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Undergraduate Medical Education Leader Performance Predicts Postgraduate Military Leader Performance
Erin S Barry1, Steven J Durning2, Deanna Schreiber-Gregory2
1Department of Military & Emergency Medicine, F. Edward Hébert School of Medicine, Uniformed Services University, Bethesda, MD 20814, USA.
Military Medicine
|May 18, 2023
Summary
Physician leadership skills developed in medical school predict performance during residency. Early leadership training in medical school is more predictive of future leadership success than standardized exam scores.
Area of Science:
- Medical Education
- Leadership Development
- Physician Performance
Background:
- Physician leadership development is increasingly emphasized in undergraduate medical education (UME) and graduate medical education (GME).
- The association between leadership performance during medical school and subsequent performance in residency (postgraduate years - PGY) is not well understood.
- Identifying predictors of future leader performance is crucial for effective training.
Purpose of the Study:
- To determine the correlation between leader performance in the final year of medical school and leader performance in PGY1 and PGY3.
- To assess if fourth-year medical school leader performance predicts military leadership performance in PGY1 and PGY3, controlling for academic markers.
Main Methods:
- Assessed UME leader performance via faculty during a medical field practicum.
- Evaluated PGY1 and PGY3 leader performance using program director assessments.
- Employed Pearson correlation and stepwise multiple linear regression analyses to examine relationships.
Main Results:
- UME leader performance correlated with 3/10 variables at PGY1 and 10/10 variables at PGY3.
- Fourth-year medical school leadership performance explained an additional 3.5% of PGY1 and 10.9% of PGY3 leader performance variance, beyond academic markers.
- UME leader performance demonstrated greater predictive power for PGY leadership than MCAT or USMLE Step exams.
Conclusions:
- A positive relationship exists between medical school leadership performance and PGY1/PGY3 leadership performance, with stronger correlations at PGY3.
- Medical school leadership performance is a more significant predictor of residency leadership performance than standardized test scores.
- These findings underscore the value of continued leadership development throughout medical training.
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