2009 APDS SPRING MEETING
Enhancing Resident Interest in a State
Surgical Meeting
George M. Fuhrman, MD, Jana MacLeod, MD, Carole Ehleben, EdD, and Keith Delman, MD
Departments of Surgery, Atlanta Medical Center and Emory University School of Medicine, Atlanta, Georgia
OBJECTIVES: To stimulate increased interest in the annual
American College of Surgery (ACS) chapter meeting, a state-
wide mock oral examination for senior level surgical residents
was organized. The purpose of this study was to evaluate the
impact of and the results from our state’s initial attempt to
conduct a state-wide mock oral examination.
METHODS: The mock oral examination was structured as a
90-minute assessment in 9 content areas. Residents at or above
the postgraduate year (PGY)-3 level were offered the examina-
tion and every attempt was made to ensure that examiners were
from institutions different than the examinee’s training pro-
gram. Examinations were scored as satisfactory, marginal, or
unsatisfactory. Each examinee received a written assessment of
their performance.
RESULTS: Thirty-eight volunteer examiners committed to
participate and 37 of the state’s 82 senior-level residents ap-
peared for the mock oral examination. The examiners included
faculty from all 7 of the state’s training programs and 10 private
practice surgeons. The residents represented 6 of the 7 pro-
grams with 10 PGY-3, 12 PGY-4, and 15 PGY-5 residents
completing the examination. The overall performance on the
examination included 15 (40.5%) residents rated as satisfac-
tory, 15 (40.5%) assessed as marginal, and 7 (18.9%) received a
rating of unsatisfactory.
CONCLUSIONS: With rare exception, faculty examiners and
resident examinees indicated by survey that the mock oral ex-
amination was a useful educational experience and increased
the level of interest in attending the state’s annual ACS meeting.
(J Surg 67:190-193. © 2010 Association of Program Directors
in Surgery. Published by Elsevier Inc. All rights reserved.)
KEY WORDS: American College of Surgery, American Board
of Surgery, mock oral examination
COMPETENCY: Medical Knowledge, Communication, and
Interpersonal Skills, Professionalism
INTRODUCTION
After 2007, the Georgia Surgical Society and the Georgia chap-
ter of the American College of Surgery (ACS) separated their
annual meetings. The Georgia Surgical Society enjoys a rich
tradition and boasts a membership that includes many of the
state’s most prominent surgeons. The meeting is held at 1 of the
numerous outstanding resort venues located in Georgia and
includes distinguished speakers as well as many social activities.
The Georgia chapter of the ACS, while enjoying an equally rich
history and impressive membership roster, has focused primar-
ily on involving the state’s surgical trainees in their meeting
with an annual resident research competition that would dom-
inate their portion of the meeting. The leadership of the Geor-
gia chapter of the American College of Surgeons expressed con-
cern that attendance at the annual meeting might suffer once
the 2 meetings were separated. To stimulate increased interest
in the annual ACS chapter meeting, a decision was made to
initiate a state-wide mock oral examination for senior level sur-
gical residents. This effort was considered worthwhile by the
state’s leadership to provide a mock oral examination for resi-
dents by unfamiliar faculty to recreate the tension associated
with the ACS certifying examination. This tension would pro-
vide a unique and enhanced education experience for residents
compared with mock oral examinations administered at their
home programs by familiar faculty. The purpose of this study
was to evaluate the impact of and the results from our state’s
initial attempt to conduct a state-wide mock oral examination.
METHODS
An e-mail was sent to all members of the Georgia chapter of the
ACS announcing the mock oral program and each member was
solicited to become a volunteer examiner. The program direc-
tors of the state’s 7 surgical training programs (Emory, Atlanta
Medical Center, Morehouse, Medical College of Georgia, Ft. Gor-
don military program, Mercer-Macon, and Mercer-Savannah)
were contacted announcing the opportunity to examine all res-
idents at or above the PGY-3 level. Program Directors were
responsible for registering their trainees for the mock oral ex-
amination. The annual meeting was scheduled at the Emory
Correspondence: Inquiries to George M. Fuhrman, MD, Atlanta Medical Center and
Emory University School of Medicine, Department of Surgery, 303 Park Way NE, At-
lanta, GA 30312; fax: 404-265-4989; e-mail: george.fuhrman@tenethealth.com
Journal of Surgical Education • © 2010 Association of Program Directors in Surgery 1931-7204/$30.00
Published by Elsevier Inc. All rights reserved. doi:10.1016/j.jsurg.2010.02.012
190