Predicting the Quality of Clinical Performance in Neurology Residents

Author Type(s)

Faculty

Document Type

Abstract

Publication Date

2022

Journal Title

European Journal of Neurology

Department

Neurology

Abstract

Background and aims: It is very difficult to predict how well a medical student, still in university, will develop as a competent or even superior clinical neurologist during Neurology residency. Methods: We collected data available at the time of application for Neurology residency positions and sought factors that could correlate with clinical excellence during residency, including: age, US Medical Licensing Examination (step) scores; performance evaluations in university Internal Medicine, Neurology, and overall rotations; perceived reputation of the student's university; research experience, publications, and other factors. Results: Data were collected covering 211 Neurology residents who began residency from 2008 until 2019 and completed residency training by June 2021 in two Neurology residencies affiliated with the same university. For this study, being chosen as chief resident in the final year of residency was the 'favorable' outcome. It was correlated with (in order) superior performance on the university Neurology rotation, on clinical rotations overall, and on Internal Medicine; university reputation; and least among these, examination scores. Few correlations were particularly strong. Conclusion: Several factors correlate with clinical excellence in Neurology residency, but few have very strong correlations. Prediction of resident performance remains complicated and challenging. Terminology and discussion will be adapted for suitability to European and other medical education systems.

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