Relationships between study habits, burnout, and general surgery resident performance on the American Board of Surgery In-Training Examination

Matthew R. Smeds, Carol R. Thrush, Faith K. McDaniel, Roop Gill, Mary K. Kimbrough, Brian D. Shames, Jeffrey J. Sussman, Joseph M Galante, Catherine M. Wittgen, Parswa Ansari, Steven R. Allen, Michael S. Nussbaum, Donald T. Hess, David C. Knight, Frederick R. Bentley

Research output: Contribution to journalArticle

8 Citations (Scopus)

Abstract

Background: The American Board of Surgery In-Training Examination (ABSITE) is used by programs to evaluate the knowledge and readiness of trainees to sit for the general surgery qualifying examination. It is often used as a tool for resident promotion and may be used by fellowship programs to evaluate candidates. Burnout has been associated with job performance and satisfaction; however, its presence and effects on surgical trainees' performance are not well studied. We sought to understand factors including burnout and study habits that may contribute to performance on the ABSITE examination. Methods: Anonymous electronic surveys were distributed to all residents at 10 surgical residency programs (n = 326). Questions included demographics as well as study habits, career interests, residency characteristics, and burnout scores using the Oldenburg Burnout Inventory, which assesses burnout because of both exhaustion and disengagement. These surveys were then linked to the individual's 2016 ABSITE and United States Medical Licensing Examination (USMLE) step 1 and 2 scores provided by the programs to determine factors associated with successful ABSITE performance. Results: In total, 48% (n = 157) of the residents completed the survey. Of those completing the survey, 48 (31%) scored in the highest ABSITE quartile (≥75th percentile) and 109 (69%) scored less than the 75th percentile. In univariate analyses, those in the highest ABSITE quartile had significantly higher USMLE step 1 and step 2 scores (P < 0.001), significantly lower burnout scores (disengagement, P < 0.01; exhaustion, P < 0.04), and held opinions that the ABSITE was important for improving their surgical knowledge (P < 0.01). They also read more frequently to prepare for the ABSITE (P < 0.001), had more disciplined study habits (P < 0.001), were more likely to study at the hospital or other public settings (e.g., library, coffee shop compared with at home; P < 0.04), and used active rather than passive study strategies (P < 0.04). Gender, marital status, having children, and debt burden had no correlation with examination success. Backward stepwise multiple regression analysis identified the following independent predictors of ABSITE scores: study location (P < 0.0001), frequency of reading (P = 0.0001), Oldenburg Burnout Inventory exhaustion (P = 0.02), and USMLE step 1 and 2 scores (P = 0.007 and 0.0001, respectively). Conclusions: Residents who perform higher on the ABSITE have a regular study schedule throughout the year, report less burnout because of exhaustion, study away from home, and have shown success in prior standardized tests. Further study is needed to determine the effects of burnout on clinical duties, career advancement, and satisfaction.

Original languageEnglish (US)
JournalJournal of Surgical Research
DOIs
StateAccepted/In press - Feb 10 2017

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Habits
Licensure
Internship and Residency
Equipment and Supplies
Job Satisfaction
Coffee
Marital Status
Libraries
Reading
Appointments and Schedules
Regression Analysis
Demography
Surveys and Questionnaires

Keywords

  • ABSITE
  • Burnout
  • General surgery
  • Residency
  • Study habits

ASJC Scopus subject areas

  • Surgery

Cite this

Relationships between study habits, burnout, and general surgery resident performance on the American Board of Surgery In-Training Examination. / Smeds, Matthew R.; Thrush, Carol R.; McDaniel, Faith K.; Gill, Roop; Kimbrough, Mary K.; Shames, Brian D.; Sussman, Jeffrey J.; Galante, Joseph M; Wittgen, Catherine M.; Ansari, Parswa; Allen, Steven R.; Nussbaum, Michael S.; Hess, Donald T.; Knight, David C.; Bentley, Frederick R.

In: Journal of Surgical Research, 10.02.2017.

