title: Achievement in surgical residency: are objective measures of performance associated with awards received in final years of training?
abstract: OBJECTIVE
  For the past 15 years at our institution's general surgery residency program, 3 of the senior residents have been chosen to be awarded either (1) Best Resident in Research, (2) Best Resident in Teaching, or (3) Best Resident Overall. Considering that these awards serve as data representing outstanding performance as surgical residents, the objective of this study was to determine the association between receiving one of these awards and objective measures of performance.
  
  
  METHODS
  Individual files were reviewed for the 103 residents who graduated from our institution's general surgery program from 1994 to 2010. These data were studied as a whole, and then divided into an award-winning group and a non-award winning group and subsequently compared across several objective parameters, including The United States Medical Licensing Examination (USMLE) scores, American Board of Surgery In-Training Examination (ABSITE) scores, first-time American Board of Surgery Certifying and Qualifying Examination pass rates, Alpha Omega Alpha membership status, and number of research years, using a logistic regression model.
  
  
  RESULTS
  Overall, 103 residents completed their general surgery residency training at our institution from 1994 to 2010, and of these residents, 16 (16%) received the Best Resident in Research award, 15 (16%) received the Best Resident in Teaching award, and 17 (17%) received the Best Resident Overall award in their final years of training. Compared with those who did not receive an award, a hypothesis-based one-tailed test revealed that award winners had a significantly lower median USMLE Step 1 scores (p = 0.04) and marginally lower median USMLE Step 2 scores (p = 0.05). Alpha Omega Alpha membership status, median ABSITE percent correct overall, first-time American Board of Surgery examination pass rates, and number of research years during residency were not significantly different between the 2 groups.
  
  
  CONCLUSIONS
  Many factors contribute to success during general surgery residency. Our study showed that higher USMLE and ABSITE scores were not associated with receiving top awards in final years of training at one institution over 15 years.
authors.affiliation: Department of Surgery, Vanderbilt University Medical Center, Nashville, Tennessee; Department of Surgery, Massachusetts General Hospital, Boston, Massachusetts. Electronic address: Rmainthia@partners.org.
authors.forename: Rajshri
authors.initials: R
authors.lastname: Mainthia
authors.affiliation: Department of Surgery, Vanderbilt University Medical Center, Nashville, Tennessee.
authors.forename: Margaret J
authors.initials: MJ
authors.lastname: Tarpley
authors.affiliation: Department of Biostatistics, Vanderbilt University School of Medicine, Nashville, Tennessee.
authors.forename: Mario
authors.initials: M
authors.lastname: Davidson
authors.affiliation: Department of Surgery, Vanderbilt University Medical Center, Nashville, Tennessee.
authors.forename: John L
authors.initials: JL
authors.lastname: Tarpley
mesh_terms: D000328:Adult; D001363:Awards and Prizes; D002983:Clinical Competence; D004521:Educational Measurement; D005260:Female; D013502:General Surgery / Q000193:education*; D006801:Humans; D007396:Internship and Residency; D008297:Male
keywords: Interpersonal and Communication Skills; Medical Knowledge; Practice-Based Learning and Improvement; United States Medical Licensing Examination (USMLE); education; general surgery; residency application; resident awards; resident evaluation