Specialty Board Certification Rate as an Outcome Metric for GME Training Institutions: A Relationship With Quality of Care
| Autor: | Amy Opalek, John R. Boulet, John J. Norcini, W. Dale Dauphinee |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Program evaluation
Adult Male 020205 medical informatics Adolescent Specialty board education Graduate medical education 02 engineering and technology Certification Outcome (game theory) Severity of Illness Index 03 medical and health sciences Young Adult 0302 clinical medicine Specialty Boards 0202 electrical engineering electronic engineering information engineering Medicine Humans 030212 general & internal medicine Quality of care Aged Quality Indicators Health Care Quality of Health Care Retrospective Studies Aged 80 and over Medical education business.industry Health Policy Internship and Residency Retrospective cohort study Middle Aged Pennsylvania United States Hospitalization Socioeconomic Factors Education Medical Graduate Female Metric (unit) Educational Measurement business |
| Zdroj: | Evaluationthe health professions. 43(3) |
| ISSN: | 1552-3918 |
| Popis: | Educational outcome measures, known to be associated with the quality of care, are needed to support improvements in graduate medical education (GME). This retrospective observational study sought to determine whether there was a relationship between the specialty board certification rates of GME training institutions and the quality of care delivered by their graduates. It is based on 7 years of hospitalizations in Pennsylvania ( N = 354,767) with diagnoses of acute myocardial infarction, congestive heart failure, gastrointestinal hemorrhage, or pneumonia. The 2,265 attending physicians were self-identified internists, and they completed their training in 59 institutions. The percentage of board-certified physicians from each training institution, excluding the physician herself or himself, was calculated and an indicator of whether it exceeded 80% was created. This was analyzed against inhospital mortality and length of stay, adjusted for patient/physician/hospital characteristics. There were significantly lower odds of mortality (adjusted Odd’s ratio [ OR] = .92, 95% CI [0.86, 0.98]) and log length of stay (adjusted OR = .98, 95% CI [.94, .99]) when the attending physician trained in a residency program with an 80% or greater certification rate. The results suggest that specialty certification rates may be a useful educational outcome for residency training programs. |
| Databáze: | OpenAIRE |
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