We thank Drs Chaer and Cintron for their kind comments and for taking the time to write a letter to the editor. Our goal in conducting this educational endeavor was to provide a motivational tool to increase resident self-directed study. The primary outcome we measured was performance on the ABSITE. Because this was a pilot program and the goal was to motivate the residents in a positive way, we did not want to add the potentially punitive element of making weekly test scores part of their permanent record. I should add, however, that I recorded each score on a data sheet and each week privately called residents who scored low and encouraged them to read more.
de Virgilio C. Improved Performance on the American Board of Surgery In-Training Examination: A Personal or Collective Effort?—Reply. Arch Surg. 2004;139(9):1026. doi:10.1001/archsurg.139.9.1026