Literature DB >> 24209647

Effect of January vacations and prior night call status on resident ABSITE performance.

Jane G Sugar1, Quyen D Chu, Philip A Cole, Benjamin D L Li, Roger H Kim.   

Abstract

OBJECTIVE: To determine if vacations in January or on-call status have an effect on American Board of Surgery In-Training Examination (ABSITE) scores.
DESIGN: Retrospective review of the performance of general surgery residents on ABSITE. Data collected included ABSITE scores, United States Medical Licensing Examination Step 2 scores, January vacation schedules, and call schedules. ABSITE performance was examined for correlation with vacation or call schedules. Student t test was used for statistical analysis, with a p value of less than 0.05 considered significant.
SETTING: General surgery residency program at the Louisiana State University Health Sciences Center-Shreveport, a university hospital-based program with 5 categorical residents per year. PARTICIPANTS: Postgraduate year (PGY) 1 through 5 general surgery categorical residents from 2006 to 2012.
RESULTS: A total of 170 ABSITE scores from 55 residents were reviewed. The mean score when vacation was taken was 48.6 as compared with 36.3 when no vacation was taken (p = 0.02). Residents who took a January vacation at least once in their residency had a mean score of 42.8 as compared with 37.7 of those who did not (p = 0.43). The mean United States Medical Licensing Examination Step 2 score of residents who took a January vacation at least once in their residency was 218 as compared with 217 for their peers (p = 0.78). Among residents who took January vacations, the mean score in the years they took vacation was 49.4 as compared with 35.4 in the years they did not (p = 0.02). Prior night call status had no effect on the examination scores (44.2 vs 38.6, p = 0.30).
CONCLUSIONS: Mean ABSITE scores were higher for residents who took a January vacation before the examination, despite no apparent difference in baseline test-taking ability. Among residents who took January vacations, mean scores were higher in the years they took vacation than in other years. On-call status did not have an effect on ABSITE performance. Vacation schedules in January can have a significant effect on ABSITE scores.
Copyright © 2013 Association of Program Directors in Surgery. Published by Elsevier Inc. All rights reserved.

Entities:  

Keywords:  ABSITE; Medical Knowledge; Patient Care; Professionalism; call schedule; graduate medical education; residency; surgery; vacation

Mesh:

Year:  2013        PMID: 24209647     DOI: 10.1016/j.jsurg.2013.06.013

Source DB:  PubMed          Journal:  J Surg Educ        ISSN: 1878-7452            Impact factor:   2.891


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