PMID- 35902350
OWN - NLM
STAT- MEDLINE
DCOM- 20221122
LR  - 20230301
IS  - 1878-7452 (Electronic)
IS  - 1878-7452 (Linking)
VI  - 79
IP  - 6
DP  - 2022 Nov-Dec
TI  - Just Do It: Participation in Structured Online Curricula Reliably Improves Low 
      ABSITE Scores.
PG  - e166-e172
LID - S1931-7204(22)00171-4 [pii]
LID - 10.1016/j.jsurg.2022.07.011 [doi]
AB  - OBJECTIVE: We hypothesized residents enrolled in an Accelerated Clinical 
      Education in Surgery (ACES) program would improve their scores to above the 
      30(th) percentile. We analyzed which components of ACES correlated with 
      improvement. DESIGN AND SETTING: A retrospective review of three academic cycles 
      (2018-2021) at an academic general surgery residency. PARTICIPANTS: Residents 
      scoring </=30(th) percentile on the ABSITE were enrolled in ACES. Baseline 
      demographics including STEP scores were collected. ACES included: (1) SCORE and 
      DeckerMed assignments (2) Weekly faculty review sessions and (3) Monthly meeting 
      with assigned mentor. Data were analyzed by Student's t-test, one-way ANOVA and 
      Fisher's exact test. RESULTS: Twenty-six surgical residents enrolled in ACES. 
      Compared to residents not in ACES, there was no significant difference females 
      (15 vs. 15; p = 0.19) and STEP 2 scores (241 vs. 246; p = 0.06). Residents in 
      ACES had significantly lower STEP 1 (225 vs. 237; p < 0.001) and STEP 3 (212 vs. 
      223; p < 0.001) scores. Demographics of ACES residents who subsequently scored 
      >30(th) percentile were similar to those who didn't, except for STEP 3 scores 
      (216 vs. 204; p = 0.008). For residents in ACES, the completion of assignments 
      between July and January was significantly higher for those who subsequently 
      achieved an ABSITE score >30(th) percentile: TWIS, 77% vs. 53% (p = 0.022), 
      Decker WC, 80% vs. 49% (p = 0.009) and Decker MR, 53% vs. 29% (p = 0.016). 
      Completion of an online practice exam prior to ABSITE also correlated with score 
      >30(th) percentile (57% vs. 13%, p = 0.007). There was also no correlation 
      between the number of faculty review sessions and ABSITE (11.5 vs.11.9, 
      p = 0.931). CONCLUSIONS: Participation in a structured online program of reading 
      and quizzes was durably effective in improving ABSITE scores >30(th) percentile. 
      Completion of online assignments, rather than scores on practice tests or review 
      sessions, appeared to be the most important factor for success.
CI  - Copyright (c) 2022 Association of Program Directors in Surgery. Published by 
      Elsevier Inc. All rights reserved.
FAU - Tarras, Samantha
AU  - Tarras S
AD  - The Michael and Marian Ilitch Department of Surgery, Wayne State University, 
      Detroit, Michigan. Electronic address: starras@med.wayne.edu.
FAU - White, Michael T
AU  - White MT
AD  - The Michael and Marian Ilitch Department of Surgery, Wayne State University, 
      Detroit, Michigan.
FAU - Toloff, Katelyn
AU  - Toloff K
AD  - The Michael and Marian Ilitch Department of Surgery, Wayne State University, 
      Detroit, Michigan.
FAU - Cooley, Dana
AU  - Cooley D
AD  - The Michael and Marian Ilitch Department of Surgery, Wayne State University, 
      Detroit, Michigan.
FAU - Edelman, David
AU  - Edelman D
AD  - The Michael and Marian Ilitch Department of Surgery, Wayne State University, 
      Detroit, Michigan.
LA  - eng
PT  - Journal Article
DEP - 20220725
PL  - United States
TA  - J Surg Educ
JT  - Journal of surgical education
JID - 101303204
SB  - IM
MH  - Humans
MH  - Female
MH  - *Curriculum
MH  - *Internship and Residency
MH  - Retrospective Studies
MH  - Educational Status
OTO - NOTNLM
OT  - ABSITE
OT  - Remediation Program
OT  - Surgery Residency Education
EDAT- 2022/07/29 06:00
MHDA- 2022/11/23 06:00
CRDT- 2022/07/28 22:06
PHST- 2022/03/24 00:00 [received]
PHST- 2022/06/03 00:00 [revised]
PHST- 2022/07/05 00:00 [accepted]
PHST- 2022/07/29 06:00 [pubmed]
PHST- 2022/11/23 06:00 [medline]
PHST- 2022/07/28 22:06 [entrez]
AID - S1931-7204(22)00171-4 [pii]
AID - 10.1016/j.jsurg.2022.07.011 [doi]
PST - ppublish
SO  - J Surg Educ. 2022 Nov-Dec;79(6):e166-e172. doi: 10.1016/j.jsurg.2022.07.011. Epub 
      2022 Jul 25.