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Success in Orthopaedic Training: Resident Selection and Predictors of Quality Performance

Egol, Kenneth A. MD; Collins, Jason MD; Zuckerman, Joseph D. MD

JAAOS - Journal of the American Academy of Orthopaedic Surgeons: February 2011 - Volume 19 - Issue 2 - p 72–80
Review Article

Multiple studies have attempted to determine which attributes are predictive of success during residency as well as the optimal method of selecting residents who possess these attributes. Factors that are consistently ranked as being important in the selection of candidates into orthopaedic residency programs include performance during orthopaedic rotation, United States Medical Licensing Examination (USMLE) Step 1 score, Alpha Omega Alpha Honor Medical Society membership, medical school class rank, interview performance, and letters of recommendation. No consensus exists regarding the best predictors of resident success, but trends do exist. High USMLE Step 1 scores have been shown to correlate with high Orthopaedic In-Training Examination scores and improved surgical skill ratings during residency, whereas higher numbers of medical school clinical honors grades have been correlated to higher overall resident performance, higher residency interpersonal skills grading, higher resident knowledge grading, and higher surgical skills evaluations. Successful resident performance can be measured by evaluating psychomotor abilities, cognitive skills, and affective domain.

From New York University Hospital for Joint Diseases, New York, NY.

Dr. Egol or an immediate family member serves as a board or committee member of the Orthopaedic Trauma Association, is an unpaid consultant to Exactech, has stock or stock options held in Johnson & Johnson and Surgix, and has received research support from a company or supplier as a PI from Biomet, Stryker, and Synthes. Dr. Zuckerman or an immediate family member serves as a board member, owner, officer, or committee member of Starmed; has received royalties from Exactech; serves as a paid consultant to or is an employee of NeoStem and CareCore National; and has received research or institutional support from Arthrex, Exactech, Mitek, and Stryker. Neither Dr. Collins nor any immediate family member has received anything of value from or holds stock in a company or institution related directly or indirectly to the subject of this article.

J Am Acad Orthop Surg 2011;19: 72–80

© 2011 by American Academy of Orthopaedic Surgeons
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