Predictors of a Top Performer During Emergency Medicine Residency

Bhat, Rahul; Takenaka, Katrin; Levine, Brian J.; Goyal, Nikhil; Garg, Manish; Visconti, Annette; Oyama, Leslie C.; Castillo, Edward M.; Broder, Joshua; Omron, Rodney; Hayden, Stephen R.

doi:10.1016/j.jemermed.2015.05.035

Cited by 59 publications

(69 citation statements)

References 22 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…EM is a specialty that comes with unique challenges and rewards for practitioners in the field. (3,6,7,15) EM specialists are expected to be quick at formulating accurate diagnoses with little information at hand, possess excellent dexterity for performing a wide range of procedures, and be comfortable with dealing with trauma and deaths on a daily basis. Hence, it comes as no surprise that internal factors such as 'personality fit' turned out to be more important than external factors, such as salary and working hours, in influencing one's decision to pursue EM.…”

Section: Discussionmentioning

confidence: 99%

“…Medical school test results are not always reliable indicators of future success in EM. (3) By denying medical student applicants and restricting resident recruitment to older medical officers who have rotated to the EM department, they may risk losing top performing graduating students to other training specialties. For graduating medical students, choosing and applying for a residency can often result in considerable anxiety, as application for a residency programme is competitive and unpredictable, and requires a significant investment of time and commitment.…”

Section: Introductionmentioning

confidence: 99%

“…As such, careful selection of EM applicants is important to the future development of EM in Singapore. (3,5) Our study team aimed to determine the interest levels and motivating factors for pursuing EM as a career among medical students in Singapore. …”

mentioning

confidence: 99%

See 2 more Smart Citations

Factors influencing the decision to pursue emergency medicine as a career among medical students in Singapore

Chew

Ibrahim

Yong³

et al. 2018

smedj

View full text Add to dashboard Cite

INTRODUCTIONThe emergency medicine (EM) residency programme was introduced in Singapore in 2010 as part of a nationwide effort by the Ministry of Health Holdings (MOHH) to improve existing postgraduate training systems across all medical and surgical specialties.(1,2) It is modelled after the American residency system and replaces the old specialty training programme, which involved rotating apprenticeships of varying duration with different governing bodies for employment, accreditation and evaluation of training. The need to generate specialists at a faster rate to meet the rising demand for healthcare services in Singapore served as another driver for transition to the residency programme system. The EM residency programme achieves this by means of a seamless progression structure and earlier enrolment into specialist training, by allowing medical students to apply for a residency programme in their graduating year.For EM residency programme directors, it is challenging to select residents from a pool of medical students with whom they have limited interaction. It is difficult to gauge applicants' aptitude, attitude and work ethos without direct observation of their work experience. Medical school test results are not always reliable indicators of future success in EM.(3) By denying medical student applicants and restricting resident recruitment to older medical officers who have rotated to the EM department, they may risk losing top performing graduating students to other training specialties. For graduating medical students, choosing and applying for a residency can often result in considerable anxiety, as application for a residency programme is competitive and unpredictable, and requires a significant investment of time and commitment. (4,5) This demanding situation is compounded by the shorter exposure to EM in the residency programme as compared to the old system, in which applicants typically had six months to two years of work experience in EM. The introduction of the residency programme meant that the duration of training will be shortened, the pace of knowledge acquisition will be accelerated, and EM trainees consequently become consultants at a younger age and with less experience. As such, careful selection of EM applicants is important to the future development of EM in Singapore. (3,5) Our study team aimed to determine the interest levels and motivating factors for pursuing EM as a career among medical students in Singapore.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Factors influencing the decision to pursue emergency medicine as a career among medical students in Singapore

Chew

Ibrahim

Yong³

et al. 2018

smedj

View full text Add to dashboard Cite

show abstract

“…Data were originally collected via a multi-institutional collaborative effort, details of which have been described previously 23. Briefly, nine programs volunteered to provide performance data on all their residents graduating in the previous three years, along with pre-residency predictor data available at the time of resident matriculation into the program.…”

