Department of Surgery, The University of Maryland Medical System, Baltimore, Maryland.
Department of Surgery, The University of Maryland Medical System, Baltimore, Maryland.
J Surg Educ. 2018 Jul-Aug;75(4):895-900. doi: 10.1016/j.jsurg.2017.12.010. Epub 2018 Feb 1.
The American Board of Surgery In-Training Examination (ABSITE), is an annual 250 question, multiple-choice test that assesses residents' surgical knowledge in preparation for board examinations. At our program, we developed a Surgical Council on Resident Education-based American Board Style Practice In-Training Examination: The ABSPITE. The 40-question examination was designed to help with test preparation. The purpose of this study was to evaluate the ABSPITE's predictive value on ABSITE performance.
From 2013 to 2016, the ABSPITE was administered to residents at our program. Performances (N = 134) were graded based on a standardized scale to determine resident percent and percentile performance, then compared to average ABSITE performance.
Combined analysis showed a statistically significant positive correlation between average ABSITE and ABSPITE percentages and percentiles. This held true when categorical and preliminary residents were compared. When stratified by resident PGY level, the same results were seen for PGY 1 and PGY 2 residents but correlations failed to reach statistical significance for higher resident training levels.
The practice ABSPITE examination strongly correlates with ABSITE performance among junior residents at our program, and may be a valuable tool to predict ABSITE performance and guide review efforts.
美国外科住院医师培训考试(ABSITE)是一项年度 250 题多项选择题考试,旨在评估住院医师的外科知识,为委员会考试做准备。在我们的项目中,我们开发了基于外科住院医师教育委员会的美国委员会风格实践培训考试:ABSPITE。该 40 题考试旨在帮助备考。本研究的目的是评估 ABSPITE 对 ABSITE 表现的预测价值。
从 2013 年到 2016 年,ABSPITE 在我们的项目中向住院医师进行了管理。表现(N=134)根据标准化量表进行评分,以确定住院医师的百分比和百分位数表现,然后与平均 ABSITE 表现进行比较。
综合分析显示,平均 ABSITE 和 ABSPITE 百分比和百分位数之间存在统计学上显著的正相关。当比较分类和初步住院医师时,这是正确的。当按住院医师 PGY 水平分层时,PGY1 和 PGY2 住院医师也出现了相同的结果,但对于更高水平的住院医师培训,相关性未能达到统计学意义。
实践 ABSPITE 考试与我们项目中初级住院医师的 ABSITE 表现密切相关,可能是预测 ABSITE 表现和指导复习的有价值工具。