دورية أكاديمية
Is Academic Attainment or Situational Judgment Test Performance in Medical School Associated With the Likelihood of Disciplinary Action? A National Retrospective Cohort Study.
| العنوان: | Is Academic Attainment or Situational Judgment Test Performance in Medical School Associated With the Likelihood of Disciplinary Action? A National Retrospective Cohort Study. |
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| المؤلفون: | Sam AH; A.H. Sam is head, Imperial College School of Medicine, Imperial College London, London, United Kingdom; ORCID: https://orcid.org/0000-0002-9599-9069 ., Bala L; L. Bala is a clinical research fellow in medical education, Faculty of Medicine, Imperial College London, London, United Kingdom; ORCID: https://orcid.org/0000-0002-8242-379X ., Westacott RJ; R.J. Westacott is senior clinical lecturer, Birmingham Medical School, University of Birmingham, Birmingham, United Kingdom; ORCID: https://orcid.org/0000-0001-9846-1961 ., Brown C; C. Brown is associate professor in quantitative methods, Warwick Medical School, University of Warwick, Coventry, United Kingdom; ORCID: https://orcid.org/0000-0002-7526-0793 . |
| المصدر: | Academic medicine : journal of the Association of American Medical Colleges [Acad Med] 2021 Oct 01; Vol. 96 (10), pp. 1467-1475. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Published for the Association of American Medical Colleges by Lippincott Williams & Wilkins Country of Publication: United States NLM ID: 8904605 Publication Model: Print Cited Medium: Internet ISSN: 1938-808X (Electronic) Linking ISSN: 10402446 NLM ISO Abbreviation: Acad Med Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: Philadelphia, PA : Published for the Association of American Medical Colleges by Lippincott Williams & Wilkins Original Publication: [Philadelphia, Pa. : Hanley & Belfus, c1989- |
| مواضيع طبية MeSH: | Academic Success* , Clinical Competence* , Employee Discipline* , Professional Misconduct*, Educational Measurement/*methods, Education, Medical, Undergraduate/methods ; Humans ; Judgment ; Proportional Hazards Models ; Retrospective Studies ; Risk Factors ; United Kingdom |
| مستخلص: | Purpose: Disciplinary action imposed on physicians indicates their fitness to practice medicine is impaired and patient safety is potentially at risk. This national retrospective cohort study sought to examine whether there was an association between academic attainment or performance on a situational judgment test (SJT) in medical school and the risk of receiving disciplinary action within the first 5 years of professional practice in the United Kingdom. Method: The authors included data from the UK Medical Education Database for 34,865 physicians from 33 U.K. medical schools that started the UK Foundation Programme (similar to internship) between 2014 and 2018. They analyzed data from 2 undergraduate medical assessments used in the United Kingdom: the Educational Performance Measure (EPM), which is based on academic attainment, and SJT, which is an assessment of professional attributes. The authors calculated hazard ratios (HRs) for EPM and SJT scores. Results: The overall rate of disciplinary action was low (65/34,865, 0.19%) and the mean time to discipline was 810 days (standard deviation [SD] = 440). None of the physicians with fitness to practice concerns identified as students went on to receive disciplinary action after they qualified as physicians. The multivariate survival analysis demonstrated that a score increase of 1 SD (approximately 7.6 percentage points) on the EPM reduced the hazard of disciplinary action by approximately 50% (HR = 0.51; 95% confidence interval [CI]: 0.38, 0.69; P < .001). There was not a statistically significant association between the SJT score and the hazard of disciplinary action (HR = 0.84; 95% CI: 0.62, 1.13; P = .24). Conclusions: An increase in EPM score was significantly associated with a reduced hazard of disciplinary action, whereas performance on the SJT was not. Early identification of increased risk of disciplinary action may provide an opportunity for remediation and avoidance of patient harm. (Copyright © 2021 by the Association of American Medical Colleges.) |
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| تواريخ الأحداث: | Date Created: 20210616 Date Completed: 20211012 Latest Revision: 20230717 |
| رمز التحديث: | 20230718 |
| DOI: | 10.1097/ACM.0000000000004212 |
| PMID: | 34133342 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1938-808X |
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| DOI: | 10.1097/ACM.0000000000004212 |