Research output: Contribution to journalArticle

Smeds, MR, Thrush, CR, McDaniel, FK, Gill, R, Kimbrough, MK, Shames, BD, Sussman, JJ, Galante, JM, Wittgen, CM, Ansari, P, Allen, SR, Nussbaum, MS, Hess, DT, Knight, DC & Bentley, FR 2017, 'Relationships between study habits, burnout, and general surgery resident performance on the American Board of Surgery In-Training Examination', Journal of Surgical Research. https://doi.org/10.1016/j.jss.2017.05.034
Smeds, Matthew R. ; Thrush, Carol R. ; McDaniel, Faith K. ; Gill, Roop ; Kimbrough, Mary K. ; Shames, Brian D. ; Sussman, Jeffrey J. ; Galante, Joseph M ; Wittgen, Catherine M. ; Ansari, Parswa ; Allen, Steven R. ; Nussbaum, Michael S. ; Hess, Donald T. ; Knight, David C. ; Bentley, Frederick R. / Relationships between study habits, burnout, and general surgery resident performance on the American Board of Surgery In-Training Examination. In: Journal of Surgical Research. 2017.
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abstract = "Background: The American Board of Surgery In-Training Examination (ABSITE) is used by programs to evaluate the knowledge and readiness of trainees to sit for the general surgery qualifying examination. It is often used as a tool for resident promotion and may be used by fellowship programs to evaluate candidates. Burnout has been associated with job performance and satisfaction; however, its presence and effects on surgical trainees' performance are not well studied. We sought to understand factors including burnout and study habits that may contribute to performance on the ABSITE examination. Methods: Anonymous electronic surveys were distributed to all residents at 10 surgical residency programs (n = 326). Questions included demographics as well as study habits, career interests, residency characteristics, and burnout scores using the Oldenburg Burnout Inventory, which assesses burnout because of both exhaustion and disengagement. These surveys were then linked to the individual's 2016 ABSITE and United States Medical Licensing Examination (USMLE) step 1 and 2 scores provided by the programs to determine factors associated with successful ABSITE performance. Results: In total, 48{\%} (n = 157) of the residents completed the survey. Of those completing the survey, 48 (31{\%}) scored in the highest ABSITE quartile (≥75th percentile) and 109 (69{\%}) scored less than the 75th percentile. In univariate analyses, those in the highest ABSITE quartile had significantly higher USMLE step 1 and step 2 scores (P < 0.001), significantly lower burnout scores (disengagement, P < 0.01; exhaustion, P < 0.04), and held opinions that the ABSITE was important for improving their surgical knowledge (P < 0.01). They also read more frequently to prepare for the ABSITE (P < 0.001), had more disciplined study habits (P < 0.001), were more likely to study at the hospital or other public settings (e.g., library, coffee shop compared with at home; P < 0.04), and used active rather than passive study strategies (P < 0.04). Gender, marital status, having children, and debt burden had no correlation with examination success. Backward stepwise multiple regression analysis identified the following independent predictors of ABSITE scores: study location (P < 0.0001), frequency of reading (P = 0.0001), Oldenburg Burnout Inventory exhaustion (P = 0.02), and USMLE step 1 and 2 scores (P = 0.007 and 0.0001, respectively). Conclusions: Residents who perform higher on the ABSITE have a regular study schedule throughout the year, report less burnout because of exhaustion, study away from home, and have shown success in prior standardized tests. Further study is needed to determine the effects of burnout on clinical duties, career advancement, and satisfaction.",
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author = "Smeds, {Matthew R.} and Thrush, {Carol R.} and McDaniel, {Faith K.} and Roop Gill and Kimbrough, {Mary K.} and Shames, {Brian D.} and Sussman, {Jeffrey J.} and Galante, {Joseph M} and Wittgen, {Catherine M.} and Parswa Ansari and Allen, {Steven R.} and Nussbaum, {Michael S.} and Hess, {Donald T.} and Knight, {David C.} and Bentley, {Frederick R.}",
year = "2017",
month = "2",
day = "10",
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T1 - Relationships between study habits, burnout, and general surgery resident performance on the American Board of Surgery In-Training Examination

AU - Smeds, Matthew R.

AU - Thrush, Carol R.

AU - McDaniel, Faith K.

AU - Gill, Roop

AU - Kimbrough, Mary K.

AU - Shames, Brian D.

AU - Sussman, Jeffrey J.

AU - Galante, Joseph M

AU - Wittgen, Catherine M.

AU - Ansari, Parswa

AU - Allen, Steven R.

AU - Nussbaum, Michael S.

AU - Hess, Donald T.

AU - Knight, David C.

AU - Bentley, Frederick R.

