Performance on the Plastic Surgery In-Service Exam Can Predict Success on the American Board of Plastic Surgery Written Exam

Background: Originally developed for resident self-assessment, the Plastic Surgery In-Service Exam has been administered for over 45 years. The Accreditation Council for Graduate Medical Education requires at least 70% of graduates pass the American Board of Plastic Surgery Written Exam. This study evaluates the role of In-Service Exam scores in predicting Written Exam success. Methods: In-Service Exam scores from 2009-2015 were collected from the National Board of Medical Examiners. Data included residency training track, training year, and exam year. Written Exam data were gathered from the American Board of Plastic Surgery. Multivariate analysis was done and receiver operating characteristics curves were used to identify optimal In-Service Exam score cutpoints for Written Exam success. Results: Data from 1,364 residents were included. Residents that failed the Written Exam had significantly lower In-Service scores than those that passed (p

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