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Anesthesiology Resident Demographics and the BASIC Examination Pass Rates.

Huaping Sun1, Ann E Harman1, John D Mitchell2

  • 1From the Assessment Services, The American Board of Anesthesiology, Raleigh, North Carolina.

Anesthesia and Analgesia
|March 27, 2025
PubMed
Summary
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Female and nonwhite anesthesiology residents had lower first-time pass rates on the BASIC Examination. However, nearly all residents eventually passed within three attempts, indicating overall program success.

Area of Science:

  • Anesthesiology
  • Medical Education
  • Health Equity

Background:

  • The American Board of Anesthesiology introduced the BASIC Examination in 2014.
  • Retrospective analyses were conducted to identify factors associated with first-time pass rates.

Purpose of the Study:

  • To assess the association between resident demographics, program characteristics, and prior examination performance with first-time BASIC pass rates.
  • To analyze first-time and eventual pass rates across various demographic groups.

Main Methods:

  • Included anesthesiology residents taking the BASIC Examination for the first time between July 2014 and November 2022.
  • Calculated first-time and eventual pass rates (up to 3 attempts) for demographic subgroups.
  • Utilized mixed-effects logistical regression to model the odds of passing based on demographics and prior Clinical Base Year In-Training Examination (CBY ITE) scores.

Related Experiment Videos

Main Results:

  • Analysis of 17,286 attempts from 15,789 residents revealed disparities in first-time pass rates.
  • Lower first-time pass rates were observed for female, Hispanic/Latino, and Black/African American residents compared to their male, non-Hispanic/Latino, and White counterparts.
  • While performance gaps on the BASIC Examination were reduced after controlling for CBY ITE scores, they were not eliminated.

Conclusions:

  • Female and nonwhite residents demonstrated lower first-time pass rates on the BASIC Examination.
  • All demographic subgroups achieved eventual pass rates exceeding 99% within three attempts.
  • Further research is necessary to understand the underlying reasons for these disparities and to develop targeted improvement strategies.