Analysis of Small Animal Rotating Internship Applicants' Personal Statements.

The primary purpose of this study was to identify themes that are consistent across veterinary internship applicants' personal statements and that are correlated with the statements' perceived overall quality. A secondary purpose was to investigate the reliability in personal statement quality scoring among six experienced internship candidate evaluators. One hundred applications to the University of Georgia Small Animal Rotating Internship program were evaluated. Each evaluator wrote a description of what he or she values in personal statements and his or her beliefs about content and presentation in high- and low-quality statements. After statement de-identification, each evaluator reviewed 15 randomly selected personal statements from internship applicants and assigned each a score ranging from 1 to 4 according to the following criteria: 1 = would not rank for an internship; 2 = would rank in the bottom third; 3 = would rank in the middle third; and 4 = would rank in the top third. A subset of these scored personal statements was chosen for qualitative analysis. A qualitative document analysis using grounded theory was performed for both the evaluators' descriptions of preferences in personal statements and the subset of personal statements. Agreement among evaluators' assigned scores was slight (Fleiss's κ = 0.11). Analysis of the evaluator statements and the scored candidate statements indicated that important factors in a personal statement include the applicant's ability to articulate experiences, to convey maturity, to demonstrate understanding of what an internship entails, and to describe reasons for pursuing an internship.

Early Performance on an Eye Surgery Simulator Predicts Subsequent Resident Surgical Performance.

OBJECTIVE: To examine early performance on an eye surgery simulator and its relationship to subsequent live surgical performance in a single large residency program. DESIGN: Retrospective study. SETTING: Massachusetts Eye and Ear, Harvard Medical School, Department of Ophthalmology. METHODS: In a retrospective study, we compared performance of 30 first-year ophthalmology residents on an eye surgery simulator to their surgical skills as third-year residents. Variables collected from the eye surgery simulator included scores on the following modules of the simulator (Eyesi, VRmagic, Mannheim, Germany): antitremor training level 1, bimanual training level 1, capsulorhexis level 1 (configured), forceps training level 1, and navigation training level 1. Subsequent surgical performance was assessed using the total number of phacoemulsification cataract surgery cases for each resident, as well as the number performed as surgeon during residency and scores on global rating assessment of skills in intraocular surgery (GRASIS) scales during the third year of residency. Spearman correlation coefficients were calculated between each of the simulator performance and subsequent surgical performance variables. We also compared variables in a small group of residents who needed extra help in learning cataract surgery to the other residents in the study. MAIN OUTCOME MEASURES: Relationships between Eyesi scores early in residency and surgical performance measures in the final year of residency. RESULTS: A total of 30 residents had Eyesi data from their first year of residency and had already graduated so that all subsequent surgical performance data were available. There was a significant correlation between capsulorhexis task score on the simulator and total surgeries (r = 0.745, p = 0.008). There was a significant correlation between antitremor training level 1 (r = 0.554, p = 0.040), and forceps training level 1 (r = 0.622, p = 0.023) with primary surgery numbers. There was a significant correlation between forceps training level 1 (r = 0.811, p = 0.002), and navigation training level 1 (r = 0.692, p = 0.013) with total GRASIS score. There was a significant inverse correlation between total GRASIS score and residents in need of extra help (r = -0.358, p = 0.003). CONCLUSION: Module scores on an eye surgery simulator early in residency may predict a resident׳s future performance in the operating room. These scores may allow early identification of residents in need of supplemental training in cataract surgery.