Department of Otolaryngology-Head and Neck Surgery, Mayo Clinic, Rochester, Minnesota, U.S.A.
Laryngoscope. 2015 Feb;125(2):E57-61. doi: 10.1002/lary.24791. Epub 2014 Jun 19.
OBJECTIVES/HYPOTHESIS: Application to otolaryngology-head and neck surgery residency is highly competitive, and the interview process strives to select qualified applicants with a high aptitude for the specialty. Commonly employed criteria for applicant selection have failed to show correlation with proficiency during residency training. We evaluate the correlation between the results of a surgical aptitude test administered to otolaryngology resident applicants and their performance during residency.
Retrospective study at an academic otolaryngology-head and neck surgery residency program.
Between 2007 and 2013, 224 resident applicants participated in a previously described surgical aptitude test administered at a microvascular surgical station. The composite score and attitudinal scores for 24 consecutive residents who matched at our institution were recorded, and their residency performance was analyzed by faculty survey on a five-point scale. The composite and attitudinal scores were analyzed for correlation with residency performance score by regression analysis.
Twenty-four residents were evaluated for overall quality as a clinician by eight faculty members who were blinded to the results of surgical aptitude testing. The results of these surveys showed good inter-rater reliability. Both the overall aptitude test scores and the subset attitudinal score showed reliability in predicting performance during residency training.
The goal of the residency selection process is to evaluate the candidate's potential for success in residency and beyond. The results of this study suggest that a simple-to-administer clinical skills test may have predictive value for success in residency and clinician quality.
目的/假设：耳鼻喉头颈外科住院医师培训的申请竞争非常激烈，面试过程旨在选拔具有该专业高资质的合格申请人。通常用于申请人选择的标准未能显示出与住院医师培训期间的熟练程度相关。我们评估了耳鼻喉科住院医师申请人进行的手术能力测试的结果与他们在住院医师培训期间的表现之间的相关性。
在学术耳鼻喉科头颈外科住院医师培训计划中进行的回顾性研究。
在 2007 年至 2013 年间，224 名住院医师申请人参加了在微血管外科站进行的先前描述的手术能力测试。记录了 24 名连续匹配的住院医师的综合分数和态度分数，他们的住院医师表现由教师在五分制上进行调查分析。通过回归分析，对综合和态度分数与住院医师表现评分进行相关性分析。
八位教师对 24 名住院医师进行了整体临床医生素质评估，他们对手术能力测试的结果一无所知。这些调查的结果显示出良好的内部评分者可靠性。整体能力测试分数和态度分数的子集都显示出在预测住院医师培训期间表现方面的可靠性。
住院医师选择过程的目标是评估候选人在住院医师培训及以后取得成功的潜力。这项研究的结果表明，简单的临床技能测试可能对住院医师培训和临床医生的质量具有预测价值。
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