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Does Residency Rank List Placement Predict Clinical Performance in Interventional Radiology Training?

Oussama Metrouh1, Julie Bulman1, Sarah Schroeppel DeBacker2

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Summary
This summary is machine-generated.

Interventional Radiology (IR) resident selection may not align with clinical performance. United States Medical Licensing Examination (USMLE) Step 2 scores, not rank order list placement, better predict resident success.

Keywords:
Rank listResidencyResident selection

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Area of Science:

  • Medical Education
  • Interventional Radiology
  • Residency Training

Background:

  • The selection process for Interventional Radiology (IR) residents relies on various metrics, but their correlation with actual clinical performance is not well-established.
  • Understanding predictive factors for successful IR trainees is crucial for optimizing residency programs.

Purpose of the Study:

  • To assess the relationship between Interventional Radiology trainees' residency performance and their National Residency Matching Program (NRMP) rank order list (ROL) placement.
  • To identify application metrics that predict strong clinical performance during IR training.

Main Methods:

  • Retrospective review of IR residents' application data (2020-2025), including USMLE scores, experiences, publications, and awards.
  • Faculty surveys assessed clinical performance based on Accreditation Council for Graduate Medical Education (ACGME) milestones.
  • Statistical analysis using Spearman correlation and linear regression evaluated associations between metrics and performance.

Main Results:

  • Moderate inter-rater reliability was found for medical knowledge, procedural competence, and patient care assessments.
  • No significant correlation was observed between NRMP ROL placement and clinical performance (p=0.82).
  • United States Medical Licensing Examination (USMLE) Step 2 score was the sole significant predictor of clinical performance (p=0.01), with a cutoff of 239.

Conclusions:

  • NRMP rank order list placement, driven by interviews, may not reliably predict high-performing IR residents.
  • USMLE Step 2 scores appear to be a more valuable predictor of clinical success in IR training.