE performance for remediation and deferral of promotion did it based on percentile score rather than percent correct score. Program directors felt that the better indicator of a resident's knowledge and progression in surgical residency was percent correct score (42%) vs percentile score (32%), while 10% felt that neither was an adequate indicator.
ABSITE score is being used as one of the measures to assess residents. Programs need to ensure that an effective remedial process is in place to assist residents with poor performance.
美国外科学委员会（ABS）向项目主管提供以下形式的 ABS 住院医师培训考试（ABSITE）成绩：答对百分比和百分位分数。值得注意的是，住院医师培训计划如何利用 ABSITE 成绩的不同形式来评估外科住院医师的培训进展情况。我们对项目主管进行了调查，以了解现状。
向外科项目主任协会的所有项目主管成员发送了一份结构化问卷。
114/210 名项目主管（54%）回答了调查。为了评估住院医师，3 个项目仅使用答对百分比，23 个项目仅使用百分位分数，88 个项目同时使用两个分数。大多数（70/89 或 79%）项目将 30 百分位分数作为最低通过分数。88/111（79%）的项目为 ABSITE 成绩不佳的住院医师提供了补救过程。60%的项目从未因 ABSITE 成绩不佳而推迟个别住院医师的晋升。使用 ABSITE 成绩进行补救和推迟晋升的项目是基于百分位分数，而不是答对百分比。项目主管认为，住院医师的知识和外科住院医师培训进展的更好指标是答对百分比（42%）而不是百分位分数（32%），而 10%的人认为两者都不是足够的指标。
ABSITE 分数被用作评估住院医师的措施之一。项目需要确保有一个有效的补救程序来帮助表现不佳的住院医师。
