BACKGROUND: Emergency medicine (EM) residency programs use nonstandardized criteria to create applicant rank lists. One implicit assumption is that predictive associations exist between an applicant's rank and their future performance as a resident. To date, these associations have not been sufficiently demonstrated. OBJECTIVES: We hypothesized that a strong positive correlation exists between the National Resident Match Program (NRMP) match-list applicant rank, the United States Medical Licensing Examination (USMLE) Step 1 and In-Training Examination (ITE) scores, and the graduating resident rank. METHODS: A total of 286 residents from five EM programs over a 5-year period were studied. The applicant rank (AR) was derived from the applicant's relative rank list position on each programs' submitted NRMP rank list. The graduation rank (GR) was determined by a faculty consensus committee. GR was then correlated to AR using a Spearman's partial rank correlation. Additional correlations were sought with a ranking of the USMLE Step Score (UR) and the ITE Score (IR). RESULTS: Combining data for all five programs, weak positive correlations existed between GR and AR, UR, and IR. The majority of correlations ranged between. When comparing GR and AR, there was a weak correlation of 0.13 (p = 0.03). CONCLUSION: Our study found only weak correlations between GR and AR, UR, and IR, suggesting that those variables may not be strong predictors of resident performance. This has important implications for EM programs considering the resources devoted to applicant evaluation and ranking.
BACKGROUND: Emergency medicine (EM) residency programs use nonstandardized criteria to create applicant rank lists. One implicit assumption is that predictive associations exist between an applicant's rank and their future performance as a resident. To date, these associations have not been sufficiently demonstrated. OBJECTIVES: We hypothesized that a strong positive correlation exists between the National Resident Match Program (NRMP) match-list applicant rank, the United States Medical Licensing Examination (USMLE) Step 1 and In-Training Examination (ITE) scores, and the graduating resident rank. METHODS: A total of 286 residents from five EM programs over a 5-year period were studied. The applicant rank (AR) was derived from the applicant's relative rank list position on each programs' submitted NRMP rank list. The graduation rank (GR) was determined by a faculty consensus committee. GR was then correlated to AR using a Spearman's partial rank correlation. Additional correlations were sought with a ranking of the USMLE Step Score (UR) and the ITE Score (IR). RESULTS: Combining data for all five programs, weak positive correlations existed between GR and AR, UR, and IR. The majority of correlations ranged between. When comparing GR and AR, there was a weak correlation of 0.13 (p = 0.03). CONCLUSION: Our study found only weak correlations between GR and AR, UR, and IR, suggesting that those variables may not be strong predictors of resident performance. This has important implications for EM programs considering the resources devoted to applicant evaluation and ranking.
Authors: Nicole M Dubosh; Jaime Jordan; Lalena M Yarris; Edward Ullman; Joshua Kornegay; Daniel Runde; Amy Miller Juve; Jonathan Fisher Journal: AEM Educ Train Date: 2018-12-14
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
Authors: Daniel J Egan; Abbas Husain; Michael C Bond; William Caputo; Lukasz Cygan; Jeff Van Dermark; Jan M Shoenberger; Ida Li; William Krauss; Jonathan Bronner; Melissa White; Arlene S Chung; Kaushal H Shah; Todd Taylor; Matthew Silver; Brahim Ardolic; Moshe Weizberg Journal: West J Emerg Med Date: 2018-12-12