At Home Preresidency Preparation for General Surgery Internship: A Pilot Study

T. K. Pandian, Eeeln H. Buckarma, Monali Mohan, Becca L. Gas, Nimesh D. Naik, Eduardo F. Abbott, Apram Jyot, Muhammad H. Zeb, Stephanie F. Heller, David R. Farley

Research output: Contribution to journalArticlepeer-review

12 Scopus citations


Objective To create a novel “at-home” preresidency preparatory adjunct for medical students entering surgical residency. Design Preparatory resources were mailed to match medical students before residency matriculation in 2015. This included “how-to” videos, low-cost models, and surgical instruments for 5 “stations” (arterial blood gas analysis, anatomy and imaging knowledge, knot tying ability, and suturing dexterity) of our program's biannual general surgery intern objective assessment activity (Surgical Olympics: total 13 stations, 10 points each). Scores from 2015 were compared with 2014 historical controls in a retrospective manner using the Student's t-test. Setting Academic, tertiary care referral center with a large general surgery training program. Participants Postgraduate year 1 general surgery trainees (interns) from the years 2014 and 2015. Results Twenty-six interns participated in the 2015 assessment and were compared to thirty-two 2014 interns. Overall mean scores were low, but higher (19.7 vs. 15.4, p = 0.04) in the 2015 class. The largest increase was noted in the anatomy knowledge station (mean = 5.0 vs. 1.9, p < 0.01). Scores in stations assessing technical competence were similar to controls. The number of perfect scores among the 5 stations was higher (10 vs. 5) in the 2015 group. Mean scores from the other 8 stations, for which no resources were mailed, showed no difference (29.3 vs. 28.3, p = 0.75). Conclusions Enacting a simple, home-based curriculum for medical students before surgical residency, improved performance on early knowledge assessments.

Original languageEnglish
Pages (from-to)952-957
Number of pages6
JournalJournal of Surgical Education
Issue number6
StatePublished - Nov 2017


  • Deliberate practice
  • Practice-Based Learning and Improvement, Systems-Based Practice
  • Preresidency preparation
  • Repetition
  • Simulation
  • Surgical education


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