Ohio State College of Medicine - 1645 Neil Ave, Columbus, OH 43210.
Ohio State College of Medicine - 1645 Neil Ave, Columbus, OH 43210.
J Surg Educ. 2024 Sep;81(9):1203-1214. doi: 10.1016/j.jsurg.2024.06.003. Epub 2024 Jul 8.
Resident performance on the Plastic Surgery In-Service Examination (PSITE) is used as a predictor of success on the American Board of Plastic Surgery Written Examination, as well as resident progression and fellowship applications. However, information specifically addressing strategies on optimal PSITE preparation is lacking in the plastic surgery literature when compared to general surgery. For this reason, we aim to understand if the topic is well-studied and denote effective study strategies and curricular interventions in both fields that can help residents and programs optimize PSITE performance.
A literature search including studies from 2012 to 2022 was conducted following PRISMA guidelines in PubMed and EMBASE to identify articles on strategies to improve in-service exam scores for general surgery and plastic surgery. Only studies that reported measurable outcomes in raw score, percentile score, or percent correct were included.
Qualitative analysis of 30 articles revealed 2 categories of interventions: individual study habits and institutional curricular interventions. In general surgery literature, 27 articles examined interventions positively impacting resident ABSITE scores, with 21 studies classified as institutional curricular interventions and 6 articles addressing individual study habits. Themes associated with improved ABSITE performance included mandatory remediation programs, dedicated study time, and problem-based learning interventions. In contrast, only 3 articles in plastic surgery literature discussed interventions associated with improved PSITE scores, all falling under curricular interventions.
Unfortunately, the plastic surgery literature lacks concrete evidence on how residents can improve performance. Future research in plastic surgery should replicate successful strategies from general surgery and further investigate optimal preparation strategies for the PSITE. Such endeavors can contribute to improving resident performance and advancing plastic surgery education and patient care.
住院医师在整形外科住院医师服务考试（PSITE）中的表现被用作美国整形外科委员会书面考试、住院医师晋级和奖学金申请成功的预测指标。然而，与普通外科相比，整形外科文献中专门针对 PSITE 最佳准备策略的信息相对较少。出于这个原因，我们旨在了解该主题是否得到了充分研究，并确定在普通外科和整形外科领域有助于住院医师和项目优化 PSITE 表现的有效学习策略和课程干预措施。
按照 PRISMA 指南，在 PubMed 和 EMBASE 中进行了一项文献检索，以确定关于提高普通外科和整形外科住院医师服务考试成绩的策略的研究。仅纳入报告原始分数、百分位分数或正确率等可衡量结果的研究。
对 30 篇文章的定性分析揭示了两类干预措施：个人学习习惯和机构课程干预。在普通外科文献中，有 27 篇文章研究了对住院医师 ABSITE 分数有积极影响的干预措施，其中 21 项研究被归类为机构课程干预，6 项文章涉及个人学习习惯。与提高 ABSITE 表现相关的主题包括强制性补救计划、专用学习时间和基于问题的学习干预措施。相比之下，整形外科文献中只有 3 篇文章讨论了与提高 PSITE 分数相关的干预措施，这些措施都属于课程干预。
不幸的是，整形外科文献缺乏关于住院医师如何提高表现的具体证据。未来的整形外科研究应复制普通外科的成功策略，并进一步调查 PSITE 的最佳准备策略。这些努力可以有助于提高住院医师的表现，推进整形外科教育和患者护理。
