原创力文档associations between quality indicators of internal medicine residency training programs内科住院医师培训项目质量指标之间的关联.pdfVIP
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associations between quality indicators of internal medicine residency training programs内科住院医师培训项目质量指标之间的关联
Sisson et al. BMC Medical Education 2011, 11:30
/1472-6920/11/30
RESEARCH ARTICLE Open Access
Associations between quality indicators of
internal medicine residency training programs
1* 2 3 1
Stephen D Sisson , Sarah S Casagrande , Deepan Dalal , Hsin-Chieh Yeh and for
Johns Hopkins University School of Medicine
Abstract
Background: Several residency program characteristics have been suggested as measures of program quality, but
associations between these measures are unknown. We set out to determine associations between these potential
measures of program quality.
Methods: Survey of internal medicine residency programs that shared an online ambulatory curriculum on hospital
type, faculty size, number of trainees, proportion of international medical graduate (IMG) trainees, Internal Medicine
In-Training Examination (IM-ITE) scores, three-year American Board of Internal Medicine Certifying Examination
(ABIM-CE) first-try pass rates, Residency Review Committee-Internal Medicine (RRC-IM) certification length, program
director clinical duties, and use of pharmaceutical funding to support education. Associations assessed using
Chi-square, Spearman rank correlation, univariate and multivariable linear regression.
Results: Fifty one of 67 programs responded (response rate 76.1%), including 29 (56.9%) community teaching and
17 (33.3%) university hospitals, with a mean of 68 trainees and 101 faculty. Forty four percent of trainees were
IMGs. The average post-graduate year (PGY)-2 IM-ITE raw score was 63.1, which was 66.8 for PGY3s. Average 3-year
ABIM-CE pass rate was 95.8%; average RRC-IM certification was 4.3 years. ABIM-CE results, IM-ITE results, and length
of RRC-IM certification were strongly associated with each
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