Purpose: Our purpose is to determine which metrics predict success in
residency and ABOG written board passage (BP).
Background: The success of an Ob/Gyn residency program relies upon
recruiting candidates who will excel academically (CREOG scores), clinically
(ACGME milestones), and ensure residents pass boards. Additionally,
early identification of residents at risk for failing allows for appropriate
remediation plans.
Methods: Medical school ranking, OBGYN clerkship grade, letters
of recommendation (LOR), USMLE Step scores were collected from 2013-2018 for
the Wayne State OBGYN residency program (n=59) and related to their CREOG
scores, ACGME milestones and to board passage using mixed effects logistical
regression.
Results: Students honoring ObGyn and those with Step 1 scores
>200 were more likely to become successful residents (milestones >3
“Excellent or Outstanding”). While, milestones were not predictive of board
passage, higher milestones, specifically in problem based learning (PBL) were
associated with higher scores on all CREOGs which are associated with board
passage. Additionally, wording in the MSPE was positively associated with
honors, CREOG3 & CREOG 4 scores, and board passage. Residents in danger of
failing Boards had CREOG3 (or 3.8 95%CI 1.7-8.6) or CREOG4 (or 3.7 95%CI
1.7-8.2) scores were unrelated to board passage.
Discussions: This study suggests selecting applicants with high clerkship
grades, USMLE1, and high class rank and discounts the value of LOR. Milestones
appear to be of limited value for board passage and in identifying at-risk
residents.
Topics: CREOG & APGO Annual Meeting, 2019, Student, Resident, Faculty, Patient Care, Medical Knowledge, Professionalism, Systems-Based Practice & Improvement, Interpersonal & Communication Skills, Practice-Based Learning & Improvement, GME,
Sejal Tamakuwala,
DO, Wayne
State University/Detroit Medical Center; Joshua
Dean, BS;
Aliye Runyan,
MD; Jessica
Sanders, PhD
MSPH; Satinder Kaur, MD;
Maurice Andre Recanati, MD
