Home Forums General Forum Residents scoring low on their OITE

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  • #4238
    Kelly Murphy
    Participant

    Good afternoon,

    I hope everyone is enjoy the holidays!

    We have a resident that has scored low on their OITE in 2021 and also 2022.  During the 21/22 academic year they were placed on academic remediation.  The resident and our PD created a structured didactic schedule – consisting of weekly orthobullets and AAOS quizzes along with monthly check-ins with their mentor.  With the 22/23 academic year results being released a little over a week ago, we didn’t see the improvement that everyone was hoping for.  He’s not a poor test taker, as he did very well on his COMLEX and USMLE as well as the OITE as a PGY1.

    My question is, for programs that have had this situation come up, how does your program handle these situations – do you pay for them to take a review course?  Self-assessment exams? etc.  We’re trying to decide what our next steps will be and how to effectively support our resident.  Any suggestions are much appreciated.

    Take care and Happy New Year!

    Kelly Murphy  – UPMC Central Pa

    #4240
    Laurel Lewis
    Keymaster

    Hi Kelly,

    It sounds like your program is doing a great job of helping the resident with their academic shortcomings.  A mentor is a good idea, too.  Have you checked to make sure that the resident’s emotional health is solid?  Perhaps they are dealing with problems outside the residency, thinking that they have it handled, but really they need to talk to a professional?  Have they lost their love of Orthopaedics?  As we look at all they must accomplish to become a surgeon it is quite the daunting task.  It could be that they are not actually an orthopaedic surgeon but don’t know how to accept it.  What about imposter syndrome?  Are they realizing their dream has come true and now not sure that they will be able to stack up to the expectations even though they are more than capable?

    I find that residents seem to be those high achievers that don’t know how to handle not being the best.  When they don’t meet their own or others’ expectations it can be hard to accept.

    Like you, I really feel for our residents and the hard work and sacrifice they have to go through to become an Orthopaedic Surgeon.  I hope you find the best way to help this resident, the fact that you are reaching out shows that your program is committed to helping them succeed.  That resident is lucky to have you!!!

    Anyone else have some thoughts to help Kelly?

    Blessings!

    ~Laurel

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