Comparison of internal medicine applicant and resident characteristics with performance on ACGME milestones
ABSTRACTInternal medicine (IM) residency programs select applicants based on several metrics. Factors predicting success during residency are unclear across studies. To identify whether specific applicant or resident factors are associated with IM resident performance using ACGME milestones. We test...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Taylor & Francis Group
2023-12-01
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| Series: | Medical Education Online |
| Subjects: | |
| Online Access: | https://www.tandfonline.com/doi/10.1080/10872981.2023.2211359 |
| _version_ | 1797450024847671296 |
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| author | Alex G. Ryden Trent C. Fuller Richard S. Rose Katie L. Lappe Sonja Raaum Stacy A. Johnson |
| author_facet | Alex G. Ryden Trent C. Fuller Richard S. Rose Katie L. Lappe Sonja Raaum Stacy A. Johnson |
| author_sort | Alex G. Ryden |
| collection | DOAJ |
| description | ABSTRACTInternal medicine (IM) residency programs select applicants based on several metrics. Factors predicting success during residency are unclear across studies. To identify whether specific applicant or resident factors are associated with IM resident performance using ACGME milestones. We tested for associations between applicant factors available prior to the start of IM residency and resident factors measured during IM residency training, and resident performance on ACGME milestones across three consecutive years of IM training between 2015-2020. Univariable and multivariable linear regression modeling was used to test associations. Eighty-nine categorical IM residents that completed 3 consecutive years of training were included. Median age was 28 years (IQR 27-29) and 59.6% were male. Mean ACGME milestone scores increased with each post-graduate year (PGY) from 3.36 (SD 0.19) for PGY-1, to 3.80 (SD 0.15) for PGY-2, to 4.14 (SD 0.15) for PGY-3. Univariable modeling suggested referral to the clinical competency committee (CCC) for professionalism concerns was negatively associated with resident performance during each PGY. No applicant or resident factors included in the final multivariable regression models (age at starting residency, USMLE Step scores, interview score, rank list position, ITE scores) were associated with ACGME milestone scores for PGY-1 and PGY-2. Referral to the CCC for professionalism was negatively associated with resident performance during PGY-3. Residency selection factors did not predict resident milestone evaluation scores. Referral to the CCC was associated with significantly worse resident evaluation scores, suggesting professionalism may correlate with clinical performance. |
| first_indexed | 2024-03-09T14:33:38Z |
| format | Article |
| id | doaj.art-471b3f34df464b12a8738c49d0c1e86c |
| institution | Directory Open Access Journal |
| issn | 1087-2981 |
| language | English |
| last_indexed | 2024-03-09T14:33:38Z |
| publishDate | 2023-12-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | Medical Education Online |
| spelling | doaj.art-471b3f34df464b12a8738c49d0c1e86c2023-11-27T16:01:59ZengTaylor & Francis GroupMedical Education Online1087-29812023-12-0128110.1080/10872981.2023.2211359Comparison of internal medicine applicant and resident characteristics with performance on ACGME milestonesAlex G. Ryden0Trent C. Fuller1Richard S. Rose2Katie L. Lappe3Sonja Raaum4Stacy A. Johnson5Internal Medicine Residency Program, University of Utah School of Medicine, Salt Lake City, UT, USADivision of General Internal Medicine, University of Utah School of Medicine, Salt Lake City, UT, USADivision of General Internal Medicine, University of Utah School of Medicine, Salt Lake City, UT, USADivision of General Internal Medicine, University of Utah School of Medicine, Salt Lake City, UT, USADivision of General Internal Medicine, University of Utah School of Medicine, Salt Lake City, UT, USADivision of General Internal Medicine, University of Utah School of Medicine, Salt Lake City, UT, USAABSTRACTInternal medicine (IM) residency programs select applicants based on several metrics. Factors predicting success during residency are unclear across studies. To identify whether specific applicant or resident factors are associated with IM resident performance using ACGME milestones. We tested for associations between applicant factors available prior to the start of IM residency and resident factors measured during IM residency training, and resident performance on ACGME milestones across three consecutive years of IM training between 2015-2020. Univariable and multivariable linear regression modeling was used to test associations. Eighty-nine categorical IM residents that completed 3 consecutive years of training were included. Median age was 28 years (IQR 27-29) and 59.6% were male. Mean ACGME milestone scores increased with each post-graduate year (PGY) from 3.36 (SD 0.19) for PGY-1, to 3.80 (SD 0.15) for PGY-2, to 4.14 (SD 0.15) for PGY-3. Univariable modeling suggested referral to the clinical competency committee (CCC) for professionalism concerns was negatively associated with resident performance during each PGY. No applicant or resident factors included in the final multivariable regression models (age at starting residency, USMLE Step scores, interview score, rank list position, ITE scores) were associated with ACGME milestone scores for PGY-1 and PGY-2. Referral to the CCC for professionalism was negatively associated with resident performance during PGY-3. Residency selection factors did not predict resident milestone evaluation scores. Referral to the CCC was associated with significantly worse resident evaluation scores, suggesting professionalism may correlate with clinical performance.https://www.tandfonline.com/doi/10.1080/10872981.2023.2211359ResidentperformanceACGME milestonespredictioninternal medicine |
| spellingShingle | Alex G. Ryden Trent C. Fuller Richard S. Rose Katie L. Lappe Sonja Raaum Stacy A. Johnson Comparison of internal medicine applicant and resident characteristics with performance on ACGME milestones Medical Education Online Resident performance ACGME milestones prediction internal medicine |
| title | Comparison of internal medicine applicant and resident characteristics with performance on ACGME milestones |
| title_full | Comparison of internal medicine applicant and resident characteristics with performance on ACGME milestones |
| title_fullStr | Comparison of internal medicine applicant and resident characteristics with performance on ACGME milestones |
| title_full_unstemmed | Comparison of internal medicine applicant and resident characteristics with performance on ACGME milestones |
| title_short | Comparison of internal medicine applicant and resident characteristics with performance on ACGME milestones |
| title_sort | comparison of internal medicine applicant and resident characteristics with performance on acgme milestones |
| topic | Resident performance ACGME milestones prediction internal medicine |
| url | https://www.tandfonline.com/doi/10.1080/10872981.2023.2211359 |
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