Hannah K Holland, Thomas Hosseini, Halen M Turner, Rana M Higgins, Jacob R Peschman, Nathan W Kugler
{"title":"结构化ABSITE®补救计划对居民绩效的影响。","authors":"Hannah K Holland, Thomas Hosseini, Halen M Turner, Rana M Higgins, Jacob R Peschman, Nathan W Kugler","doi":"10.1016/j.jsurg.2025.103696","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>We aimed to identify the impact of a formalized American Board of Surgery In-Training Examination (ABSITE®) remediation program at our institution, with a primary outcome of avoidance of ongoing remediation.</p><p><strong>Design: </strong>Residents with ABSITE® scores below predetermined performance metric targets were assigned to a mandatory remediation program consisting of assigned quizzes through a purchased question bank repository, faculty meetings with individualized learning plan (ILP) development, and a mock ABSITE®. Question bank usage and performance were compared to ABSITE® performance standardized to the national median for the training year.</p><p><strong>Setting: </strong>This work was conducted within the Medical College of Wisconsin academic general surgery residency program (Milwaukee, WI) across the 2023-2025 academic years.</p><p><strong>Participants: </strong>Ten residents were assigned to the remediation program, based on scores below the 30th percentile on the 2023 ABSITE®, and 5 additional residents utilized the question bank but were not in remediation for the 2023-2024 academic year. Five residents were assigned to the remediation program, based on predetermined percent correct targets for postgraduate training year for the 2024 ABSITE®, and 32 additional residents utilized the question bank but were not in remediation for the 2024-2025 academic year.</p><p><strong>Results: </strong>Across the 2023-2024 and 2024-2025 academic years, 5 (50%) and 2 (40%) residents within the remediation programs improved their ABSITE® performance above the remediation threshold for the following year. During the first study year, a higher volume of practice question performance correlated with more profound score improvement, particularly when completed gradually throughout the academic year. Significant correlations were also observed between mock ABSITE® scores and ABSITE® performance during both study years.</p><p><strong>Conclusions: </strong>Implementation of a formal ABSITE® remediation program at our institution was associated with improved resident performance, highlighting the value of structured support and informing ongoing efforts to address persistent underperformance.</p>","PeriodicalId":94109,"journal":{"name":"Journal of surgical education","volume":" ","pages":"103696"},"PeriodicalIF":2.1000,"publicationDate":"2025-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"The Impact of a Structured ABSITE® Remediation Program on Resident Performance.\",\"authors\":\"Hannah K Holland, Thomas Hosseini, Halen M Turner, Rana M Higgins, Jacob R Peschman, Nathan W Kugler\",\"doi\":\"10.1016/j.jsurg.2025.103696\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>We aimed to identify the impact of a formalized American Board of Surgery In-Training Examination (ABSITE®) remediation program at our institution, with a primary outcome of avoidance of ongoing remediation.</p><p><strong>Design: </strong>Residents with ABSITE® scores below predetermined performance metric targets were assigned to a mandatory remediation program consisting of assigned quizzes through a purchased question bank repository, faculty meetings with individualized learning plan (ILP) development, and a mock ABSITE®. Question bank usage and performance were compared to ABSITE® performance standardized to the national median for the training year.</p><p><strong>Setting: </strong>This work was conducted within the Medical College of Wisconsin academic general surgery residency program (Milwaukee, WI) across the 2023-2025 academic years.</p><p><strong>Participants: </strong>Ten residents were assigned to the remediation program, based on scores below the 30th percentile on the 2023 ABSITE®, and 5 additional residents utilized the question bank but were not in remediation for the 2023-2024 academic year. Five residents were assigned to the remediation program, based on predetermined percent correct targets for postgraduate training year for the 2024 ABSITE®, and 32 additional residents utilized the question bank but were not in remediation for the 2024-2025 academic year.</p><p><strong>Results: </strong>Across the 2023-2024 and 2024-2025 academic years, 5 (50%) and 2 (40%) residents within the remediation programs improved their ABSITE® performance above the remediation threshold for the following year. During the first study year, a higher volume of practice question performance correlated with more profound score improvement, particularly when completed gradually throughout the academic year. Significant correlations were also observed between mock ABSITE® scores and ABSITE® performance during both study years.</p><p><strong>Conclusions: </strong>Implementation of a formal ABSITE® remediation program at our institution was associated with improved resident performance, highlighting the value of structured support and informing ongoing efforts to address persistent underperformance.</p>\",\"PeriodicalId\":94109,\"journal\":{\"name\":\"Journal of surgical education\",\"volume\":\" \",\"pages\":\"103696\"},\"PeriodicalIF\":2.1000,\"publicationDate\":\"2025-09-15\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of surgical education\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1016/j.jsurg.2025.103696\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of surgical education","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1016/j.jsurg.2025.103696","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
The Impact of a Structured ABSITE® Remediation Program on Resident Performance.
Objective: We aimed to identify the impact of a formalized American Board of Surgery In-Training Examination (ABSITE®) remediation program at our institution, with a primary outcome of avoidance of ongoing remediation.
Design: Residents with ABSITE® scores below predetermined performance metric targets were assigned to a mandatory remediation program consisting of assigned quizzes through a purchased question bank repository, faculty meetings with individualized learning plan (ILP) development, and a mock ABSITE®. Question bank usage and performance were compared to ABSITE® performance standardized to the national median for the training year.
Setting: This work was conducted within the Medical College of Wisconsin academic general surgery residency program (Milwaukee, WI) across the 2023-2025 academic years.
Participants: Ten residents were assigned to the remediation program, based on scores below the 30th percentile on the 2023 ABSITE®, and 5 additional residents utilized the question bank but were not in remediation for the 2023-2024 academic year. Five residents were assigned to the remediation program, based on predetermined percent correct targets for postgraduate training year for the 2024 ABSITE®, and 32 additional residents utilized the question bank but were not in remediation for the 2024-2025 academic year.
Results: Across the 2023-2024 and 2024-2025 academic years, 5 (50%) and 2 (40%) residents within the remediation programs improved their ABSITE® performance above the remediation threshold for the following year. During the first study year, a higher volume of practice question performance correlated with more profound score improvement, particularly when completed gradually throughout the academic year. Significant correlations were also observed between mock ABSITE® scores and ABSITE® performance during both study years.
Conclusions: Implementation of a formal ABSITE® remediation program at our institution was associated with improved resident performance, highlighting the value of structured support and informing ongoing efforts to address persistent underperformance.
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