Silvestre Jason, Levin L Scott, Serletti Joseph M, Chang Benjamin
Philadelphia, Pa.
From the Perelman School of Medicine, University of Pennsylvania.
Plast Reconstr Surg. 2016 Aug;138(2):358e-364e. doi: 10.1097/PRS.0000000000002397.
Few studies in surgery have addressed medical knowledge competency training as defined by the Accreditation Council for Graduate Medical Education. As in-training examinations are ubiquitous educational tools for surgical residents in the United States, insights into examination performance may help fill this void. The purpose of this study was to determine the relationship between In-Service Examination performance and training characteristics in plastic surgery.
This retrospective cohort study reviewed performance data for the Plastic Surgery In-Service Training Examination for the years 2012 to 2015. Comparisons were made both within and between training pathways by means of Kruskal-Wallis and Mann-Whitney U tests.
Data were available for 1367 independent (37.9 percent) and 2240 integrated residents (62.1 percent). Among integrated residents, performance increased with additional years of training (p < 0.001), but no difference existed between postgraduate year-5 and postgraduate year-6 residents (p > 0.05). Similarly, independent resident examination performance increased by year of training (p < 0.001), with no difference between postgraduate year-2 and postgraduate year-3 residents (p > 0.05). At each level of training (postgraduate years 4 to 6), integrated residents outperformed their independent resident colleagues (postgraduate years 1 to 3) (p < 0.001).
Performance on the Plastic Surgery In-Service Training Examination increases during residency, with integrated residents outperforming independent residents. These findings may have implications for medical knowledge competency training as defined by the Accreditation Council for Graduate Medical Education.
外科领域中，很少有研究涉及毕业后医学教育认证委员会所定义的医学知识能力培训。由于在职考试是美国外科住院医师普遍使用的教育工具，因此对考试成绩的深入了解可能有助于填补这一空白。本研究的目的是确定整形外科在职考试成绩与培训特征之间的关系。
这项回顾性队列研究回顾了2012年至2015年整形外科在职培训考试的成绩数据。通过Kruskal-Wallis检验和Mann-Whitney U检验对培训途径内部和之间进行比较。
有1367名独立住院医师（37.9%）和2240名综合住院医师（62.1%）的数据。在综合住院医师中，成绩随着培训年限的增加而提高（p<0.001），但在研究生五年级和研究生六年级住院医师之间没有差异（p>0.05）。同样，独立住院医师的考试成绩也随着培训年份的增加而提高（p<0.001），在研究生二年级和研究生三年级住院医师之间没有差异（p>0.05）。在每个培训水平（研究生四年级至六年级），综合住院医师的表现均优于独立住院医师同事（研究生一年级至三年级）（p<0.001）。
整形外科在职培训考试的成绩在住院医师培训期间有所提高，综合住院医师的表现优于独立住院医师。这些发现可能对毕业后医学教育认证委员会所定义的医学知识能力培训有影响。
