| Factors associated with American Board of Medical Specialties member board certification among US medical school graduates. | |
| | |
MedLine Citation:
|
PMID: 21900136 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
CONTEXT: Certification by an American Board of Medical Specialties (ABMS) member board is emerging as a measure of physician quality. OBJECTIVE: To identify demographic and educational factors associated with ABMS member board certification of US medical school graduates. DESIGN, SETTING, AND PARTICIPANTS: Retrospective study of a national cohort of 1997-2000 US medical school graduates, grouped by specialty choice at graduation and followed up through March 2, 2009. In separate multivariable logistic regression models for each specialty category, factors associated with ABMS member board certification were identified. MAIN OUTCOME MEASURE: ABMS member board certification. RESULTS: Of 42,440 graduates in the study sample, 37,054 (87.3%) were board certified. Graduates in all specialty categories with first-attempt passing scores in the highest tertile (vs first-attempt failing scores) on US Medical Licensing Examination Step 2 Clinical Knowledge were more likely to be board certified; adjusted odds ratios (AORs) varied by specialty category, with the lowest odds for emergency medicine (87.4% vs 73.6%; AOR, 1.82; 95% CI, 1.03-3.20) and highest odds for radiology (98.1% vs 74.9%; AOR, 13.19; 95% CI, 5.55-31.32). In each specialty category except family medicine, graduates self-identified as underrepresented racial/ethnic minorities (vs white) were less likely to be board certified, ranging from 83.5% vs 95.6% in the pediatrics category (AOR, 0.44; 95% CI, 0.33-0.58) to 71.5% vs 83.7% in the other nongeneralist specialties category (AOR, 0.79; 95% CI, 0.64-0.96). With each $50,000 unit increase in debt (vs no debt), graduates choosing obstetrics/gynecology were less likely to be board certified (AOR, 0.89; 95% CI, 0.83-0.96), and graduates choosing family medicine were more likely to be board certified (AOR, 1.13; 95% CI, 1.01-1.26). CONCLUSION: Demographic and educational factors were associated with board certification among US medical school graduates in every specialty category examined; findings varied among specialty categories. |
| | |
Authors:
|
Donna B Jeffe; Dorothy A Andriole |
Related Documents
:
|
9099436 - Measurement of radiofrequency electromagnetic fields in and around ambulances. 12852116 - Iso 10993, part 18: a structured approach to material characterisation. 15951976 - Mechanical circulatory support devices (mcsd) in japan: current status and future direc... 19963856 - Standard-compliant real-time transmission of ecgs: harmonization of iso/ieee 11073-phd ... 9062816 - Median nerve somatosensory evoked potentials correlation with physical parameters. 3688816 - Continuing medical education. |
Publication Detail:
|
Type: Journal Article; Research Support, N.I.H., Extramural |
Journal Detail:
|
Title: JAMA : the journal of the American Medical Association Volume: 306 ISSN: 1538-3598 ISO Abbreviation: JAMA Publication Date: 2011 Sep |
Date Detail:
|
Created Date: 2011-09-08 Completed Date: 2011-09-09 Revised Date: 2012-03-12 |
Medline Journal Info:
|
Nlm Unique ID: 7501160 Medline TA: JAMA Country: United States |
Other Details:
|
Languages: eng Pagination: 961-70 Citation Subset: AIM; IM |
Affiliation:
|
Division of Health Behavior Research, Washington University School of Medicine, 4444 Forest Park Ave, Ste 6700, St Louis, MO 63108, USA. djeffe@dom.wustl.edu |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adult Certification* Cohort Studies Education, Medical / economics Educational Status Female Financing, Personal Humans Male Medicine / standards* Physicians / standards* Quality of Health Care Retrospective Studies United States |
| Grant Support | |
ID/Acronym/Agency:
|
R01 GM085350-03/GM/NIGMS NIH HHS; R01 GM085350-03/GM/NIGMS NIH HHS; UL1 RR024992-04/RR/NCRR NIH HHS |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Quality of life, burnout, educational debt, and medical knowledge among internal medicine residents.
Next Document: Lesbian, gay, bisexual, and transgender-related content in undergraduate medical education.