Cargando…
Assessing the Effects of the 2003 Resident Duty Hours Reform on Internal Medicine Board Scores
PURPOSE: To determine whether the 2003 Accreditation Council for Graduate Medical Education (ACGME) duty hours reform affected medical knowledge as reflected by written board scores for internal medicine (IM) residents. METHOD: The authors conducted a retrospective cohort analysis of postgraduate ye...
Autores principales: | , , , , , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Published for the Association of American Medical Colleges by Lippincott Williams & Wilkins
2014
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4139168/ https://www.ncbi.nlm.nih.gov/pubmed/24556772 http://dx.doi.org/10.1097/ACM.0000000000000193 |
_version_ | 1782331327083708416 |
---|---|
author | Silber, Jeffrey H. Romano, Patrick S. Itani, Kamal M.F. Rosen, Amy K. Small, Dylan Lipner, Rebecca S. Bosk, Charles L. Wang, Yanli Halenar, Michael J. Korovaichuk, Sophia Even-Shoshan, Orit Volpp, Kevin G. |
author_facet | Silber, Jeffrey H. Romano, Patrick S. Itani, Kamal M.F. Rosen, Amy K. Small, Dylan Lipner, Rebecca S. Bosk, Charles L. Wang, Yanli Halenar, Michael J. Korovaichuk, Sophia Even-Shoshan, Orit Volpp, Kevin G. |
author_sort | Silber, Jeffrey H. |
collection | PubMed |
description | PURPOSE: To determine whether the 2003 Accreditation Council for Graduate Medical Education (ACGME) duty hours reform affected medical knowledge as reflected by written board scores for internal medicine (IM) residents. METHOD: The authors conducted a retrospective cohort analysis of postgraduate year 1 (PGY-1) Internal Medicine residents who started training before and after the 2003 duty hour reform using a merged data set of American Board of Internal Medicine (ABIM) Board examination and the National Board of Medical Examiners (NMBE) United States Medical Licensing Examination (USMLE) Step 2 Clinical Knowledge test scores. Specifically, using four regression models, the authors compared IM residents beginning PGY-1 training in 2000 and completing training unexposed to the 2003 duty hours reform (PGY-1 2000 cohort, n = 5,475) to PGY-1 cohorts starting in 2001 through 2005 (n = 28,008), all with some exposure to the reform. RESULTS: The mean ABIM board score for the unexposed PGY-1 2000 cohort (n = 5,475) was 491, SD = 85. Adjusting for demographics, program, and USMLE Step 2 exam score, the mean differences (95% CI) in ABIM board scores between the PGY-1 2001, 2002, 2003, 2004 and 2005 cohorts minus the PGY-1 2000 cohort were −5.43 (−7.63, −3.23), −3.44 (−5.65, −1.24), 2.58 (0.36, 4.79), 11.10 (8.88, 13.33) and 11.28 (8.98, 13.58) points respectively. None of these differences exceeded one-fifth of an SD in ABIM board scores. CONCLUSIONS: The duty hours reforms of 2003 did not meaningfully affect medical knowledge as measured by scores on the ABIM board examinations. |
format | Online Article Text |
id | pubmed-4139168 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2014 |
publisher | Published for the Association of American Medical Colleges by Lippincott Williams & Wilkins |
record_format | MEDLINE/PubMed |
spelling | pubmed-41391682015-04-01 Assessing the Effects of the 2003 Resident Duty Hours Reform on Internal Medicine Board Scores Silber, Jeffrey H. Romano, Patrick S. Itani, Kamal M.F. Rosen, Amy K. Small, Dylan Lipner, Rebecca S. Bosk, Charles L. Wang, Yanli Halenar, Michael J. Korovaichuk, Sophia Even-Shoshan, Orit Volpp, Kevin G. Acad Med Research Reports PURPOSE: To determine whether the 2003 Accreditation Council for Graduate Medical Education (ACGME) duty hours reform affected medical knowledge as reflected by written board scores for internal medicine (IM) residents. METHOD: The authors conducted a retrospective cohort analysis of postgraduate year 1 (PGY-1) Internal Medicine residents who started training before