Quantifying For-Profit Outcomes in GME: A Multispecialty Analysis of Board Certifying Examination Pass Rates in For-Profit Affiliated Residency Programs.
J Grad Med Educ
; 14(4): 431-438, 2022 Aug.
Article
em En
| MEDLINE
| ID: mdl-35991103
ABSTRACT
Background:
The number of for-profit hospitals has increased in the United States, but their role in and outcomes for graduate medical education (GME) are unclear.Objectives:
To describe for-profit involvement in internal medicine (IM), general surgery (GS), and pediatrics GME by quantifying change in for-profit affiliated residency programs and comparing for-profit and nonprofit affiliated program board certifying examination pass rates.Methods:
We used Accreditation Council for Graduate Medical Education and Medicare data to quantify for-profit prevalence in IM, GS, and pediatrics GME from 2001 to 2021. We used public pass rate data from the American Board of Surgeons (2017-2019; n=242 programs; 6562 examinees), American Board of Internal Medicine (2018-2020; n=465 programs; 23â922 examinees), and American Board of Pediatrics (2018-2020; n=202 programs; 9819 examinees) to model the relationship between profit status and pass rate within each specialty and across specialties combined using linear regression.Results:
The proportion of for-profit affiliated residency programs increased 400.0% in IM, 334.4% in GS, and 23.2% in pediatrics from 2001 to 2021. Bivariate linear regression revealed significantly lower pass rate in for-profit affiliated programs in IM ß =-7.73, P<.001), pediatrics (ß =-14.6, P<.001), and the 3 specialties combined (ß =-5.45, P<.001). Upon multiple regression with addition of program characteristic covariates, this relationship remained significant in pediatrics (ß =-10.04, P=.006).Conclusions:
The proportion of for-profit affiliated residency programs has increased in IM, GS, and pediatrics from 2001 to 2021. After controlling for covariates, for-profit affiliated programs were associated with lower board examination pass rates in pediatrics with no association in IM, GS, or the combined measure.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Internato e Residência
Tipo de estudo:
Prognostic_studies
/
Risk_factors_studies
Limite:
Aged
/
Child
/
Humans
País/Região como assunto:
America do norte
Idioma:
En
Revista:
J Grad Med Educ
Ano de publicação:
2022
Tipo de documento:
Article