The medical profession often looks outside itself for methods of improvement. As outlined by Gardner and Dunkin in this issue of JAMA Surgery,¹ we can again turn to industry for clues on how to select general surgery residents who will be successful. The article adds to the literature in 2 distinct ways. First, the authors convincingly show the utility of situational judgment tests, a tool used heavily in industry, in conjunction with US Medical Licensing Examination Step 1 scores in predicting future success in residency at all 5 postgraduate levels. Second, the authors offer a framework for establishing situational judgment tests in diverse program settings.

医学界经常在自身之外寻找改善方法。正如Gardner和Dunkin在本期《JAMA外科手术》^1中所概述的那样，我们可以再次向行业寻求有关如何选择将获得成功的普通外科手术患者的线索。本文以两种不同的方式将其添加到文献中。首先，作者有说服力地展示了情景判断测试的实用性，情景判断测试是工业上广泛使用的工具，结合美国医学许可考试第1步得分，可以预测所有5个研究生级别的未来居住成功率。其次，作者提供了在不同程序环境中建立情境判断测试的框架。