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2017 年至 2021 年影响 ACVS 董事会考试通过率的住院医师项目因素:对 ACVS 小动物外科学住院医师项目的调查。

Residency program factors affecting ACVS board examination pass rates from 2017 to 2021: A survey of ACVS small animal surgery residency programs.

机构信息

Department of Veterinary Clinical Sciences, College of Veterinary Medicine, University of Minnesota, Saint Paul, Minnesota, USA.

出版信息

Vet Surg. 2024 Jul;53(5):800-807. doi: 10.1111/vsu.14100. Epub 2024 May 10.

Abstract

OBJECTIVE

To identify small animal surgery (SAS) residency program factors associated with board examination pass rates for the American College of Veterinary Surgeons (ACVS) board certification examinations.

STUDY DESIGN

Online survey.

SAMPLE POPULATION

Program directors of ACVS-registered SAS residency programs.

METHODS

An online survey was distributed to eligible 2021 ACVS SAS residency program directors. Respondents provided program information and Phase I and Phase II board examination pass rate data from 2017 to 2021. Programs were grouped based on overall combined board examination pass rates as "excellent" (≥90%) versus "adequate" (<90%). Data were analyzed using recursive partitioning.

RESULTS

Responses from 36 ACVS SAS residency programs (18 private practice [PP], 18 academic programs [AP]) were included. Pass rates were considered "excellent" for 17/36 programs (11/17 AP, 6/17 PP). The strongest indicator of "excellent" programs was most mentors participating in rounds >75% of the time. Of those, the second indicator of "excellent" programs was a soft tissue caseload of <7 surgeries/resident/week. If the soft tissue caseload was >7 surgeries/resident/week, a high orthopedic caseload (>9 surgeries/resident/week) was indicative of "excellent" programs. If most mentors were not participating in rounds >75% of the time, APs were more likely to be "excellent."

CONCLUSION

SAS APs may have higher ACVS board examination pass rates. Mentor involvement, caseload, and residency practice type may influence board examination pass rates.

CLINICAL IMPACT

ACVS SAS residency programs' board examination pass rates may improve by optimizing mentor involvement and caseload regardless of practice type.

摘要

目的

确定与美国兽医外科学院 (ACVS) 委员会认证考试通过率相关的小动物外科学 (SAS) 住院医师项目因素。

研究设计

在线调查。

样本人群

ACVS 注册的 SAS 住院医师项目主任。

方法

向符合条件的 2021 年 ACVS SAS 住院医师项目主任分发了在线调查。受访者提供了 2017 年至 2021 年的项目信息和第一阶段和第二阶段委员会考试通过率数据。根据总体综合委员会考试通过率,将项目分为“优秀”(≥90%)和“合格”(<90%)。使用递归分区进行数据分析。

结果

纳入了 36 个 ACVS SAS 住院医师项目(18 个私人执业 [PP],18 个学术项目 [AP])的回复。通过率被认为是“优秀”的有 17/36 个项目(11/17AP,6/17PP)。“优秀”项目的最强指标是大多数导师参与轮班的时间超过 75%。在这些项目中,“优秀”项目的第二个指标是软组织病例数<7 例/住院医师/周。如果软组织病例数超过 7 例/住院医师/周,则高骨科病例数(>9 例/住院医师/周)表明项目“优秀”。如果大多数导师没有参与轮班超过 75%的时间,那么 AP 更有可能是“优秀”。

结论

SAS AP 可能具有更高的 ACVS 委员会考试通过率。导师参与、病例量和住院医师实践类型可能会影响委员会考试通过率。

临床影响

无论实践类型如何,通过优化导师参与和病例量,ACVS SAS 住院医师项目的委员会考试通过率可能会提高。

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