Factors Predictive of Orthopaedic In-training Examination Performance and Research Productivity Among Orthopaedic Residents.

Abstract

Selection of qualified candidates for orthopaedic residency is necessary for growth and innovation. The purpose of this study was to determine predictors of Orthopaedic In-training Exam (OITE) performance and research productivity. A survey was distributed to 13 residency programs collecting demographics, United States Medical Licensing Examination (USMLE) and OITE scores, and authored publications. Associations between preresidency qualifications and OITE scores and publications were determined. A total of 274 of 294 surveys were returned (93.2%). We found a positive correlation between USMLE step 1 and 2 scores with recent OITE percentile (P < 0.001). Preresidency authorship (P < 0.001) and postgraduate training year (P < 0.001) were independent predictors of authorship during residency, whereas USMLE step 1 score was not (P = 0.094). Candidates who perform well on the USMLE are likely to perform well on the OITE, whereas those with greater authored publications are likely to continue research during residency.