Association between the American Board of Emergency Medicine Oral Certifying Examination and Future State Medical Board Disciplinary Actions
Abstract Objectives: The American Board of Emergency Medicine (ABEM) requires a written examination (the Qualifying Examination) followed by the Oral Certifying Examination (OCE) to obtain ABEM certification. Maintaining ABEM certification is associated with fewer state medical board (SMB) disciplin...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wiley
2024-02-01
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| Series: | Journal of the American College of Emergency Physicians Open |
| Online Access: | https://doi.org/10.1002/emp2.13119 |
| _version_ | 1797221612480626688 |
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| author | Earl J. Reisdorff Mary M. Johnston Chadd K. Kraus Samuel M. Keim Sally A. Santen |
| author_facet | Earl J. Reisdorff Mary M. Johnston Chadd K. Kraus Samuel M. Keim Sally A. Santen |
| author_sort | Earl J. Reisdorff |
| collection | DOAJ |
| description | Abstract Objectives: The American Board of Emergency Medicine (ABEM) requires a written examination (the Qualifying Examination) followed by the Oral Certifying Examination (OCE) to obtain ABEM certification. Maintaining ABEM certification is associated with fewer state medical board (SMB) disciplinary actions. We sought to determine the association between poor initial performance on the OCE and subsequent severe SMB disciplinary action. Methods We included physicians who completed US categorical emergency medicine residencies in 2016 and earlier. We classified OCE performance as good (passed on first attempt) and poor (never passed or required > 1 attempt to pass). We obtained data on physician SMB disciplinary actions from the National Practitioner Data Bank that were limited to actions that denied licensure or altered the status of a medical license (eg, suspension). We determined the association between poor OCE performance and subsequent severe SMB disciplinary action. Results Of 34,871, 93.5% passed the OCE on the first attempt, 6.1% required multiple attempts, and 0.3% never passed. Of the physicians (93.5%) with good OCE performance, 1.0% received a severe SMB action. Among physicians with poor OCE performance, 2.3% received a severe action; and of those who never passed, 1.7% received a severe action (Table 1). Poor OCE performance was associated with an increased odds of severe SMB disciplinary action (OR 2.21, 95% CI: 1.57–3.12). Conclusion Physicians with poor OCE performance exhibited higher odds of experiencing a subsequent severe SMB disciplinary action. The OCE may have utility as a predictor of future professionalism or clinical performance. |
| first_indexed | 2024-03-07T22:01:58Z |
| format | Article |
| id | doaj.art-3197ed98566444829082249cd295d234 |
| institution | Directory Open Access Journal |
| issn | 2688-1152 |
| language | English |
| last_indexed | 2024-04-24T13:08:12Z |
| publishDate | 2024-02-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of the American College of Emergency Physicians Open |
| spelling | doaj.art-3197ed98566444829082249cd295d2342024-04-05T06:10:53ZengWileyJournal of the American College of Emergency Physicians Open2688-11522024-02-0151n/an/a10.1002/emp2.13119Association between the American Board of Emergency Medicine Oral Certifying Examination and Future State Medical Board Disciplinary ActionsEarl J. Reisdorff0Mary M. Johnston1Chadd K. Kraus2Samuel M. Keim3Sally A. Santen4American Board of Emergency Medicine, East Lansing Michigan USAAmerican Board of Emergency Medicine, East Lansing Michigan USAAmerican Board of Emergency Medicine, East Lansing Michigan USADepartment of Emergency Medicine Arizona College of Medicine, Tucson Arizona USADepartment of Emergency Medicine University of Cincinnati, College of Medicine, Cincinnati Ohio USAAbstract Objectives: The American Board of Emergency Medicine (ABEM) requires a written examination (the Qualifying Examination) followed by the Oral Certifying Examination (OCE) to obtain ABEM certification. Maintaining ABEM certification is associated with fewer state medical board (SMB) disciplinary actions. We sought to determine the association between poor initial performance on the OCE and subsequent severe SMB disciplinary action. Methods We included physicians who completed US categorical emergency medicine residencies in 2016 and earlier. We classified OCE performance as good (passed on first attempt) and poor (never passed or required > 1 attempt to pass). We obtained data on physician SMB disciplinary actions from the National Practitioner Data Bank that were limited to actions that denied licensure or altered the status of a medical license (eg, suspension). We determined the association between poor OCE performance and subsequent severe SMB disciplinary action. Results Of 34,871, 93.5% passed the OCE on the first attempt, 6.1% required multiple attempts, and 0.3% never passed. Of the physicians (93.5%) with good OCE performance, 1.0% received a severe SMB action. Among physicians with poor OCE performance, 2.3% received a severe action; and of those who never passed, 1.7% received a severe action (Table 1). Poor OCE performance was associated with an increased odds of severe SMB disciplinary action (OR 2.21, 95% CI: 1.57–3.12). Conclusion Physicians with poor OCE performance exhibited higher odds of experiencing a subsequent severe SMB disciplinary action. The OCE may have utility as a predictor of future professionalism or clinical performance.https://doi.org/10.1002/emp2.13119 |
| spellingShingle | Earl J. Reisdorff Mary M. Johnston Chadd K. Kraus Samuel M. Keim Sally A. Santen Association between the American Board of Emergency Medicine Oral Certifying Examination and Future State Medical Board Disciplinary Actions Journal of the American College of Emergency Physicians Open |
| title | Association between the American Board of Emergency Medicine Oral Certifying Examination and Future State Medical Board Disciplinary Actions |
| title_full | Association between the American Board of Emergency Medicine Oral Certifying Examination and Future State Medical Board Disciplinary Actions |
| title_fullStr | Association between the American Board of Emergency Medicine Oral Certifying Examination and Future State Medical Board Disciplinary Actions |
| title_full_unstemmed | Association between the American Board of Emergency Medicine Oral Certifying Examination and Future State Medical Board Disciplinary Actions |
| title_short | Association between the American Board of Emergency Medicine Oral Certifying Examination and Future State Medical Board Disciplinary Actions |
| title_sort | association between the american board of emergency medicine oral certifying examination and future state medical board disciplinary actions |
| url | https://doi.org/10.1002/emp2.13119 |
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