John C McAuliffe1, Robert H McAuliffe2, Gustavo Romero-Velez3, Mindy Statter4, W Scott Melvin5, Peter Muscarella6. 1. Department of Surgery, Montefiore Medical Center, 1865 Eastchester Rd, Suite 2S7, Bronx, NY, 10461, USA. Electronic address: jomcauli@montefiore.org. 2. 121 County Rd 449, Collinsville, AL, 35961, USA. Electronic address: mcauliro84@gmail.com. 3. Department of Surgery, Montefiore Medical Center, 3400 Bainbridge Avenue, MMC-MAP, Bronx, NY, 10467, USA. Electronic address: gromero@montefiore.org. 4. Department of Surgery, Montefiore Medical Center, 3415 Bainbridge Avenue, Bronx, NY, 10467, USA. Electronic address: mstatter@montefiore.org. 5. Department of Surgery, Montefiore Medical Center, 3400 Bainbridge Avenue, MMC-MAP, Room 4409, Bronx, NY, 10467, USA. Electronic address: wsmelvin@montefiore.org. 6. Department of Surgery, Montefiore Medical Center, 1865 Eastchester Rd, Bronx, NY, 10461, USA. Electronic address: pmuscare@montefiore.org.
Abstract
BACKGROUND: Comprehensive studies evaluating the efficacy of team-based competition ("Gamification") in surgery have not been performed. Board pass rates and resident satisfaction may improve if surgical residents are involved in competition. METHODS: Residents at Montefiore Medical Center (Bronx, New York) were surveyed and separated into teams during a draft. Each resident's performance was converted into a point system. Resident scores were combined into a team score and presented as a leaderboard. Awards were given. ABSITE, ACGME residency satisfaction, and ABS qualifying exam pass rates were compared. RESULTS: Sixty percent of residents are inspired to improve their performance during gamification. ABSITE average percentile score improved from 28 to 43. ABS qualifying exam pass rates improved from 73% to 100%. Resident satisfaction improved from 65% to 88%. The point system allowed for establishing "growth curves" for each resident enabling enhanced assessment of residents. CONCLUSIONS: A comprehensive team-based competition inspires performance, is feasible, and seems to improve ABSITE scores, ABS pass rates, and satisfaction while being a tool for assessment of performance.
BACKGROUND: Comprehensive studies evaluating the efficacy of team-based competition ("Gamification") in surgery have not been performed. Board pass rates and resident satisfaction may improve if surgical residents are involved in competition. METHODS: Residents at Montefiore Medical Center (Bronx, New York) were surveyed and separated into teams during a draft. Each resident's performance was converted into a point system. Resident scores were combined into a team score and presented as a leaderboard. Awards were given. ABSITE, ACGME residency satisfaction, and ABS qualifying exam pass rates were compared. RESULTS: Sixty percent of residents are inspired to improve their performance during gamification. ABSITE average percentile score improved from 28 to 43. ABS qualifying exam pass rates improved from 73% to 100%. Resident satisfaction improved from 65% to 88%. The point system allowed for establishing "growth curves" for each resident enabling enhanced assessment of residents. CONCLUSIONS: A comprehensive team-based competition inspires performance, is feasible, and seems to improve ABSITE scores, ABS pass rates, and satisfaction while being a tool for assessment of performance.
Authors: Kevin J Hancock; V Suzanne Klimberg; Taylor P Williams; Douglas S Tyler; Ravi Radhakrishnan; Sifrance Tran Journal: J Surg Res Date: 2020-08-17 Impact factor: 2.192