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Factors Predictive of Orthopaedic In-training Examination Performance and Research Productivity Among Orthopaedic Residents

Kreitz, Tyler, MD; Verma, Satyendra, PhD; Adan, Alexei, MD; Verma, Kushagra, MD

JAAOS - Journal of the American Academy of Orthopaedic Surgeons: March 15, 2019 - Volume 27 - Issue 6 - p e286–e292
doi: 10.5435/JAAOS-D-17-00257
Research Article

Introduction: Selection of qualified candidates for orthopaedic residency is necessary for growth and innovation. The purpose of this study was to determine predictors of Orthopaedic In-training Exam (OITE) performance and research productivity.

Methods: A survey was distributed to 13 residency programs collecting demographics, United States Medical Licensing Examination (USMLE) and OITE scores, and authored publications. Associations between preresidency qualifications and OITE scores and publications were determined.

Results: A total of 274 of 294 surveys were returned (93.2%). We found a positive correlation between USMLE step 1 and 2 scores with recent OITE percentile (P < 0.001). Preresidency authorship (P < 0.001) and postgraduate training year (P < 0.001) were independent predictors of authorship during residency, whereas USMLE step 1 score was not (P = 0.094).

Conclusion: Candidates who perform well on the USMLE are likely to perform well on the OITE, whereas those with greater authored publications are likely to continue research during residency.

From the Department of Orthopaedic Surgery, Thomas Jefferson University Hospitals, Philadelphia, PA (Dr. Kreitz), the Department of Economics, University of Maryland, College Park, MD (Dr. S. Verma), the Temple University, Philadelphia, PA (Dr. Adan), and the Department of Orthopaedics, University of Washington, Seattle, WA (Dr. K. Verma).

Correspondence to Dr. Kreitz:

None of the following authors or any immediate family member has received anything of value from or has stock or stock options held in a commercial company or institution related directly or indirectly to the subject of this article: Dr. Kreitz, Dr. S. Verma, Dr. Adan, and Dr. K. Verma.

© 2019 by American Academy of Orthopaedic Surgeons
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