Predicting Performance of First-Year Residents: Correlations Between Structured Interview, Licensure Exam, and Competency Scores in a Multi-Institutional Study

Academic Medicine : Journal of the Association of American Medical Colleges
Brittany Marcus-BlankMichael J Cullen

Abstract

To determine whether scores on structured interview (SI) questions designed to measure noncognitive competencies in physicians (1) predict subsequent first-year resident performance on Accreditation Council for Graduate Medical Education (ACGME) milestones and (2) add incremental validity over United States Medical Licensing Examination (USMLE) Step 1 and Step 2 Clinical Knowledge scores in predicting performance. The authors developed 18 behavioral description questions to measure key noncognitive competencies (e.g., teamwork). In 2013-2015, 14 programs (13 residency, 1 fellowship) from 6 institutions used subsets of these questions in their selection processes. The authors conducted analyses to determine the validity of SI and USMLE scores in predicting first-year resident milestone performance in the ACGME's core competency domains and overall. SI scores predicted midyear and year-end overall performance (r = 0.18 and 0.19, respectively, P < .05) and year-end performance on patient care, interpersonal and communication skills, and professionalism competencies (r = 0.23, r = 0.22, and r = 0.20, respectively, P < .05). SI scores contributed incremental validity over USMLE scores in predicting year-end performance on patient ca...Continue Reading

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Citations

Dec 21, 2018·Academic Medicine : Journal of the Association of American Medical Colleges·Kathryn M Andolsek
Aug 1, 2019·Academic Medicine : Journal of the Association of American Medical Colleges·Nadia M BajwaYoon Soo Park
Oct 10, 2019·The Journal of Bone and Joint Surgery. American Volume·Richard SamadeKanu S Goyal
May 20, 2020·Teaching and Learning in Medicine·Michael J CullenJohn S Andrews
Apr 10, 2020·Academic Medicine : Journal of the Association of American Medical Colleges·Furman S McDonaldPatrick Alguire
Feb 26, 2019·Journal of Graduate Medical Education·Janet L SteinHoward Minkoff
Jul 27, 2020·AEM Education and Training·Allen YangMegan Boysen-Osborn
Feb 23, 2020·Academic Medicine : Journal of the Association of American Medical Colleges·Frederic W HaffertyJon C Tilburt
Aug 10, 2020·Academic Medicine : Journal of the Association of American Medical Colleges·Hanin RashidRobert Lebeau
Sep 6, 2020·Academic Medicine : Journal of the Association of American Medical Colleges·Catherine R LuceyAlicia Fernandez
Sep 11, 2020·Academic Medicine : Journal of the Association of American Medical Colleges·Jesse Burk-Rafel, Taylor C Standiford
Oct 27, 2020·Academic Medicine : Journal of the Association of American Medical Colleges·Hanin RashidRobert Lebeau
Jun 27, 2021·Journal of Surgical Education·Emma C BethelSapan N Ambani
May 21, 2021·Archives of Pathology & Laboratory Medicine·Alisha D WareMarissa J White

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