PY - 2017/2/10

Y1 - 2017/2/10

N2 - Background: The American Board of Surgery In-Training Examination (ABSITE) is used by programs to evaluate the knowledge and readiness of trainees to sit for the general surgery qualifying examination. It is often used as a tool for resident promotion and may be used by fellowship programs to evaluate candidates. Burnout has been associated with job performance and satisfaction; however, its presence and effects on surgical trainees' performance are not well studied. We sought to understand factors including burnout and study habits that may contribute to performance on the ABSITE examination. Methods: Anonymous electronic surveys were distributed to all residents at 10 surgical residency programs (n = 326). Questions included demographics as well as study habits, career interests, residency characteristics, and burnout scores using the Oldenburg Burnout Inventory, which assesses burnout because of both exhaustion and disengagement. These surveys were then linked to the individual's 2016 ABSITE and United States Medical Licensing Examination (USMLE) step 1 and 2 scores provided by the programs to determine factors associated with successful ABSITE performance. Results: In total, 48% (n = 157) of the residents completed the survey. Of those completing the survey, 48 (31%) scored in the highest ABSITE quartile (≥75th percentile) and 109 (69%) scored less than the 75th percentile. In univariate analyses, those in the highest ABSITE quartile had significantly higher USMLE step 1 and step 2 scores (P < 0.001), significantly lower burnout scores (disengagement, P < 0.01; exhaustion, P < 0.04), and held opinions that the ABSITE was important for improving their surgical knowledge (P < 0.01). They also read more frequently to prepare for the ABSITE (P < 0.001), had more disciplined study habits (P < 0.001), were more likely to study at the hospital or other public settings (e.g., library, coffee shop compared with at home; P < 0.04), and used active rather than passive study strategies (P < 0.04). Gender, marital status, having children, and debt burden had no correlation with examination success. Backward stepwise multiple regression analysis identified the following independent predictors of ABSITE scores: study location (P < 0.0001), frequency of reading (P = 0.0001), Oldenburg Burnout Inventory exhaustion (P = 0.02), and USMLE step 1 and 2 scores (P = 0.007 and 0.0001, respectively). Conclusions: Residents who perform higher on the ABSITE have a regular study schedule throughout the year, report less burnout because of exhaustion, study away from home, and have shown success in prior standardized tests. Further study is needed to determine the effects of burnout on clinical duties, career advancement, and satisfaction.

AB - Background: The American Board of Surgery In-Training Examination (ABSITE) is used by programs to evaluate the knowledge and readiness of trainees to sit for the general surgery qualifying examination. It is often used as a tool for resident promotion and may be used by fellowship programs to evaluate candidates. Burnout has been associated with job performance and satisfaction; however, its presence and effects on surgical trainees' performance are not well studied. We sought to understand factors including burnout and study habits that may contribute to performance on the ABSITE examination. Methods: Anonymous electronic surveys were distributed to all residents at 10 surgical residency programs (n = 326). Questions included demographics as well as study habits, career interests, residency characteristics, and burnout scores using the Oldenburg Burnout Inventory, which assesses burnout because of both exhaustion and disengagement. These surveys were then linked to the individual's 2016 ABSITE and United States Medical Licensing Examination (USMLE) step 1 and 2 scores provided by the programs to determine factors associated with successful ABSITE performance. Results: In total, 48% (n = 157) of the residents completed the survey. Of those completing the survey, 48 (31%) scored in the highest ABSITE quartile (≥75th percentile) and 109 (69%) scored less than the 75th percentile. In univariate analyses, those in the highest ABSITE quartile had significantly higher USMLE step 1 and step 2 scores (P < 0.001), significantly lower burnout scores (disengagement, P < 0.01; exhaustion, P < 0.04), and held opinions that the ABSITE was important for improving their surgical knowledge (P < 0.01). They also read more frequently to prepare for the ABSITE (P < 0.001), had more disciplined study habits (P < 0.001), were more likely to study at the hospital or other public settings (e.g., library, coffee shop compared with at home; P < 0.04), and used active rather than passive study strategies (P < 0.04). Gender, marital status, having children, and debt burden had no correlation with examination success. Backward stepwise multiple regression analysis identified the following independent predictors of ABSITE scores: study location (P < 0.0001), frequency of reading (P = 0.0001), Oldenburg Burnout Inventory exhaustion (P = 0.02), and USMLE step 1 and 2 scores (P = 0.007 and 0.0001, respectively). Conclusions: Residents who perform higher on the ABSITE have a regular study schedule throughout the year, report less burnout because of exhaustion, study away from home, and have shown success in prior standardized tests. Further study is needed to determine the effects of burnout on clinical duties, career advancement, and satisfaction.

KW - ABSITE

KW - Burnout

KW - General surgery

KW - Residency

KW - Study habits

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