and after the 2003 duty hour reform using a merged data set of American Board of Internal Medicine (ABIM) Board examination and the National Board of Medical Examiners (NMBE) United States Medical Licensing Examination (USMLE) Step 2 Clinical Knowledge test scores. Specifically, using four regression models, the authors compared IM residents beginning PGY-1 training in 2000 and completing training unexposed to the 2003 duty hours reform (PGY-1 2000 cohort, n = 5,475) to PGY-1 cohorts starting in 2001 through 2005 (n = 28,008), all with some exposure to the reform. RESULTS: The mean ABIM board score for the unexposed PGY-1 2000 cohort (n = 5,475) was 491, SD = 85. Adjusting for demographics, program, and USMLE Step 2 exam score, the mean differences (95% CI) in ABIM board scores between the PGY-1 2001, 2002, 2003, 2004 and 2005 cohorts minus the PGY-1 2000 cohort were −5.43 (−7.63, −3.23), −3.44 (−5.65, −1.24), 2.58 (0.36, 4.79), 11.10 (8.88, 13.33) and 11.28 (8.98, 13.58) points respectively. None of these differences exceeded one-fifth of an SD in ABIM board scores. CONCLUSIONS: The duty hours reforms of 2003 did not meaningfully affect medical knowledge as measured by scores on the ABIM board examinations. Published for the Association of American Medical Colleges by Lippincott Williams & Wilkins 2014-04 2014-02-25 /pmc/articles/PMC4139168/ /pubmed/24556772 http://dx.doi.org/10.1097/ACM.0000000000000193 Text en Copyright © 2014 by the Association of American Medical Colleges |
spellingShingle | Research Reports Silber, Jeffrey H. Romano, Patrick S. Itani, Kamal M.F. Rosen, Amy K. Small, Dylan Lipner, Rebecca S. Bosk, Charles L. Wang, Yanli Halenar, Michael J. Korovaichuk, Sophia Even-Shoshan, Orit Volpp, Kevin G. Assessing the Effects of the 2003 Resident Duty Hours Reform on Internal Medicine Board Scores |
title | Assessing the Effects of the 2003 Resident Duty Hours Reform on Internal Medicine Board Scores |
title_full | Assessing the Effects of the 2003 Resident Duty Hours Reform on Internal Medicine Board Scores |
title_fullStr | Assessing the Effects of the 2003 Resident Duty Hours Reform on Internal Medicine Board Scores |
title_full_unstemmed | Assessing the Effects of the 2003 Resident Duty Hours Reform on Internal Medicine Board Scores |
title_short | Assessing the Effects of the 2003 Resident Duty Hours Reform on Internal Medicine Board Scores |
title_sort | assessing the effects of the 2003 resident duty hours reform on internal medicine board scores |
topic | Research Reports |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4139168/ https://www.ncbi.nlm.nih.gov/pubmed/24556772 http://dx.doi.org/10.1097/ACM.0000000000000193 |
work_keys_str_mv | AT silberjeffreyh assessingtheeffectsofthe2003residentdutyhoursreformoninternalmedicineboardscores AT romanopatricks assessingtheeffectsofthe2003residentdutyhoursreformoninternalmedicineboardscores AT itanikamalmf assessingtheeffectsofthe2003residentdutyhoursreformoninternalmedicineboardscores AT rosenamyk assessingtheeffectsofthe2003residentdutyhoursreformoninternalmedicineboardscores AT smalldylan assessingtheeffectsofthe2003residentdutyhoursreformoninternalmedicineboardscores AT lipnerrebeccas assessingtheeffectsofthe2003residentdutyhoursreformoninternalmedicineboardscores AT boskcharlesl assessingtheeffectsofthe2003residentdutyhoursreformoninternalmedicineboardscores AT wangyanli assessingtheeffectsofthe2003residentdutyhoursreformoninternalmedicineboardscores AT halenarmichaelj assessingtheeffectsofthe2003residentdutyhoursreformoninternalmedicineboardscores AT korovaichuksophia assessingtheeffectsofthe2003residentdutyhoursreformoninternalmedicineboardscores AT evenshoshanorit assessingtheeffectsofthe2003residentdutyhoursreformoninternalmedicineboardscores AT volppkeving assessingtheeffectsofthe2003residentdutyhoursreformoninternalmedicineboardscores |