Department of Surgery, University of California, San Diego, CA.
Department of Surgery, University of California, San Diego, CA.
J Surg Educ. 2024 Nov;81(11):1691-1698. doi: 10.1016/j.jsurg.2024.08.021. Epub 2024 Sep 19.
The American Board of Surgery In-Training Examination (ABSITE) is an important factor in general surgery resident career development. The use of practice question banks for ABSITE preparation improves exam scores and completing more practice questions results in higher scores. The objective of this study is to describe the design of a novel, team-based ABSITE competition implemented into our residency program and analyze its effect on exam performance.
For the 2023 to 2024 academic year (AY), residents were randomly sorted into teams. The number of TrueLearn (TL) practice questions completed by each team during the 6-month period preceding the 2024 ABSITE was monitored at regular intervals. Paired sample t-test was used to compare total questions completed and ABSITE percent scores from the prior AY. Simple linear regression was performed to determine if total completed questions predicted ABSITE percent scores, and if the change in total completed questions predicted a change in ABSITE percent scores for unique residents.
University-affiliated general surgery residency program.
34 clinical and research general surgery residents.
Mean total TL questions completed per resident increased by 175.2, with a difference trending toward statistical significance (1037.9 ± 583.6 vs 1213.1 ± 596.0, p = 0.08). Mean ABSITE percent scores significantly increased by 4.6% (68.2 ± 8.7 vs 72.8 ± 5.7, p < 0.001). Total completed questions positively correlated with ABSITE percent scores (R = 0.21, F (1,66) = 17.04, p < 0.001). Among individual residents, completing more questions than the prior AY predicted improvement in ABSITE percent scores (R =.18, F (1,32) = 7.02, p = 0.01). Our model predicts that by completing 300 additional practice questions (e.g. 10 more questions/day for 1 month) a resident's ABSITE percent score will increase by 4.8 percentage points.
Implementation of a team-based ABSITE competition is a straightforward and effective intervention that increases general surgery resident question bank utilization and significantly improves ABSITE percent scores.
美国外科学委员会住院医师培训考试（ABSITE）是普通外科住院医师职业发展的重要因素。使用实践题库进行 ABSITE 准备可以提高考试成绩，而完成更多的练习题则会获得更高的分数。本研究的目的是描述一种新颖的、基于团队的 ABSITE 竞赛的设计，该竞赛已在我们的住院医师培训计划中实施，并分析其对考试成绩的影响。
在 2023 至 2024 学年（AY），住院医师被随机分组。在 2024 年 ABSITE 之前的 6 个月期间，以固定间隔监测每个团队完成的 TrueLearn（TL）练习题数量。采用配对样本 t 检验比较前一 AY 中完成的总题数和 ABSITE 百分率。进行简单线性回归以确定完成的总题数是否预测 ABSITE 百分率，以及对于独特的住院医师，完成的总题数的变化是否预测 ABSITE 百分率的变化。
大学附属普通外科住院医师培训计划。
34 名临床和研究普通外科住院医师。
每位住院医师平均完成的 TL 练习题总数增加了 175.2 道，差异具有统计学趋势（1037.9 ± 583.6 与 1213.1 ± 596.0，p=0.08）。ABSITE 百分率显著提高了 4.6%（68.2 ± 8.7 与 72.8 ± 5.7，p<0.001）。完成的总题数与 ABSITE 百分率呈正相关（R=0.21，F（1,66）=17.04，p<0.001）。在个别住院医师中，完成比前一 AY 更多的题目可以预测 ABSITE 百分率的提高（R=0.18，F（1,32）=7.02，p=0.01）。我们的模型预测，通过完成 300 道额外的练习题（例如，每天增加 10 道题，持续 1 个月），住院医师的 ABSITE 百分率将提高 4.8 个百分点。
实施基于团队的 ABSITE 竞赛是一种简单而有效的干预措施，可以增加普通外科住院医师对题库的利用，并显著提高 ABSITE 百分率。
