Associations between quality indicators of internal medicine residency training programs

Stephen D Sisson, Sarah S. Casagrande, Deepan Dalal, Hsin Chieh Yeh

Research output: Contribution to journalArticle

Abstract

Background: Several residency program characteristics have been suggested as measures of program quality, but associations between these measures are unknown. We set out to determine associations between these potential measures of program quality. Methods. Survey of internal medicine residency programs that shared an online ambulatory curriculum on hospital type, faculty size, number of trainees, proportion of international medical graduate (IMG) trainees, Internal Medicine In-Training Examination (IM-ITE) scores, three-year American Board of Internal Medicine Certifying Examination (ABIM-CE) first-try pass rates, Residency Review Committee-Internal Medicine (RRC-IM) certification length, program director clinical duties, and use of pharmaceutical funding to support education. Associations assessed using Chi-square, Spearman rank correlation, univariate and multivariable linear regression. Results: Fifty one of 67 programs responded (response rate 76.1%), including 29 (56.9%) community teaching and 17 (33.3%) university hospitals, with a mean of 68 trainees and 101 faculty. Forty four percent of trainees were IMGs. The average post-graduate year (PGY)-2 IM-ITE raw score was 63.1, which was 66.8 for PGY3s. Average 3-year ABIM-CE pass rate was 95.8%; average RRC-IM certification was 4.3 years. ABIM-CE results, IM-ITE results, and length of RRC-IM certification were strongly associated with each other (p <0.05). PGY3 IM-ITE scores were higher in programs with more IMGs and in programs that accepted pharmaceutical support (p <0.05). RRC-IM certification was shorter in programs with higher numbers of IMGs. In multivariable analysis, a higher proportion of IMGs was associated with 1.17 years shorter RRC accreditation. Conclusions: Associations between quality indicators are complex, but suggest that the presence of IMGs is associated with better performance on standardized tests but decreased duration of RRC-IM certification.

Original languageEnglish (US)
Article number30
JournalBMC Medical Education
Volume11
Issue number1
DOIs
StatePublished - 2011

Fingerprint

Internship and Residency
Internal Medicine
training program
medicine
Education
Certification
Advisory Committees
certification
examination
trainee
pharmaceutical
graduate
Health Facility Size
Accreditation
accreditation
Pharmaceutical Preparations
Curriculum
director
Linear Models
Teaching

Keywords

  • American Board of Internal Medicine Certifying Examination
  • program quality
  • Residency Review Committee

ASJC Scopus subject areas

  • Medicine(all)
  • Education

Cite this

Associations between quality indicators of internal medicine residency training programs. / Sisson, Stephen D; Casagrande, Sarah S.; Dalal, Deepan; Yeh, Hsin Chieh.

In: BMC Medical Education, Vol. 11, No. 1, 30, 2011.

Research output: Contribution to journalArticle

@article{b88e86ca101f4a8286056edee025f8d5,
title = "Associations between quality indicators of internal medicine residency training programs",
abstract = "Background: Several residency program characteristics have been suggested as measures of program quality, but associations between these measures are unknown. We set out to determine associations between these potential measures of program quality. Methods. Survey of internal medicine residency programs that shared an online ambulatory curriculum on hospital type, faculty size, number of trainees, proportion of international medical graduate (IMG) trainees, Internal Medicine In-Training Examination (IM-ITE) scores, three-year American Board of Internal Medicine Certifying Examination (ABIM-CE) first-try pass rates, Residency Review Committee-Internal Medicine (RRC-IM) certification length, program director clinical duties, and use of pharmaceutical funding to support education. Associations assessed using Chi-square, Spearman rank correlation, univariate and multivariable linear regression. Results: Fifty one of 67 programs responded (response rate 76.1{\%}), including 29 (56.9{\%}) community teaching and 17 (33.3{\%}) university hospitals, with a mean of 68 trainees and 101 faculty. Forty four percent of trainees were IMGs. The average post-graduate year (PGY)-2 IM-ITE raw score was 63.1, which was 66.8 for PGY3s. Average 3-year ABIM-CE pass rate was 95.8{\%}; average RRC-IM certification was 4.3 years. ABIM-CE results, IM-ITE results, and length of RRC-IM certification were strongly associated with each other (p <0.05). PGY3 IM-ITE scores were higher in programs with more IMGs and in programs that accepted pharmaceutical support (p <0.05). RRC-IM certification was shorter in programs with higher numbers of IMGs. In multivariable analysis, a higher proportion of IMGs was associated with 1.17 years shorter RRC accreditation. Conclusions: Associations between quality indicators are complex, but suggest that the presence of IMGs is associated with better performance on standardized tests but decreased duration of RRC-IM certification.",
keywords = "American Board of Internal Medicine Certifying Examination, program quality, Residency Review Committee",
author = "Sisson, {Stephen D} and Casagrande, {Sarah S.} and Deepan Dalal and Yeh, {Hsin Chieh}",
year = "2011",
doi = "10.1186/1472-6920-11-30",
language = "English (US)",
volume = "11",
journal = "BMC Medical Education",
issn = "1472-6920",
publisher = "BioMed Central",
number = "1",

}

TY - JOUR

T1 - Associations between quality indicators of internal medicine residency training programs

AU - Sisson, Stephen D

AU - Casagrande, Sarah S.

