Doctor scores on national qualifying examinations predict quality of care in future practice

Medical Education
Elizabeth WenghoferR Tamblyn

Abstract

This study aimed to determine if national licensing examinations that measure medical knowledge (QE1) and clinical skills (QE2) predict the quality of care delivered by doctors in future practice. Cohorts of doctors who took the Medical Council of Canada Qualifying Examinations Part I (QE1) and Part II (QE2) between 1993 and 1996 and subsequently entered practice in Ontario, Canada (n = 2420) were followed for their first 7-10 years in practice. The 208 of these doctors who were randomly selected for peer assessment of quality of care were studied. Main outcome measures included quality of care (acceptable/unacceptable) as assessed by doctor peer-examiners using a structured chart review and interview. Multivariate logistic regression was used to determine if qualifying examination scores predicted the outcome of the peer assessments while controlling for age, sex, training and specialty, and if the addition of the QE2 scores provided additional prediction of quality of care. Fifteen (7.2%) of the 208 doctors assessed were considered to provide unacceptable quality of care. Doctors in the bottom quartile of QE1 scores had a greater than three-fold increase in the risk of an unacceptable quality-of-care assessment outcome (odds ...Continue Reading

References

Oct 1, 1992·Academic Medicine : Journal of the Association of American Medical Colleges·S M CaseD B Swanson
Mar 1, 1995·Academic Medicine : Journal of the Association of American Medical Colleges·G PageT Allen
Jan 1, 1996·Academic Medicine : Journal of the Association of American Medical Colleges·R K ReznickS Smee
Sep 28, 1998·JAMA : the Journal of the American Medical Association·R TamblynJ Haggerty
Oct 14, 2000·Academic Medicine : Journal of the Association of American Medical Colleges·H Mandin, W D Dauphinée
Dec 20, 2002·JAMA : the Journal of the American Medical Association·Robyn TamblynCarlos Brailovsky
Jun 6, 2003·Medical Education·John J Norcini
Apr 23, 2004·The New England Journal of Medicine·Maxine A Papadakis
Feb 16, 2005·The Journal of Continuing Education in the Health Professions·Peter G NortonDaniel Faulkner
Sep 21, 2006·The Journal of Continuing Education in the Health Professions·Elizabeth F WenghoferDaniel J Klass
Dec 14, 2006·The Journal of Continuing Education in the Health Professions·Elizabeth F WenghoferDaniel Faulkner
Sep 6, 2007·JAMA : the Journal of the American Medical Association·Robyn TamblynJames A Hanley
Nov 3, 2010·Healthcare Policy = Politiques De Santé·Elizabeth F WenghoferDaniel J Klass

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Citations

Sep 1, 2011·Journal of General Internal Medicine·Richard A FeinbergConstance T Murray
Dec 23, 2011·Academic Medicine : Journal of the Association of American Medical Colleges·Brian J HessRebecca S Lipner
Jun 28, 2011·Simulation in Healthcare : Journal of the Society for Simulation in Healthcare·John R BouletJoan P Roche
Jun 30, 2012·BMC Medicine·Renée M van der LeeuwMaas Jan Heineman
Aug 12, 2014·Canadian Journal on Aging = La Revue Canadienne Du Vieillissement·Linda LeeDavid Harvey
Feb 20, 2015·Medical Education·Elizabeth F WenghoferWilliam McCauley
Dec 24, 2015·Medical Education·David B Swanson, Trudie E Roberts
Oct 28, 2010·Journal of the American Geriatrics Society·Linda LeeDavid Harvey
Jul 15, 2011·Medical Education·Geoff Norman
Dec 21, 2012·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Nikhil GoyalChad Kessler
Sep 11, 2013·Medical Education·Kulamakan M KulasegaramGeoffrey R Norman
Jan 3, 2013·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Jonathan S IlgenJonathan Sherbino
Nov 23, 2015·Advances in Health Sciences Education : Theory and Practice·Kevin W EvaGlenn Regehr
Apr 26, 2015·Archivos de bronconeumología·Estefanía Llopis PastorPatricia Sobradillo Ecenarro
Dec 19, 2013·The Journal of Continuing Education in the Health Professions·Richard E HawkinsEric S Holmboe
Jul 15, 2015·Advances in Health Sciences Education : Theory and Practice·Geoff Norman
Apr 19, 2015·BMC Medical Education·Halah IbrahimEric S Holmboe
Dec 19, 2014·PloS One·Mary E W DankbaarStephanie C E Schuit
Aug 21, 2016·BMC Medical Education·Julian ArcherSam Regan de Bere
Jun 1, 2017·Academic Medicine : Journal of the Association of American Medical Colleges·Monica M CuddyBrian E Clauser
Sep 28, 2017·Academic Medicine : Journal of the Association of American Medical Colleges·Cassandra BarberSaad Chahine
Mar 14, 2018·Journal of Evaluation in Clinical Practice·Sandra MonteiroJonathan Sherbino
Aug 24, 2017·Academic Medicine : Journal of the Association of American Medical Colleges·William P BurdickKim Edward LeBlanc
Jun 5, 2016·The Journal of Continuing Education in the Health Professions·Elizabeth F WenghoferPeter Boal
Jun 5, 2016·The Journal of Continuing Education in the Health Professions·Linjun ShenLarry R Faulkner
Mar 15, 2018·Academic Medicine : Journal of the Association of American Medical Colleges·Saad ChahineClaire Touchie
May 20, 2018·Advances in Health Sciences Education : Theory and Practice·G Bordage, G Page
Jul 17, 2010·Medical Education·Kevin W EvaGeorges Bordage
Jul 27, 2018·Intensive Care Medicine·Alison E TurnbullJ Randall Curtis
May 1, 2019·International Journal of Computer Assisted Radiology and Surgery·Robert DiPietroGregory D Hager
May 24, 2014·Academic Medicine : Journal of the Association of American Medical Colleges·John J NorciniW Dale Dauphinee
Oct 15, 2018·International Journal of Health Policy and Management·Tristan PriceJulian Archer
Oct 26, 2016·Academic Medicine : Journal of the Association of American Medical Colleges·Richard E HawkinsJeffrey P Gold

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