Commentary: Studying studying

Abstract

Central MessageThe true value of an externally organized review of the knowledge base of cardiothoracic surgery remains an individual one.See Article page 274. The true value of an externally organized review of the knowledge base of cardiothoracic surgery remains an individual one. See Article page 274. In this edition of JTCVS Open, Doty and colleagues1Doty J.R. Nguyen M. Snyder R.J. McCann U.G. Doty D.B. Impact of a focused review course in cardiovascular and thoracic surgery on test performance.J Thorac Cardiovasc Surg Open. 2021; 7: 274-285Google Scholar attempt to examine the benefit of an organized review course in cardiothoracic surgery, specifically its value in preparation for the American Board of Surgery (ABTS) Qualifying Examination. In this study, which the authors admittingly call “quasi-experimental,” they looked at the results of a pre- and post-test given in conjunction with a yearly, 4-day course consisting of lectures covering the “core” concepts of the field. Additional multimedia study materials are provided. Of note, this study involved only 1 year out of a course that has been in existence since 1992. Of the participants who took both tests (neither was mandatory), the median score improved by 14%. The authors concluded that the course was successful in improving performance, at least on the tests they put together and administered. What is still not shown, however, is the ultimate question of whether and to what degree such a review course contributes to one's ability to pass the ABTS examination. Given the large number of factors that enter into this, it would seem to be very difficult and impractical to answer this question. These factors include variability in didactic learning among training programs, individual study habits and test-taking abilities, and time available for examination preparation. Within the study itself, there are some issues that detract from the central question. All test items were developed or reviewed by practicing ABTS surgeons who have therefore been through the examination process. Each item is linked to a specific major review topic. However, the validity and difficulty of the tests in relation to the Qualifying Exam is unknown. Although the course has been offered for many years, the authors have chosen to look at only a 1-year cohort. As with most studies, larger numbers would be more elucidating. It would also help to increase test validity and reliability. These numbers are further reduced in that less than one half of all participants in the course completed both pre- and post-tests, thus increasing the potential for selection bias. It begs the question of the degree of course participation by individuals and how this may have reflected in test results. There is also potential for familiarity with the test that may contribute to improved performance, and this is acknowledged by the authors. Ultimately, the value of such a course is in the eye of the participant. Having a structured, all-encompassing review is of benefit to anyone preparing for an examination. Key among these is the identification of areas of weakness and the organized encouragement to set aside the needed time for preparation. Impact of a focused review course in cardiovascular and thoracic surgery on test performanceJTCVS OpenVol. 7PreviewThe Core Curriculum Review Course in Cardiovascular and Thoracic Surgery is a 4-day educational program consisting of 77 didactic lectures that provide a comprehensive review of the material required for surgeons preparing for the American Board of Thoracic Surgery competency written examination. The lectures are supplemented with a written syllabus and interactive audience participation system. We sought to determine whether participation in this course could improve participants' performance on a cardiothoracic subject-based test. Full-Text PDF Open Access