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Gender Differences in Milestone Ratings and Medical Knowledge Examination Scores Among Internal Medicine Residents
- Source :
- Academic medicine : journal of the Association of American Medical Colleges. 96(6)
- Publication Year :
- 2021
-
Abstract
- PURPOSE To examine whether there are group differences in milestone ratings submitted by program directors working with clinical competency committees (CCCs) based on gender for internal medicine (IM) residents and whether women and men rated similarly on milestones perform comparably on subsequent in-training and certification examinations. METHOD This national retrospective study examined end-of-year medical knowledge (MK) and patient care (PC) milestone ratings and IM In-Training Examination (IM-ITE) and IM Certification Examination (IM-CE) scores for 2 cohorts (2014-2017, 2015-2018) of U.S. IM residents at ACGME-accredited programs. It included 20,098/21,440 (94%) residents, with 9,424 women (47%) and 10,674 men (53%). Descriptive statistics and differential prediction techniques using hierarchical linear models were performed. RESULTS For MK milestone ratings in PGY-1, men and women showed no statistical difference at a significance level of .01 (P = .02). In PGY-2 and PGY-3, men received statistically higher average MK ratings than women (P = .002 and P < .001, respectively). In contrast, men and women received equivalent average PC ratings in each PGY (P = .47, P = .72, and P = .80, for PGY-1, PGY-2, and PGY-3, respectively). Men slightly outperformed women with similar MK or PC ratings in PGY-1 and PGY-2 on the IM-ITE by about 1.7 and 1.5 percentage points, respectively, after adjusting for covariates. For PGY-3 ratings, women and men with similar milestone ratings performed equivalently on the IM-CE. CONCLUSIONS Milestone ratings were largely similar for women and men. Generally, women and men with similar MK or PC milestone ratings performed similarly on future examinations. Although there were small differences favoring men on earlier examinations, these differences disappeared by the final training year. It is questionable whether these small differences are educationally or clinically meaningful. The findings suggest fair, unbiased milestone ratings generated by program directors and CCCs assessing residents.
- Subjects :
- Adult
Male
Medical knowledge
medicine.medical_specialty
Certification
020205 medical informatics
Sexism
Statistical difference
02 engineering and technology
Education
03 medical and health sciences
0302 clinical medicine
Sex Factors
Group differences
Internal medicine
Statistical significance
0202 electrical engineering, electronic engineering, information engineering
Milestone (project management)
Internal Medicine
Medicine
Humans
030212 general & internal medicine
Retrospective Studies
Descriptive statistics
business.industry
Multilevel model
Internship and Residency
Retrospective cohort study
General Medicine
United States
lipids (amino acids, peptides, and proteins)
Female
Clinical Competence
Educational Measurement
business
Subjects
Details
- ISSN :
- 1938808X
- Volume :
- 96
- Issue :
- 6
- Database :
- OpenAIRE
- Journal :
- Academic medicine : journal of the Association of American Medical Colleges
- Accession number :
- edsair.doi.dedup.....83cbaaac1193e15e88fbe65b1af2639d