Factors Associated with Successful Performance in an Orthopaedic Surgery Residency

Spitzer, Allison B.; Gage, Mark J.; Looze, Christopher; Walsh, Michael; Zuckerman, Joseph D.; Egol, Kenneth A.

doi:10.2106/jbjs.h.01243

Cited by 52 publications

(37 citation statements)

References 15 publications

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“…In contrast, other analysis of preresidency selection factors including USMLE scores, AOA membership, research publications, age at entering residency, marital status, and medical school affiliation showed that only an applicant's USMLE Step 1 score and marital status correlated with the OITE scores [26]. In the largest study to date, Spitzer et al in a retrospective review of 147 residents found that preresidency selection factors such as medical school rank and scores on the USMLE Part 1 had a positive correlation with higher scores on the OITE [29]. Turner et al [31] looked at predictive value of a composite scoring tool using weighted scores for medical school clerkship grades, AOA status, and USMLE Step 1 scores, among other criteria, and found it to be predictive of ABOS written and oral examinations as well as OITE scores (p \ 0.001).…”

Section: Discussionmentioning

confidence: 99%

Does Residency Selection Criteria Predict Performance in Orthopaedic Surgery Residency?

Raman

Alrabaa

Sood

et al. 2016

Clinical Orthopaedics &Amp; Related Research

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Background More than 1000 candidates applied for orthopaedic residency positions in 2014, and the competition is intense; approximately one-third of the candidates failed to secure a position in the match. However, the criteria used in the selection process often are subjective and studies have differed in terms of which criteria predict either objective measures or subjective ratings of resident performance by faculty. Questions/purposes Do preresidency selection factors serve as predictors of success in residency? Specifically, we asked which preresidency selection factors are associated or correlated with (1) objective measures of resident knowledge and performance; and (2) subjective ratings by faculty. Methods Charts of 60 orthopaedic residents from our institution were reviewed. Preresidency selection criteria examined included United States Medical Licensing Examination (USMLE) Step 1 and Step 2 scores, Medical College Admission Test (MCAT) scores, number of clinical clerkship honors, number of letters of recommendation, number of away rotations, Alpha Omega Alpha (AOA) honor medical society membership, fourthyear subinternship at our institution, and number of publications. Resident performance was assessed using objective measures including American Board of Orthopaedic Surgery (ABOS) Part I scores and Orthopaedics InTraining Exam (OITE) scores and subjective ratings by faculty including global evaluation scores and faculty rankings of residents. We tested associations between preresidency criteria and the subsequent objective and subjective metrics using linear correlation analysis and Mann-Whitney tests when appropriate. Results Objective measures of resident performance namely, ABOS Part I scores, had a moderate linear correlation with the USMLE Step 2 scores (r = 0.55, p \ 0.001) and number of clinical honors received in medical school (r = 0.45, p \ 0.001). OITE scores had a weak linear correlation with the number of clinical honors (r = 0.35, p = 0.009) and USMLE Step 2 scores (r = 0.29, p = 0.02). With regards to subjective outcomes, AOA membership was associated with higher scores on the global evaluation (p = 0.005). AOA membership also correlated with higher global evaluation scores (r = 0.60, p = 0.005) with the strongest correlation existing between AOA membership and the ''interpersonal and communication skills

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Section: Discussionmentioning

confidence: 99%

Does Residency Selection Criteria Predict Performance in Orthopaedic Surgery Residency?

Raman

Alrabaa

Sood

et al. 2016

Clinical Orthopaedics &Amp; Related Research

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“…applicants regard as most important are under investigated [2,3,7,13]. Research shows that the most important factors for programs include performance on orthopaedic rotations, class rank, United States Medical Licensing Exam (USMLE) Step 1 score, interview performance, and letters of recommendation [6].…”

Section: Introductionmentioning

confidence: 99%

“…Research shows that the most important factors for programs include performance on orthopaedic rotations, class rank, United States Medical Licensing Exam (USMLE) Step 1 score, interview performance, and letters of recommendation [6]. Investigations in other medical specialties show that applicants rank residency programs based on many factors, including academic reputation, lifestyle, and geographic location [5,8,10,13,14]. However, the literature lacks information regarding the effect of these and other factors for orthopaedic surgery applicants.…”

Section: Introductionmentioning

confidence: 99%

What Factors Influence Applicants’ Rankings of Orthopaedic Surgery Residency Programs in the National Resident Matching Program?

Huntington

Haines

Patt

2014

Clinical Orthopaedics &Amp; Related Research

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Background In accordance with the American Academy of Orthopaedic Surgeons' strategic goal of enriching our field by building a more diverse orthopaedic workforce, the specialty needs further information delineating the factors important to the applicant pool as a whole and more specifically to women and other underrepresented minority groups. Questions/purposes This study aims to identify (1) factors important to residency applicants selecting an orthopaedic residency program; (2) differences in factor importance for men, women, and minorities, and (3) the importance of different information sources used when making his or her rank list. Methods All 742 applicants who applied to the authors' orthopaedic surgery residency program in the 2013 National Resident Matching Program were queried. The response rate was 28% (207 of 742). Respondents were asked to rank, on a 5-point Likert scale, 37 factors that may have affected their rank lists to differing degrees. Respondents also identified the importance of sources of information used to make their rank lists, factors that residency programs considered important when ranking applicants, and their level of agreement with various sexand racial-specific statements regarding orthopaedic training. Results The most important factors affecting rank lists were perceived happiness/quality of life of current residents, resident camaraderie, and impression after an away rotation. Women weighed their personal interactions and a program's proximity to family and friends more heavily when determining a rank list. Sixty-eight percent of women eliminated residency programs from their options based on perceived sex biases versus less than 1% of men. Applicants valued information obtained from away rotations at an institution and in talking with current residents most when determining his or her rank list. Conclusions Programs should consider interpersonal factors, like quality of life and resident camaraderie as factors in attracting applicants. They also should minimize perceived biases and emphasize interactions with current residents during the application process to meet their goals of attracting an exceptional and more diverse orthopaedic workforce.

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“…Work from North America published in 2009 suggests that working in certain institutions remains a significant factor in career progression. 6 In the UK, the 1997 Calman report aimed to improve specialist training and introduced criteria for the shortlisting and interviewing process to enhance objectivity. 7 Shortlisting forms were introduced in our region in 2000.…”

Section: Discussionmentioning

confidence: 99%

Selecting Orthopaedic Trainees: A Comparative Analysis of Shortlisting Versus Interviewing

et al. 2012

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Factors Associated with Successful Performance in an Orthopaedic Surgery Residency

Cited by 52 publications

References 15 publications

Does Residency Selection Criteria Predict Performance in Orthopaedic Surgery Residency?

Does Residency Selection Criteria Predict Performance in Orthopaedic Surgery Residency?

What Factors Influence Applicants’ Rankings of Orthopaedic Surgery Residency Programs in the National Resident Matching Program?

Selecting Orthopaedic Trainees: A Comparative Analysis of Shortlisting Versus Interviewing

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