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Pediatric resident milestones reveal significant racial and gender disparities. African American residents scored lower across most domains, while female residents generally received higher scores than males.

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Area of Science:

  • Medical Education
  • Graduate Medical Training
  • Competency Assessment

Background:

  • Accreditation Council for Graduate Medical Education (ACGME) milestones evaluate resident competency.
  • Potential disparities in milestone assessments based on race and gender are not fully understood.

Purpose of the Study:

  • To investigate racial and gender disparities in ACGME milestone assessments within pediatric residency programs.

Main Methods:

  • Retrospective, cross-sectional, multi-institutional study.
  • Analysis of 1446 milestone scores from 316 residents across 3 pediatric residencies.
  • Comparison of scores across racial and gender groups.

Main Results:

  • African American residents received significantly lower scores in patient care, medical knowledge, practice-based learning and improvement, professionalism, and interpersonal communication skills.
  • Female residents generally scored higher than male residents in patient care and system-based practice.
  • Gender differences in medical knowledge scores varied by residency year.

Conclusions:

  • Racial and gender disparities exist in pediatric resident milestone assessments.
  • These findings highlight the need to address potential biases in competency evaluation.
  • Further research is warranted to understand and mitigate these observed differences.