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Related Experiment Video

Updated: Jul 3, 2026

The Innovation Arena: A Method for Comparing Innovative Problem-Solving Across Groups

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Published on: May 13, 2022

Does student promotions committee appearance predict below-average performance during internship? A seven-year study.

Steven J Durning¹, Daniel L Cohen, David Cruess

¹Department of Medicine, Uniformed Services University of the Health Sciences, Bethesda, Maryland 20814, USA. sdurning@usuhs.mil

Teaching and Learning in Medicine

|July 11, 2008

Summary

Students referred to student promotions committees (SPCs) during medical school are at higher risk for below-average performance in their first year of internship. This indicates SPC appearance predicts future performance issues.

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Area of Science:

Medical Education
Graduate Medical Education
Performance Prediction

Background:

Medical educators face challenges in predicting the performance of struggling medical students.
Student Promotions Committees (SPCs) address various student issues, but their impact on performance outcomes is not well-documented.

Purpose of the Study:

To assess the predictive validity of appearance before an SPC on intern performance.
To evaluate the relationship between SPC referral and Program Director's (PD's) Evaluation Form ratings at the end of postgraduate year one (PGY-1).

Main Methods:

Residents were categorized as below average, average, or above average based on PD Evaluation Form ratings.
A comparison was made between residents who appeared before an SPC and those who did not.
Statistical analysis, including t-tests, was employed to analyze the data.

Main Results:

14% of graduating students were referred to an SPC during medical school.
23% of interns received below-average ratings on the PD Evaluation Form.
Students referred to an SPC were significantly more likely to receive below-average ratings on most PD Evaluation Form questions.

Conclusions:

Appearance before an SPC during medical school is a risk factor for below-average intern performance.
While SPC appearance predicts risk, only a minority of referred students received below-average ratings during internship.
These findings support the predictive validity of SPC appearance for identifying potential performance difficulties in postgraduate training.