在Doximity内科住院导航员声誉等级和公开可用的指标之间存在关联
Christopher R Stephenson1, Jayawant N Mandrekar2, Thomas J Beckman1
1Department of Medicine, Mayo Clinic, 200 First St SW, Rochester, MN, 55905, US.
BMC medical education
|March 26, 2025
概括
多西米的住院排名与项目特点相关,包括美国内科医学会更高的通过率和更大的项目规模. 这些因素可能反映了节目质量,但也突出了Doximity排名系统中的潜在偏见.
科学领域:
- 医学教育 医学教育
- 医疗保健管理部门的管理.
- 住院项目评估项目
背景情况:
- 美国新闻和世界报道利用Doximity排名进行医学专业排名,影响学生的选择.
- 人们对Doximity排名的有效性存在担忧.
- 很少有研究探讨了Doximity排名和程序特征之间的相关性.
研究的目的:
- 确定Doximity内部医学声誉排名和公开可用的程序特征之间的关联.
- 调查影响Doximity在内部医学实习计划中的排名的因素.
主要方法:
- 对566个内科住院的横截面研究,其中2020年的Doximity声誉排名.
- 与公开来源 (FREIDA,ABIM,ACGME,CMS,美国新闻) 链接Doximity数据.
- 利用单变量和多变量线性回归来分析居民人口统计,教师特征和课程特征.
主要成果:
- 美国高等内部医学委员会 (ABIM) 的通过率,医生教师与居民的比例,较旧的课程,研究轮换和更大的课程大小与更好的Doximity排名有关.
- 国际医学毕业生 (IMG) 和骨科医生 (DO) 的比例较高与较低的排名有关.
- 多变量分析解释了53%的差异 (调整后的R2=0.53).
结论:
- 接近度排名显示了与ABIM通过率和研究机会等计划质量指标的积极关联.
- 排名与IMG和DO的比例有负相关性,这表明潜在的偏见.
- 研究结果表明,Doximity的排名可能反映了节目质量,但也受到节目大小和自我报告等因素的影响.
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