What Predicts Performance? A Multicenter Study Examining the Association Between Resident Performance, Rank List Position, and United States Medical Licensing Examination Step 1 Scores

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Objectives: This study aimed to understand the personality characteristics of emergency medicine (EM) residents and assess consistency and variations among residency programs. Methods:In this cross-sectional study, a convenience sample of residents (N = 140) at five EM residency programs in the United States completed three personality assessments: the Hogan Personality Inventory (HPI)-describing usual tendencies; the Hogan Development Survey (HDS)-describing tendencies under stress or fatigue; and the Motives, Values, and Preferences Inventory (MVPI)-describing motivators. Differences between EM residents and a normative population of U.S. physicians were examined with one-sample t-tests. Differences between EM residents by program were analyzed using one-way analysis of variance tests.Results: One-hundred forty (100%), 124 (88.6%), and 121 (86.4%) residents completed the HPI, HDS, and MVPI, respectively. For the HPI, residents scored lower than the norms on the adjustment, ambition, learning approach, inquisitive, and prudence scales. For the HDS, residents scored higher than the norms on the cautious, excitable, reserved, and leisurely scales, but lower on bold, diligent, and imaginative scales. For the MVPI, residents scored higher than the physician population norms on altruistic, hedonistic, and aesthetics scales, although lower on the security and tradition scales. Residents at the five programs were similar on 22 of 28 scales, differing on one of 11 scales of the HPI (interpersonal sensitivity), two of 11 scales of the HDS (leisurely, bold), and three of 10 scales of the MVPI (aesthetics, commerce, and recognition).Conclusions: Our findings suggest that the personality characteristics of EM residents differ considerably from the norm for physicians, which may have implications for medical students' choice of specialty. Additionally, results indicated that EM residents at different programs are comparable in many areas, but moderate variation in personality characteristics exists. These results may help to inform future research incorporating personality assessment into the resident selection process and the training environment.

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confidence: 99%

Identifying the Emergency Medicine Personality: A Multisite Exploratory Pilot Study

Jordan

Linden

Maculatis

et al. 2018

Self Cite

“…Similar to prior years, the most common study populations were medical students (21/75; 28%) and residents (48/75; 64%) . Interestingly, this year only one study addressing medical students was highlighted for excellence, in contrast to prior years. In 2015, 33% of highlighted articles studied medical students, as did 42% of highlighted articles in 2014.…”

Section: Discussionmentioning

confidence: 92%

“…A multicenter study examining the association between resident performance, rank list position, and United States Medical Licensing Examination Step 1 SCORES. J Emerg Med 2017;52:332–40 …”

Section: Resultsmentioning

confidence: 99%

“…Three of these studies with an experimental design were highlighted . There was a decline in the number of observational studies (35/75; 47%), compared to 2015 (36/61; 59%), but an increase in the number of studies using survey methodology (19/75; 25%) in 2016 compared to 10 of 61, 16% in 2015, and 0% in 2014. It should be noted that all survey studies in this review drew data from participants from multiple institutions per the predetermined selection criteria.…”

Section: Discussionmentioning

confidence: 99%

“…Excluding surveys, 10 studies (13%) were conducted at two or more institutions. This is similar to 2015 where 10 of 61 (16%) were multi‐institutional.…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Critical Appraisal of Emergency Medicine Educational Research: The Best Publications of 2016

Dubosh

Jordan

Yarris

et al. 2018

Objectives: The objectives were to critically appraise the emergency medicine (EM) medical education literature published in 2016 and review the highest-quality quantitative and qualitative studies. Methods: A search of the English language literature in 2016 querying MEDLINE, Scopus, Education ResourcesInformation Center (ERIC), and PsychInfo identified 510 papers related to medical education in EM. Two reviewers independently screened all of the publications using previously established exclusion criteria. The 25 top-scoring quantitative studies based on methodology and all six qualitative studies were scored by all reviewers using selected scoring criteria that have been adapted from previous installments. The top-scoring articles were highlighted and trends in medical education research were described.

Which Applicant Factors Predict Success in Emergency Medicine Training Programs? A Scoping Review

Yang

Saadat

Murphy

et al. 2020

Background: Program directors (PDs) in emergency medicine (EM) receive an abundance of applications for very few residency training spots. It is unclear which selection strategies will yield the most successful residents. Many authors have attempted to determine which items in an applicant's file predict future performance in EM. Objectives:The purpose of this scoping review is to examine the breadth of evidence related to the predictive value of selection factors for performance in EM residency. Methods:The authors systematically searched four databases and websites for peer-reviewed and gray literature related to EM admissions published between 1992 and February 2019. Two reviewers screened titles and abstracts for articles that met the inclusion criteria, according to the scoping review study protocol. The authors included studies if they specifically examined selection factors and whether those factors predicted performance in EM residency training in the United States.Results: After screening 23,243 records, the authors selected 60 for full review. From these, the authors selected 15 published manuscripts, one unpublished manuscript, and 11 abstracts for inclusion in the review. These studies examined the United States Medical Licensing Examination (USMLE), Standardized Letters of Evaluation, Medical Student Performance Evaluation, medical school attended, clerkship grades, membership in honor societies, and other less common factors and their association with future EM residency training performance. Conclusions:The USMLE was the most common factor studied. It unreliably predicts clinical performance, but more reliably predicts performance on licensing examinations. All other factors were less commonly studied and, similar to the USMLE, yielded mixed results.S electing residents for a graduate medical education (GME) training program is a difficult task. The average emergency medicine (EM) program receives 940 applications for 11 first postgraduate year (PGY-1) positions. 1 Programs typically rank 12.8 applicants per PGY-1 position, 1,2 investing considerable time and resources in the screening, reviewing, and interviewing of medical student applicants.When deciding where an applicant should fall on a program's rank list, a program director (PD) may consider many factors in their decision, such as clerkship grades, United States Medical Licensing Examination