Section: Methodsmentioning

confidence: 99%

USMLE Scores Predict Success in ABEM Initial Certification: A Multicenter Study

Harmouche¹,

Goyal²,

Pinawin³

et al. 2017

WestJEM

Self Cite

View full text Add to dashboard Cite

IntroductionThere are no existing data on whether performance on the United States Medical Licensing Examination (USMLE) predicts success in American Board of Emergency Medicine (ABEM) certification. The aim of this study was to determine the presence of any association between USMLE scores and first-time success on the ABEM qualifying and oral certification examinations.MethodsWe retrospectively collected USMLE Step 1, Step 2 Clinical Knowledge (CK) scores and pass/fail results from the first attempt at ABEM qualifying and oral examinations from residents graduating between 2009 and 2011 from nine EM programs. A composite score was defined as the sum of USMLE Step 1 and Step 2 CK scores.ResultsSample was composed of 197 residents. Median Step 1, Step 2 CK and composite scores were 218 ([IQR] 207–232), 228 (IQR 217–239) and 444 (IQR 427–468). First-time pass rates were 95% for the qualifying examination and 93% for both parts of the examination. Step 2 CK and composite scores were better predictors of achieving ABEM initial certification compared to Step 1 score (area under the curve 0.800, 0.759 and 0.656). Step 1 score of 227, Step 2 CK score of 225 and composite score of 444 predicted a 95% chance of passing both boards.ConclusionHigher USMLE Step 1, Step 2 CK and composite scores are associated with better performance on ABEM examinations, with Step 2 CK being the strongest predictor. Cutoff scores for USMLE Step 1, Step 2 CK and composite score were established to predict first-time success on ABEM initial certification.

show abstract

“…For example, in this analysis we are not able to comment on changes in clerkship or medical school grades or interview performance, factors that programs and applicants both rate as important 12. These factors may predict success as well as the factors that have been quantified and examined here 13. Test scores and memberships in an honorary society should not be taken as evidence of an entirely unchanging applicant pool.…”

Section: Discussionmentioning

confidence: 92%

Trends in NRMP Data from 2007-2014 for U.S. Seniors Matching into Emergency Medicine

Manthey¹,

Hartman²,

Newmyer³

et al. 2017

WestJEM

View full text Add to dashboard Cite

IntroductionSince 1978, the National Residency Matching Program (NRMP) has published data demonstrating characteristics of applicants who have matched into their preferred specialty in the NRMP main residency match. These data have been published approximately every two years. There is limited information about trends within these published data for students matching into emergency medicine (EM). Our objective was to investigate and describe trends in NRMP data to include the following: the ratio of applicants to available EM positions; United State Medical Licensing Examination (USMLE) Step 1 and Step 2 scores (compared to the national means); number of programs ranked; and Alpha Omega Alpha Honor Medical Society (AOA) membership among U.S. seniors matching into EM.MethodsThis was a retrospective observational review of NRMP data published between 2007 and 2016. We analyzed the data using analysis of variance (ANOVA) or Kruskal-Wallis testing, and Fischer’s exact or chi-squared testing, as appropriate to determine statistical significance.ResultsThe ratio of applicants to available EM positions remained essentially stable from 2007 to 2014 but did increase slightly in 2016. We observed a net upward trend in overall Step 1 and Step 2 scores for EM applicants. However, this did not outpace the national trend increase in Step 1 and 2 scores overall. There was an increase in the mean number of programs ranked by EM applicants over the years studied from 7.8 (SD4.2) to 9.2 (SD5.0, p<0.001), driven predominantly by the cohort of U.S. students successful in the match. Among time intervals, there was a difference in the number of EM applicants with AOA membership (p=0.043) due to a drop in the number of AOA students in 2011. No sustained statistical trend in AOA membership was identified over the seven-year period studied.ConclusionNRMP data demonstrate trends among EM applicants that are similar to national trends in other specialties for USMLE board scores, and a modest increase in number of programs ranked. AOA membership was largely stable. EM does not appear to have become more competitive relative to other specialties or previous years in these categories.

show abstract

Predictors of a Top Performer During Emergency Medicine Residency

Cited by 59 publications

References 22 publications

Factors influencing the decision to pursue emergency medicine as a career among medical students in Singapore

Factors influencing the decision to pursue emergency medicine as a career among medical students in Singapore

USMLE Scores Predict Success in ABEM Initial Certification: A Multicenter Study

Trends in NRMP Data from 2007-2014 for U.S. Seniors Matching into Emergency Medicine

Contact Info

Product

Resources

About