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

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Objectives: 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. Design: A national survey of orthopedic surgery residents and PDs. Setting: Mayo Clinic, Rochester, MN. Participants: The survey was completed by 445 (41.5%) eligible orthopedic surgery residents and 37 (77.1%) PDs. Results: 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. Conclusion: Residents and PDs agreed on many critical components of this process; however, a number of key differences in perspectives exist.

Original languageEnglish (US)
JournalJournal of Surgical Education
DOIs
StateAccepted/In press - 2017

Fingerprint

Orthopedics
director
resident
examination
Values
Aptitude
surgery
Habits
Reading
resources
habits
website
ranking
ability

Keywords

  • Medical knowledge
  • OITE
  • Orthopaedic In-Training Examination
  • Perspectives
  • Practice-based learning
  • Program director
  • Resident

ASJC Scopus subject areas

  • Surgery
  • Education

Cite this

Residents and Program Director Perspectives Often Differ on Optimal Preparation Strategies and the Value of the Orthopedic In-Training Examination. / Camp, Christopher L.; Degen, Ryan M.; Hanssen, Arlen D.; Dines, Joshua S.; Karam, Matthew D.; Turner, Norman S.

In: Journal of Surgical Education, 2017.

Research output: Contribution to journalArticle

Camp, Christopher L. ; Degen, Ryan M. ; Hanssen, Arlen D. ; Dines, Joshua S. ; Karam, Matthew D. ; Turner, Norman S. / Residents and Program Director Perspectives Often Differ on Optimal Preparation Strategies and the Value of the Orthopedic In-Training Examination. In: Journal of Surgical Education. 2017.
@article{7a0fe95d8f024525ae85408699455d79,
title = "Residents and Program Director Perspectives Often Differ on Optimal Preparation Strategies and the Value of the Orthopedic In-Training Examination",
abstract = "Objectives: 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. Design: A national survey of orthopedic surgery residents and PDs. Setting: Mayo Clinic, Rochester, MN. Participants: The survey was completed by 445 (41.5{\%}) eligible orthopedic surgery residents and 37 (77.1{\%}) PDs. Results: 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. Conclusion: Residents and PDs agreed on many critical components of this process; however, a number of key differences in perspectives exist.",
keywords = "Medical knowledge, OITE, Orthopaedic In-Training Examination, Perspectives, Practice-based learning, Program director, Resident",
author = "Camp, {Christopher L.} and Degen, {Ryan M.} and Hanssen, {Arlen D.} and Dines, {Joshua S.} and Karam, {Matthew D.} and Turner, {Norman S.}",
year = "2017",
doi = "10.1016/j.jsurg.2017.06.017",
language = "English (US)",
journal = "Journal of Surgical Education",
issn = "1931-7204",
publisher = "Elsevier Inc.",

}

TY - JOUR

T1 - Residents and Program Director Perspectives Often Differ on Optimal Preparation Strategies and the Value of the Orthopedic In-Training Examination

AU - Camp, Christopher L.

AU - Degen, Ryan M.

AU - Hanssen, Arlen D.

AU - Dines, Joshua S.

AU - Karam, Matthew D.

AU - Turner, Norman S.

PY - 2017

Y1 - 2017

N2 - Objectives: 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. Design: A national survey of orthopedic surgery residents and PDs. Setting: Mayo Clinic, Rochester, MN. Participants: The survey was completed by 445 (41.5%) eligible orthopedic surgery residents and 37 (77.1%) PDs. Results: 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. Conclusion: Residents and PDs agreed on many critical components of this process; however, a number of key differences in perspectives exist.

AB - Objectives: 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. Design: A national survey of orthopedic surgery residents and PDs. Setting: Mayo Clinic, Rochester, MN. Participants: The survey was completed by 445 (41.5%) eligible orthopedic surgery residents and 37 (77.1%) PDs. Results: 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. Conclusion: Residents and PDs agreed on many critical components of this process; however, a number of key differences in perspectives exist.

KW - Medical knowledge

KW - OITE

KW - Orthopaedic In-Training Examination

KW - Perspectives

KW - Practice-based learning

KW - Program director

KW - Resident

UR - http://www.scopus.com/inward/record.url?scp=85021642288&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85021642288&partnerID=8YFLogxK

U2 - 10.1016/j.jsurg.2017.06.017

DO - 10.1016/j.jsurg.2017.06.017

M3 - Article

AN - SCOPUS:85021642288

JO - Journal of Surgical Education

JF - Journal of Surgical Education

SN - 1931-7204

ER -