Exploring relationships of senior medical students' performance with entrustable professional activities assessed by oral examinations.

IF 2.7 3区医学 Q1 SURGERY

American journal of surgery Pub Date : 2025-08-08 DOI:10.1016/j.amjsurg.2025.116538

Chaise Zozaya, Tamir E Bresler, Philip Bohlmann, Sean Morton, Anjali S Kumar

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引用次数: 0

Abstract

Objective: This study evaluates the link between senior medical students' performance on oral exams and overall competency, expanding on previous research.

Methods: We analyzed the performance of students in surgery rotations with required oral exams, focusing on Core Entrustable Professional Activities for entering Residency (CEPAR) domains. Oral exam scores were compared with end-of-rotation grades to identify correlations.

Results: From 2020 to 2024, 158 enrollments in 11 surgical courses by 89 students were analyzed. Of these, 47 % were from required sub-internships. Faculty volunteers contributed ∼150 h. In AY2023, 24 oral exams were conducted. Oral exam scores showed a weak correlation with clinical performance (r = 0.232, P = 0.275) and a moderate correlation with final grades (r = 0.37, P = 0.074). Clinical performance was strongly correlated with final grades (r = 0.86, P < 0.05).

Conclusion: The analysis revealed weak-to-moderate correlations between senior medical students' performance on surgery oral examinations and their overall competency, suggesting the oral exam offers additive, rather than redundant, assessment information. This tool may aid in assessing readiness for residency and tailoring educational interventions.

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探讨高年级医学生的表现与委托性专业活动的关系。

目的：在前人研究的基础上，探讨医学生口试成绩与综合能力的关系。方法：我们分析了要求进行口头考试的外科轮转学生的表现，重点是进入住院医师的核心可信赖专业活动（CEPAR）领域。将口试成绩与轮转结束时的成绩进行比较，以确定相关性。结果：分析了2020 - 2024年89名学生11门外科课程158例入学情况。其中，47%来自要求的次级实习。学院志愿者贡献了约150小时。在2023年，进行了24次口试。口试成绩与临床表现呈弱相关（r = 0.232, P = 0.275），与期末成绩呈中等相关（r = 0.37, P = 0.074）。临床表现与最终评分呈正相关（r = 0.86, P < 0.05）。结论：分析显示医学生口腔外科考试成绩与其整体能力存在弱至中度的相关关系，表明口腔考试提供了附加而非冗余的评估信息。这个工具可以帮助评估住院医师的准备情况和调整教育干预措施。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

American journal of surgery 医学-外科

CiteScore

5.00

自引率

6.70%

发文量

570

审稿时长

56 days

期刊介绍： The American Journal of Surgery® is a peer-reviewed journal designed for the general surgeon who performs abdominal, cancer, vascular, head and neck, breast, colorectal, and other forms of surgery. AJS is the official journal of 7 major surgical societies* and publishes their official papers as well as independently submitted clinical studies, editorials, reviews, brief reports, correspondence and book reviews.