Department of Surgery, Western Michigan University Homer Stryker M.D. School of Medicine, Kalamazoo, MI.
Department of Surgery, Western Michigan University Homer Stryker M.D. School of Medicine, Kalamazoo, MI.
J Surg Educ. 2024 Oct;81(10):1452-1461. doi: 10.1016/j.jsurg.2024.06.022. Epub 2024 Jul 15.
American Board of Surgery (ABS) In-Training Examination (ITE), or ABSITE, preparation requires an effective study approach. In 2014, the ABS announced the alignment of ABSITE to the SCORE® Curriculum. We hypothesized that implementing a Plan-Do-Study-Act (PDSA) approach would help surgery residents improve their performance on the ABSITE.
Over 20 years, in a single institution, residents' ABSITE performance was evaluated over 3 timeframes: Time A (2004-2013), no specific curriculum; Time B (2014-2019), an annual comprehensive ABSITE-simulated SCORE®-based multiple-choice exam (MCQ) was administered; and Time C (2020-2023), like Time B with the addition of the PDSA approach for those with less than 60% correct on the ABSITE-simulated SCORE®-based exam. At the beginning of the academic year, in July, all residents are encouraged to (1) initiate a study plan for the upcoming ABSITE using SCORE® guided by the published ABSITE outlines content topics (Plan), (2) take an ABSITE-simulated SCORE®-based exam in October (Do), (3) assess the results/scores (Study), and (4) identify appropriate next steps (Act). Correlational analysis was performed to evaluate the association between ABSITE scores and ABSITE-simulated SCORE®-based exam scores in Time B and Time C. The primary outcome was the change in the proportions of ABSITE scores <30 percentile.
A total of 294 ABSITE scores of 94 residents (34 females and 60 males) were analyzed. We found stronger correlation between the correct percentage on ABSITE and ABSITE-simulated SCORE®-based exam scores in Time C (r = 0.73, p < 0.0001) compared to Time B (0.62, p < 0.0001). The percentage of residents with ABSITE scores lower than 30 percentile dropped significantly from 14.0% to 3.7% (p = 0.016).
Implementing the Plan-Do-Study-Act (PDSA) approach using the SCORE® curriculum significantly enhances residents' performance on the ABSITE exam. Surgery residents are encouraged to use this approach and to utilize the SCORE-contents outlined by the ABS in their study plan.
美国外科学委员会（ABS）住院医师培训考试（ITE）或 ABSITE 的准备工作需要采取有效的学习方法。2014 年，ABS 宣布将 ABSITE 与 SCORE®课程对齐。我们假设实施计划-执行-研究-行动（PDSA）方法将有助于外科住院医师提高他们在 ABSITE 上的表现。
在一个机构中，经过 20 多年的时间，根据三个时间框架评估住院医师的 ABSITE 表现：时间 A（2004-2013 年），没有特定的课程；时间 B（2014-2019 年），每年都会进行一次基于全面的 ABSITE 模拟 SCORE®的多项选择题考试（MCQ）；时间 C（2020-2023 年），与时间 B 相同，对于 ABSITE 模拟 SCORE®考试中得分低于 60%的人，采用 PDSA 方法。在学年开始时，即 7 月，所有住院医师都被鼓励（1）根据发布的 ABSITE 大纲内容主题（计划）使用 SCORE®制定即将到来的 ABSITE 学习计划，（2）在 10 月参加基于 ABSITE 模拟的 SCORE®考试（执行），（3）评估结果/分数（研究），（4）确定适当的下一步（行动）。对时间 B 和时间 C 中的 ABSITE 分数与基于 ABSITE 模拟的 SCORE®考试分数之间的相关性进行了相关分析。主要结果是 ABSITE 分数<30%的比例变化。
共分析了 94 名住院医师的 294 个 ABSITE 分数（34 名女性和 60 名男性）。我们发现，与时间 B（0.62，p < 0.0001）相比，时间 C 中 ABSITE 分数与基于 ABSITE 模拟的 SCORE®考试分数之间的相关性更强（r=0.73，p<0.0001）。ABSITE 分数低于 30%的住院医师比例从 14.0%显著下降到 3.7%（p=0.016）。
使用 SCORE®课程实施计划-执行-研究-行动（PDSA）方法显著提高了住院医师在 ABSITE 考试中的表现。鼓励外科住院医师使用这种方法，并在他们的学习计划中使用 ABS 列出的 SCORE 内容。
