Residents and Program Director Perspectives Often Differ on Optimal Preparation Strategies and the Value of the Orthopedic In-Training Examination

Christopher L Camp; Ryan M Degen; Arlen D Hanssen; Joshua S Dines; Matthew D Karam; Norman S Turner

doi:10.1016/j.jsurg.2017.06.017

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Residents and Program Director Perspectives Often Differ on Optimal Preparation Strategies and the Value of the Orthopedic In-Training Examination

Journal article

Peer reviewed

Residents and Program Director Perspectives Often Differ on Optimal Preparation Strategies and the Value of the Orthopedic In-Training Examination

Christopher L Camp, Ryan M Degen, Arlen D Hanssen, Joshua S Dines, Matthew D Karam and Norman S Turner

Journal of surgical education, Vol.75(1), pp.164-170

01/2018

DOI: 10.1016/j.jsurg.2017.06.017

PMID: 28673803

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Abstract

The purpose of this work was to compare resident and program director (PD) perspectives on the value of the Orthopaedic In-Training Examination (OITE), resident study habits, and best resources for optimal performance. A national survey of orthopedic surgery residents and PDs. Mayo Clinic, Rochester, MN PARTICIPANTS: The survey was completed by 445 (41.5%) eligible orthopedic surgery residents and 37 (77.1%) PDs. Although residents and PDs agreed on when (p = 0.896) and how much (p = 0.171) residents currently study, residents felt that the OITE was not as valuable of an assessment of their knowledge, and also felt their individual scores were less likely to remain confidential compared to PDs (p < 0.001). The mean OITE score below which residents were concerned about their ability to pass American Board of Orthopaedic Surgeons Part 1 was 9.7 percentile points higher than PDs threshold (42.3% vs. 32.6%, respectively, p = 0.003). Both groups agreed that it is important to dedicate focused study time to the OITE (p = 0.680) and to perform well (p = 0.099). Regarding the best resources and preparation strategies, both residents and PDs tended to agree on the value of most (6 of 10) study methods. Residents ranked practice question websites (mean ranking of 2.6 vs. 3.8 of 10, respectively; p < 0.001) and formal rotations in a subspecialty (6.0 vs. 7.7 respectively, p < 0.001) higher than PDs. In contrast, PDs tended to value their program's formal OITE prep program (4.1. vs. 5.3, respectively, p = 0.012) and reading primary literature (5.6 vs. 6.6, respectively, p = 0.012) more than residents. Residents and PDs agreed on many critical components of this process; however, a number of key differences in perspectives exist.

program director

Orthopaedic In-Training Examination

perspectives

Medical Knowledge

Practice-Based Learning and Improvement

OITE

resident

Details

Title: Subtitle: Residents and Program Director Perspectives Often Differ on Optimal Preparation Strategies and the Value of the Orthopedic In-Training Examination
Creators: Christopher L Camp - Department of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota. Electronic address: camp.christopher@mayo.edu
Ryan M Degen - Sports Medicine and Shoulder Service, Hospital for Special Surgery, New York, New York
Arlen D Hanssen - Department of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota
Joshua S Dines - Sports Medicine and Shoulder Service, Hospital for Special Surgery, New York, New York
Matthew D Karam - University of Iowa Hospitals and Clinics, Iowa City, Iowa
Norman S Turner - Department of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota
Resource Type: Journal article
Publication Details: Journal of surgical education, Vol.75(1), pp.164-170
Publisher: United States
DOI: 10.1016/j.jsurg.2017.06.017
PMID: 28673803
ISSN: 1931-7204
eISSN: 1878-7452
Language: English
Date published: 01/2018
Academic Unit: Orthopedics and Rehabilitation
Record Identifier: 9984040362702771

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