Golden Blair P, Henschen Bruce L, Liss David T, Kiely Sara L, Didwania Aashish K
At the time of writing, was Chief Resident, Internal Medicine Residency, and Clinical Instructor, Division of General Internal Medicine and Geriatrics, Northwestern University Feinberg School of Medicine, and currently is Assistant Professor, Division of Hospital Medicine, Department of Medicine, University of Wisconsin School of Medicine and Public Health.
is Assistant Professor, Division of General Internal Medicine and Geriatrics, Northwestern University Feinberg School of Medicine.
J Grad Med Educ. 2021 Apr;13(2):213-222. doi: 10.4300/JGME-D-20-00603.1. Epub 2021 Apr 16.
Residency programs apply varying criteria to the resident selection process. However, it is unclear which applicant characteristics reflect preparedness for residency.
We determined the applicant characteristics associated with first-year performance in internal medicine residency as assessed by performance on Accreditation Council for Graduate Medical Education (ACGME) Milestones.
We examined the association between applicant characteristics and performance on ACGME Milestones during intern year for individuals entering Northwestern University's internal medicine residency between 2013 and 2018. We used bivariate analysis and a multivariable linear regression model to determine the association between individual factors and Milestone performance.
Of 203 eligible residents, 198 (98%) were included in the final sample. One hundred fourteen residents (58%) were female, and 116 residents (59%) were White. Mean Step 1 and Step 2 CK scores were 245.5 (SD 12.0) and 258 (SD 10.8) respectively. Step 1 scores, Alpha Omega Alpha membership, medicine clerkship grades, and interview scores were not associated with Milestone performance in the bivariate analysis and were not included in the multivariable model. In the multivariable model, overall clerkship grades, ranking of the medical school, and year entering residency were significantly associated with Milestone performance ( ≤ .04).
Most traditional metrics used in residency selection were not associated with early performance on ACGME Milestones during internal medicine residency.
住院医师培训项目在住院医师选拔过程中采用不同的标准。然而，尚不清楚哪些申请人特征反映了住院医师培训的准备情况。
我们确定了与内科住院医师第一年表现相关的申请人特征，该表现通过研究生医学教育认证委员会（ACGME）里程碑评估来衡量。
我们研究了2013年至2018年进入西北大学内科住院医师培训项目的个人的申请人特征与实习年期间ACGME里程碑评估表现之间的关联。我们使用双变量分析和多变量线性回归模型来确定个体因素与里程碑表现之间的关联。
在203名符合条件的住院医师中，198名（98%）被纳入最终样本。114名住院医师（58%）为女性，116名住院医师（59%）为白人。第一步和第二步临床知识考试（CK）的平均分数分别为245.5（标准差12.0）和258（标准差10.8）。在双变量分析中，第一步考试分数、αΩα荣誉学会会员身份、内科实习成绩和面试分数与里程碑表现无关，因此未纳入多变量模型。在多变量模型中，总体实习成绩、医学院排名和进入住院医师培训项目的年份与里程碑表现显著相关（P≤.04）。
住院医师选拔中使用的大多数传统指标与内科住院医师培训期间ACGME里程碑的早期表现无关。
