USMLE Scores and Clinical Rotation Role in Predicting ABSITE Performance Among Surgery Interns.

Autor: Elkbuli A; Department of Surgery, Kendall Regional Medical Center, Miami, Florida. Electronic address: Adel.Elkbulli@HCAHealthcare.com., Kinslow K; Department of Surgery, Kendall Regional Medical Center, Miami, Florida., Liu H; Department of Surgery, Ocala Regional Medical Center, Ocala, Florida; Department of Surgery, University of Central Florida, Orlando, Florida., Senkowski C; Department of Surgery, Memorial University Medical Center, Savanah, Georgia; Department of Surgery, Mercer University School of Medicine, Savanah, Georgia., Naveed I; Department of Surgery, Sky Ridge Medical Center, Lone Tree, Colorado., Heidi B; Department of Surgery, University of Miami/JFK Medical Center, Atlantis, Florida., McGuire E; Department of Surgery, Swedish Medical Center, Englewood, Colorado., Ang D; Department of Surgery, Ocala Regional Medical Center, Ocala, Florida; Department of Surgery, University of Central Florida, Orlando, Florida.
Jazyk: angličtina
Zdroj: The Journal of surgical research [J Surg Res] 2020 Mar; Vol. 247, pp. 8-13. Date of Electronic Publication: 2019 Dec 05.
DOI: 10.1016/j.jss.2019.10.048
Abstrakt: Background: The American Board of Surgery In-training Examination (ABSITE) is an important marker of medical knowledge. It is unclear what factors predict or improve these scores. We evaluated demographics, United States Medical Licensing Examination (USMLE) step 1 and 2 scores, and surgical rotations during the intern year to determine if there were any correlations with the ABSITE performance.
Methods: This was a multicenter retrospective review during a 6-y period, investigating the correlation and association of demographics, USMLE scores, and types of rotations on the ABSITE percentile score of interns. Demographics included age, gender, race/ethnicity, U.S. versus international/foreign medical graduate for stratified analyses. Descriptive analysis was performed with ANOVA, correlation was evaluated with 95% confidence interval, and significance was defined as P < 0.05.
Results: Complete records obtained on 89 interns from six different general surgery programs over 6 y revealed that there was a significant correlation between USMLE 1 and 2 with the ABSITE. USMLE 2 correlation was the strongest (r = 0.44, 95% confidence interval = [0.25-0.60], P < 0.05). There was a significant difference in ABSITE performance (mean score difference of 17.3 percentile, P = 0.01) of interns who had an intensive care unit rotation before examination. Other surgical rotations were not associated with an ABSITE difference. Demographic factors such as age, gender, race/ethnicity, or medical graduate background status were not associated with ABSITE scores.
Conclusions: USMLE step 2 scores had a higher correlation with intern ABSITE performance. An intensive care unit rotation before taking the ABSITE was associated with a significant difference in their percentile scores. Demographic factors were not correlated with ABSITE performance.
(Copyright © 2019 Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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