Application Factors Associated With Clinical Performance During Pediatric Internship
| Autor: | Catherine D. Michelson, Theodore C. Sectish, Colin M. Sox, Conor P. O’Halloran, Samuel E. Lux, Caroline J. Gross, Ariel S. Winn |
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| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Multivariate analysis education Graduate medical education Accreditation 03 medical and health sciences 0302 clinical medicine 030225 pediatrics Internship medicine Humans 030212 general & internal medicine Child Grading (education) Schools Medical Retrospective Studies business.industry Internship and Residency Retrospective cohort study Random effects model Confidence interval Education Medical Graduate Family medicine Pediatrics Perinatology and Child Health Clinical Competence Educational Measurement business |
| Zdroj: | Academic Pediatrics. 20:1007-1012 |
| ISSN: | 1876-2859 |
| Popis: | Objective Our goal was to identify aspects of residency applications predictive of subsequent performance during pediatric internship. Methods We conducted a retrospective cohort study of graduates of US medical schools who began pediatric internship in a large pediatric residency program in the summers of 2013 to 2017. The primary outcome was the weighted average of subjects’ Accreditation Council for Graduate Medical Education pediatric Milestone scores at the end of pediatric internship. To determine factors independently associated with performance, we conducted multivariate linear mixed-effects models controlling for match year and Milestone grading committee as random effects and the following application factors as fixed effects: letter of recommendation strength, clerkship grades, medical school reputation, master's or PhD degrees, gender, US Medical Licensing Examination Step 1 score, Alpha Omega Alpha membership, private medical school, and interview score. Results Our study population included 195 interns. In multivariate analyses, the aspects of applications significantly associated with composite Milestone scores at the end of internship were letter of recommendation strength (estimate 0.09, 95% confidence intervals [CI]: 0.04, 0.15), numbers of clerkship honors (est. 0.05, 95% CI: 0.01–0.09), medical school ranking (est. 0.04, 95% CI: 0.08–0.01), having a master's degree (est. 0.19, 95% CI: 0.03–0.36), and not having a PhD (est. 0.14, 95% CI: 0.02–0.26). Overall, the final model explained 18% of the variance in milestone scoring. Conclusions Letter of recommendation strength, clerkship grades, medical school ranking, and having obtained a Master's degree were significantly associated with higher clinical performance during pediatric internship. |
| Databáze: | OpenAIRE |
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