Abstract Objective: To determine how other program directors use the American Board of Surgery In-Training Examination (ABSITE) scores in the resident evaluation process. Design: A cover letter and a printed one-page survey of eight questions about individual residency programs, the use of ABSITE scores in the evaluation process, minimum score for advancement, and actions taken, if any, for failure to meet required scores; space was provided for comments. Setting: Two hundred seventy directors of surgical residency programs. Participants: Two hundred thirty-one (86%) directors of general surgery residency programs. Main Outcome Measures: The responses received in this questionnaire were similar to those received in the 1983 survey given by the American Board of Surgery. Results: The majority of directors require their residents to take the ABSITE, but they differ greatly in their methods to retain or dismiss a resident, to evaluate the program and the cognitive knowledge of the residents, and to measure resident performance. Conclusions: The actions taken by program directors in their use of ABSITE scores vary widely, with a noticeable difference found when comparing the methods between the university and community hospital directors. Our survey findings show that there is still no uniform standard or agreement as to how the scores should be used, even though the ABSITE has been in existence for 20 years.(Arch Surg. 1996;131:412-415) References 1. Levit EJ. In-training evaluation of learning: objective measurement of the product and process of graduate medical education . Arch Dermatol . 1969;99:342-349.Crossref 2. Friedmann P. A program director's view of the in-training examination . Am Coll Surg Bull . 1985;70:7-11. 3. Baue AE, Saunders Jr RH, Schumacher CF, et al. In-training evaluation of surgical residents . J Surg Res . 1968;8:341-344.Crossref 4. Grosse ME, Cruft GE, Blaisdell W. The American Board of Surgery In-Training Examination . Arch Surg . 1980;115:654-657.Crossref 5. Biester TW. The American Board of Surgery In-Training Examination as a predictor of success on the Qualifying Examination . Curr Surg . 1987;44:198. 6. Griffen Jr WO. American Board of Surgery In-Training/Surgical Basic Science Examination (ABSITE) comes of age . Surgery . 1993;113:117-119. 7. Risucci DA, Tortolani AJ, Ward RJ. Ratings of surgical residents by self, supervisors and peers . Surg Gynecol Obstet . 1989;169:519-526. 8. Luchette F, Booth FMcL, Seibel R, et al. Experience as a surgeon determines resident knowledge . Surgery . 1992;112:419-423. 9. Dean RE, Hanni CL, Pyle MJ, Nicholas WR. Influence of programmed textbook review on American Board of Surgery In-Service Examination Scores . Am Surg . 1984;50:345-350. 10. Chaisson GM. The development and utilization of in-training examinations in graduate medical education . J Med Educ . 1978;53:502-504. 11. Garvin PJ, Kaminski DL. Significance of the in-training examination in a surgical residency program . Surgery . 1984;96:109-113. 12. Wade TP, Andrus CH, Kaminski DL. Evaluations of surgery resident performance correlate with success in board examinations . Surgery . 1993;113:644-648. 13. Borlase BC, Bartle EJ, Moore EE. Does the in-service training examination correlate with clinical performance in surgery? Curr Surg . 1985;42:290-292. 14. Shetler PL. Observations on the American Board of Surgery In-Training Examination, Board results, and conference attendance . Am J Surg . 1982;144: 292-294.Crossref 15. Berry RE. ABSITE: uses and abuses . Curr Surg . 1984;41:329-334. 16. Hirvela ER, Becker DR. Impact of programmed reading on ABSITE performance . Am J Surg . 1991;162:487-490.Crossref 17. Erlandson EE, Calhoun JG, Barrack FM, et al. Resident selection: applicant selection criteria compared with performance . Surgery . 1982;92:270-275. 18. Anwar RAH, Bosk C, Greenburg AG. Resident evaluation: is it, can it, should it be objective? J Surg Res . 1981;30:27-41.Crossref 19. Ballinger WF. The validity and uses of the in-training examination . Am Coll Surg Bull . 1985;70:12-16.
Archives of Surgery – American Medical Association
Published: Apr 1, 1996