Learning to Read: Successful Program-Based Remediation Using the Surgical Council on Resident Education (SCORE) Curriculum - 23/03/21

Doi : 10.1016/j.jamcollsurg.2020.11.030

Taylor P. Williams, MD, Kevin J. Hancock, MD, V Suzanne Klimberg, MD, PhD, MSHCT, FACS, Ravi S. Radhakrishnan, MD, MBA, FACS, Douglas S. Tyler, MD, MSHCT, FACS, Alexander Perez, MD, FACS ^⁎
Department of Surgery, University of Texas Medical Branch, Galveston, TX

^∗Correspondence address: Alexander Perez, MD, FACS, University of Texas Medical Branch at Galveston, Department of Surgery, 301 University Blvd, Galveston, TX 77555.University of Texas Medical Branch at GalvestonDepartment of Surgery301 University BlvdGalvestonTX77555

Abstract

Background

The Surgical Council on Resident Education (SCORE) curriculum is aligned with the American Board of Surgery (ABS) objectives. Our program adopted the SCORE curriculum in 2015 after poor ABS In-Training Examination (ABSITE) performance and lowest quartile ABS Certifying Exam (CE) and Qualifying Exam (QE) first-time pass rates. We examined the association of SCORE use with ABSITE performance and ABS board exam first-time pass rate.

Study design

At a single institution, a retrospective review of surgery residents’ SCORE metrics and ABSITE percentile was conducted for academic years 2015 to 2019. Metrics analyzed on the SCORE web portal were mean total minutes and total visits per resident for all residents using SCORE that year. First-time pass rates of the ABS QE and CE were examined from 2013 to 2019. Chi-square and linear regression analysis were performed, and a 95% level of confidence was assumed (alpha = 0.05).

Results

Yearly data from categorical general surgery residents showed a significant increase in total minutes, total visits, and ABSITE percentile. Combined first time pass rates for the ABS QE and CE significant increased from 70.8% in 2013 to 2015 to 93.9% in 2016 to 2019 (p = 0.018).

Conclusions

Increased longitudinal use of the SCORE curriculum was associated with programmatic improvements in ABSITE performance and ABS board exam first-time pass rate.

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Abbreviations and Acronyms : ABS, ABSITE, CE, QE, SCORE, TL