Rahul Bhat1, Katrin Takenaka2, Brian Levine3, Nikhil Goyal4, Manish Garg5, Annette Visconti6, Leslie Oyama7, Edward Castillo7, Joshua Broder8, Rodney Omron9, Stephen Hayden7. 1. Department of Emergency Medicine, MedStar Georgetown University, Hospital/MedStar Washington Hospital Center, Washington, DC. 2. Department of Emergency Medicine, University of Texas, Houston, Texas. 3. Department of Emergency Medicine, Christiana Care Health System, Newark, Delaware. 4. Department of Emergency Medicine, Henry Ford Hospital, Detroit, Michigan. 5. Department of Emergency Medicine, Temple University Hospital, Philadelphia, Pennsylvania. 6. Department of Emergency Medicine, New York Methodist Hospital, Brooklyn, New York. 7. Department of Emergency Medicine, University of California at San Diego, La Jolla, California. 8. Division of Emergency Medicine, Department of Surgery, Duke University Hospital, Durham, North Carolina. 9. Department of Emergency Medicine, Johns Hopkins University Hospital, Baltimore, Maryland.
Abstract
BACKGROUND: Emergency Medicine (EM) residency program directors and faculty spend significant time and effort creating a residency rank list. To date, however, there have been few studies to assist program directors in determining which pre-residency variables best predict performance during EM residency. OBJECTIVE: To evaluate which pre-residency variables best correlated with an applicant's performance during residency. METHODS: This was a retrospective multicenter sample of all residents in the three most recent graduating classes from nine participating EM residency programs. The outcome measure of top residency performance was defined as placement in the top third of a resident's graduating class based on performance on the final semi-annual evaluation. RESULTS: A total of 277 residents from nine institutions were evaluated. Eight of the predictors analyzed had a significant correlation with the outcome of resident performance. Applicants' grade during home and away EM rotations, designation as Alpha Omega Alpha (AOA), U.S. Medical Licensing Examination (USMLE) Step 1 score, interview scores, "global rating" and "competitiveness" on nonprogram leadership standardized letter of recommendation (SLOR), and having five or more publications or presentations showed a significant association with residency performance. CONCLUSION: We identified several predictors of top performers in EM residency: an honors grade for an EM rotation, USMLE Step 1 score, AOA designation, interview score, high SLOR rankings from nonprogram leadership, and completion of five or more presentations and publications. EM program directors may consider utilizing these variables during the match process to choose applicants who have the highest chance of top performance during residency.
BACKGROUND: Emergency Medicine (EM) residency program directors and faculty spend significant time and effort creating a residency rank list. To date, however, there have been few studies to assist program directors in determining which pre-residency variables best predict performance during EM residency. OBJECTIVE: To evaluate which pre-residency variables best correlated with an applicant's performance during residency. METHODS: This was a retrospective multicenter sample of all residents in the three most recent graduating classes from nine participating EM residency programs. The outcome measure of top residency performance was defined as placement in the top third of a resident's graduating class based on performance on the final semi-annual evaluation. RESULTS: A total of 277 residents from nine institutions were evaluated. Eight of the predictors analyzed had a significant correlation with the outcome of resident performance. Applicants' grade during home and away EM rotations, designation as Alpha Omega Alpha (AOA), U.S. Medical Licensing Examination (USMLE) Step 1 score, interview scores, "global rating" and "competitiveness" on nonprogram leadership standardized letter of recommendation (SLOR), and having five or more publications or presentations showed a significant association with residency performance. CONCLUSION: We identified several predictors of top performers in EM residency: an honors grade for an EM rotation, USMLE Step 1 score, AOA designation, interview score, high SLOR rankings from nonprogram leadership, and completion of five or more presentations and publications. EM program directors may consider utilizing these variables during the match process to choose applicants who have the highest chance of top performance during residency.
Authors: Shi Hao Chew; Irwani Ibrahim; Yan Zhen Yong; Lu Ming Shi; Qi Shi Zheng; Dujeepa D Samarasekera; Shirley Beng Suat Ooi Journal: Singapore Med J Date: 2018-03 Impact factor: 1.858
Authors: Laura R Hopson; Michele L Dorfsman; Jeremy Branzetti; Michael A Gisondi; Danielle Hart; Jaime Jordan; James A Cranford; Sarah R Williams; Linda Regan Journal: AEM Educ Train Date: 2019-05-20
Authors: Abbas Husain; Ida Li; Brahim Ardolic; Michael C Bond; Jan Shoenberger; Kaushal H Shah; Arlene S Chung; Jeffrey Van Dermark; Jonathan M Bronner; Melissa White; Todd Taylor; Lukasz Cygan; William Caputo; Matthew Silver; William C Krauss; Daniel J Egan; Moshe Weizberg Journal: AEM Educ Train Date: 2019-03-14
Authors: John C Burkhardt; Kendra P Parekh; Fiona E Gallahue; Kory S London; Mary A Edens; A J Humbert; M Tyson Pillow; Sally A Santen; Laura R Hopson Journal: J Grad Med Educ Date: 2020-11-20
Authors: Jaime Jordan; Judith A Linden; Martine C Maculatis; H Gene Hern; Jeffrey I Schneider; Charlotte P Wills; John P Marshall; Alan Friedman; Lalena M Yarris Journal: AEM Educ Train Date: 2018-01-31