International Medical Education
Urology Rotation Exit Assessment Outcomes Among Residents in Standardized Training: A Retrospective Single-Center Study
By Leijie Wang, Wang Ye, Kunhao Liu and 4 others.
Abstract
Objectives
To describe urology rotation exit-assessment outcomes and explore variation across resident subgroups.
Methods
This retrospective single-center study included all 130 eligible residents who completed a urology rotation and exit assessment between May 2024 and April 2025. Pass rates were analyzed using exact tests, while theoretical and comprehensive rotation assessment scores were analyzed using non-parametric tests with Holm adjustment. National examination outcomes were summarized descriptively.
Results
Overall, 124 residents passed the rotation exit assessment (95.38%). No statistically significant subgroup differences were detected in pass rates or locally scaled theoretical examination scores; however, the two examination formats were not formally equated. Comprehensive rotation assessment scores were higher among residents from the urology training base than among those from other training bases (median, 89.00 vs. 82.75; adjusted p < 0.001) and among postgraduate than undergraduate residency trainees (86.00 vs. 80.00; adjusted p < 0.001), and differed across trainee categories (adjusted p = 0.003). Licensing-examination pass rates were 100%, 100%, and 89.58% in the eligible 2021–2023 cohorts; completion-examination pass rates were 85.71% and 98.25% in the eligible 2021–2022 cohorts.