Department of Surgery, 3579University of North Dakota School of Medicine & Health Sciences, Grand Forks, ND, USA.
Am Surg. 2021 Dec;87(12):1867-1878. doi: 10.1177/00031348211058626. Epub 2021 Nov 11.
American Board of Surgery In-Training Examination (ABSITE) performance has become an important factor when monitoring resident progress. Understanding which prospective factors predict performance can help identify residents at risk.
A literature search was conducted searching PubMed, EMBASE, and JAMA Network from June 2011 to June 2021, in accordance with the PRISMA guidelines. Searches were performed for the terms "ABSITE" and "American Board of Surgery In-Training Examination." Prospective factors such as prior examination performance, clinical evaluations, and demographics were evaluated.
A final 35 studies were included. The prospective factor most consistently found to predict ABSITE performance is performance on prior knowledge-based examinations such as the USMLE step exams. The ACGME Medical Knowledge 1 milestone evaluation also appears to correlate to ABSITE performance, although clinical evaluations, in general, do not. Demographics have no significant correlation to ABSITE performance.
Using performance on prior knowledge-based examinations programs may be able to identify residents at risk for failing ABSITE. It may be possible to initiate early intervention before rather than only remediation after poor performance.
美国外科住院医师培训考试（ABSITE）成绩已成为监测住院医师进展的重要因素。了解哪些前瞻性因素可预测表现有助于识别有风险的住院医师。
按照 PRISMA 指南，于 2011 年 6 月至 2021 年 6 月在 PubMed、EMBASE 和 JAMA Network 上进行文献检索，检索词为“ABSITE”和“美国外科住院医师培训考试”。评估了先前考试成绩、临床评估和人口统计学等前瞻性因素。
最终纳入 35 项研究。最一致地预测 ABSITE 表现的前瞻性因素是先前基于知识的考试（如 USMLE 分步考试）的表现。ACGME 医学知识 1 里程碑评估似乎也与 ABSITE 表现相关，尽管一般来说临床评估没有相关性。人口统计学与 ABSITE 表现无显著相关性。
使用先前基于知识的考试的表现，各项目也许能够识别出 ABSITE 考试成绩不佳的风险住院医师。在表现不佳之前，而非仅仅在补救之后，可能可以尽早进行干预。
