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- W4384071974 abstract "To determine the relationship between, and predictive utility of, Milestone ratings and subsequent American Board of Surgery(ABS) vascular in-training(VSITE), qualifying(VQE), and certifying examination(VCE) performance in a national cohort of vascular surgery trainees.Specialty board certification is an important indicator of physician competence. However, predicting future board certification examination performance during training continues to be challenging.This is a national longitudinal cohort study examining relational and predictive associations between ACGME Milestone ratings and performance on VSITE, VQE, and VCE for all vascular surgery trainees from 2015 through 2021. Predictive associations between Milestone ratings and VSITE were conducted using cross-classified random-effects regression. Cross-classified random-effects logistic regression was utilized to identify predictive associations between Milestone ratings and VQE and VCE.Milestone ratings were obtained for all residents and fellows(n=1,118) from 164 programs during the study period(July 2015-June 2021), including 145,959 total trainee assessments. Medical Knowledge(MK) and Patient Care(PC) Milestone ratings were strongly predictive of VSITE performance across all post-graduate years(PGYs) of training, with MK ratings demonstrating a slightly stronger predictive association overall(MK Coefficient 17.26-35.76,β = 0.15- 0.23). All core competency ratings were predictive of VSITE performance in PGYs 4 and 5. PGY 5 MK were highly predictive of VQE performance(OR 4.73,[95% CI: 3.87-5.78],P<0.001). PC subcompetencies were also highly predictive of VQE performance in the final year of training(OR 4.14,[95% CI: 3.17-5.41],P<0.001). All other competencies were also significantly predictive of first-attempt VQE pass with ORs of 1.53 and higher. PGY 4 ICS ratings(OR 4.0,[95% CI: 3.06-5.21],P<0.001) emerged as the strongest predictor of VCE first-attempt pass. Again, all subcompetency ratings remained significant predictors of first-attempt pass on CE with ORs of 1.48 and higher.ACGME Milestone ratings are highly predictive of future VSITE performance, and first-attempt pass achievement on VQE and VCE in a national cohort of surgical trainees." @default.
- W4384071974 created "2023-07-13" @default.
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- W4384071974 date "2023-07-13" @default.
- W4384071974 modified "2023-09-25" @default.
- W4384071974 title "The Association of ACGME Milestones with Performance on American Board of Surgery Assessments" @default.
- W4384071974 doi "https://doi.org/10.1097/sla.0000000000005998" @default.
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- W4384071974 hasPublicationYear "2023" @default.
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