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Comparison of performance data between emergency medicine 1-3 and 1-4 program formats
Michael S Beeson1, Melissa A Barton2, Earl J Reisdorff2
1Department of Emergency Medicine Summa Health Akron Ohio USA.
Summary
Emergency medicine physicians trained in 3-year programs showed slightly higher Milestone scores and Qualifying Examination pass rates compared to those in 4-year programs. However, differences in other performance measures were minimal, limiting causal claims based on program length alone.
Area of Science:
- Medical Education
- Emergency Medicine Training
- Physician Performance Assessment
Background:
- Two emergency medicine residency training formats exist: 3-year and 4-year programs.
- Little objective data compares physician performance between these two training durations.
Purpose of the Study:
- To compare performance data between physicians who completed 3-year versus 4-year emergency medicine residency programs.
- To identify any objective performance differences attributable to residency program length.
Main Methods:
- Retrospective cross-sectional analysis of emergency medicine residents and physicians.
- Comparison of Accreditation Council of Graduate Medical Education Milestones, American Board of Emergency Medicine In-training Examination (ITE), Qualifying Examination (QE), and Oral Certification Examination (OCE) scores.
- Analysis of program extension rates between 3-year and 4-year programs.
Main Results:
- Emergency medicine 3 residents in 1-3 programs had higher Milestone scores (3.51) than those in 1-4 programs (3.07), with 4-year residents scoring highest (3.67).
- No significant difference in program extension rates was observed between the 3-year (8.1%) and 4-year (9.6%) programs.
- Physicians from 3-year programs showed higher mean QE scores (83.55 vs 83.00) and pass rates (93.1% vs 90.8%) compared to 4-year programs.
Conclusions:
- Small performance differences exist between physicians from 3-year and 4-year emergency medicine residency programs.
- These observed differences are limited in establishing causal relationships regarding program format alone.
- Further research may be needed to explore other factors influencing physician performance.
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