How Well Do Accreditation Council for Graduate Medical Education Milestones Track Readiness for Anesthesiology Certifying Examinations in a National Resident Cohort?
Authors' conclusion
There was a modest correlation between the last Medical Knowledge Milestone achieved and the ADVANCED Examination. However, the weak correlations between residency Milestones and the SOE or OSCE performance suggest that the Milestones system, as currently implemented by anesthesiology training programs, does not predict certifying examination performance.
Study context
- Population
- Anesthesiology residents (PGY-4, CA-3) completing an Accreditation Council for Graduate Medical Education (ACGME)-accredited residency July 2021–June 2022 with first-time American Board of Anesthesiology (ABA) examination performance available by 20231,799 ADVANCED, 1383 Standardized Oral Examination (SOE)/Objective Structured Clinical Examination (OSCE) matched
- Participants
- 1,849 residents
- Exposure
- Milestones 2.0 ratings vs ABA ADVANCED, SOE and OSCE Z-scores
- Outcome
- Correlation between average rating across all 23 Milestones (last 6 months of residency) and Z-scores of the ADVANCED, SOE and OSCE among first-time takers
Methodological detailsnational cohort, correlation analysis
- National cohort
- Correlation analysis
Main finding
As reported in the abstract
ADVANCED: r (95% CI 0.089-0.180), P < .001
0.135
SOE: r (95% CI 0.065-0.169), P < .001
0.117
OSCE: r (95% CI 0.060-0.164), P < .001
0.112
Observational data: associations, not effects.
Further findings
Domain-specific: ADVANCED vs Medical Knowledge Milestone
- R, P < .001
- 0.289
Domain-specific: SOE task ratings vs related Milestones
- No statistically significant associations; ρ, P = .31 to 0.81
- 0.027 to 0.091
Domain-specific: OSCE stations vs related Milestones
- Interpretation of Monitors and Echocardiograms: ρ, P = .031
- 0.093
- Ethical Issues: ρ, P = .003
- 0.049
- Application of Ultrasonography: ρ, P = .775
- 0.052
- Communication with other Professionals: ρ, P = .086
- 0.052
Original publication
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