AU - Dalal, Deepan

AU - Yeh, Hsin Chieh

PY - 2011

Y1 - 2011

N2 - Background: Several residency program characteristics have been suggested as measures of program quality, but associations between these measures are unknown. We set out to determine associations between these potential measures of program quality. Methods. Survey of internal medicine residency programs that shared an online ambulatory curriculum on hospital type, faculty size, number of trainees, proportion of international medical graduate (IMG) trainees, Internal Medicine In-Training Examination (IM-ITE) scores, three-year American Board of Internal Medicine Certifying Examination (ABIM-CE) first-try pass rates, Residency Review Committee-Internal Medicine (RRC-IM) certification length, program director clinical duties, and use of pharmaceutical funding to support education. Associations assessed using Chi-square, Spearman rank correlation, univariate and multivariable linear regression. Results: Fifty one of 67 programs responded (response rate 76.1%), including 29 (56.9%) community teaching and 17 (33.3%) university hospitals, with a mean of 68 trainees and 101 faculty. Forty four percent of trainees were IMGs. The average post-graduate year (PGY)-2 IM-ITE raw score was 63.1, which was 66.8 for PGY3s. Average 3-year ABIM-CE pass rate was 95.8%; average RRC-IM certification was 4.3 years. ABIM-CE results, IM-ITE results, and length of RRC-IM certification were strongly associated with each other (p <0.05). PGY3 IM-ITE scores were higher in programs with more IMGs and in programs that accepted pharmaceutical support (p <0.05). RRC-IM certification was shorter in programs with higher numbers of IMGs. In multivariable analysis, a higher proportion of IMGs was associated with 1.17 years shorter RRC accreditation. Conclusions: Associations between quality indicators are complex, but suggest that the presence of IMGs is associated with better performance on standardized tests but decreased duration of RRC-IM certification.

AB - Background: Several residency program characteristics have been suggested as measures of program quality, but associations between these measures are unknown. We set out to determine associations between these potential measures of program quality. Methods. Survey of internal medicine residency programs that shared an online ambulatory curriculum on hospital type, faculty size, number of trainees, proportion of international medical graduate (IMG) trainees, Internal Medicine In-Training Examination (IM-ITE) scores, three-year American Board of Internal Medicine Certifying Examination (ABIM-CE) first-try pass rates, Residency Review Committee-Internal Medicine (RRC-IM) certification length, program director clinical duties, and use of pharmaceutical funding to support education. Associations assessed using Chi-square, Spearman rank correlation, univariate and multivariable linear regression. Results: Fifty one of 67 programs responded (response rate 76.1%), including 29 (56.9%) community teaching and 17 (33.3%) university hospitals, with a mean of 68 trainees and 101 faculty. Forty four percent of trainees were IMGs. The average post-graduate year (PGY)-2 IM-ITE raw score was 63.1, which was 66.8 for PGY3s. Average 3-year ABIM-CE pass rate was 95.8%; average RRC-IM certification was 4.3 years. ABIM-CE results, IM-ITE results, and length of RRC-IM certification were strongly associated with each other (p <0.05). PGY3 IM-ITE scores were higher in programs with more IMGs and in programs that accepted pharmaceutical support (p <0.05). RRC-IM certification was shorter in programs with higher numbers of IMGs. In multivariable analysis, a higher proportion of IMGs was associated with 1.17 years shorter RRC accreditation. Conclusions: Associations between quality indicators are complex, but suggest that the presence of IMGs is associated with better performance on standardized tests but decreased duration of RRC-IM certification.

KW - American Board of Internal Medicine Certifying Examination

KW - program quality

KW - Residency Review Committee

UR - http://www.scopus.com/inward/record.url?scp=79958056067&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=79958056067&partnerID=8YFLogxK

U2 - 10.1186/1472-6920-11-30

DO - 10.1186/1472-6920-11-30

M3 - Article

C2 - 21651768

AN - SCOPUS:79958056067

VL - 11

JO - BMC Medical Education

JF - BMC Medical Education

SN - 1472-6920

IS - 1

M1 - 30

ER -