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Effect of Performance Deficiencies on Graduation and Board Certification Rates: A 10-yr Multicenter Study of
Judi A Turner1, Michael G Fitzsimons, Manuel C Pardo
1From the Departments of Anesthesiology and Perioperative Medicine (J.A.T., Y.M.H., M.A.K., K.J.H.-Q., N.Z.N., J.C.B., R.H.S.), Medicine Statistics Core (T.R.G.), and UCLA Simulation Center (M.D.D.R.), David Geffen School of Medicine at University of California, Los Angeles, Los Angeles, California; Department of Anesthesia, Critical Care and Pain Medicine, Harvard Medical School, Massachusetts General Hospital, Boston, Massachusetts (M.G.F.); Department of Anesthesia and Perioperative Care, University of California, San Francisco, San Francisco, California (M.C.P.); and Department of Anesthesiology, University of Colorado School of Medicine, Denver, Colorado (J.L.H.).
Resident performance deficiencies significantly impact graduation and board certification. Isolated issues may not affect outcomes, but essential attribute or multiple competency deficits pose high risks.
Area of Science:
- Medical Education
- Anesthesiology Residency Training
- Professional Performance Evaluation
Background:
- Assessing resident performance is crucial for medical education.
- Deficiencies in resident performance can have long-term career implications.
- Understanding the impact of performance issues on graduation and board certification is vital.
Purpose of the Study:
- To determine the effect of resident performance deficiencies on graduation rates.
- To evaluate the impact of performance deficiencies on achieving board certification.
- To identify specific areas of deficiency that pose the highest risk.
Main Methods:
- Retrospective analysis of 865 anesthesiology residents across four academic programs.
- Examination of primary documents related to resident performance over a 10-year period.
- Categorization of deficiencies and comparison of outcomes between affected residents and their peers.
Main Results:
- Residents with performance actions had lower graduation (93% vs. 99%) and board certification (89% vs. 99%) rates.
- A single deficiency in an Essential Attribute reduced graduation rates to 55%.
- Deficiencies in multiple Core Competencies also significantly decreased graduation probability.
Conclusions:
- High overall graduation and board certification rates exist for residents without deficiencies.
- Residents with Essential Attribute or multiple Core Competency deficiencies face significant risks.
- Further research is needed on targeted remediation strategies for high-risk residents.
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