American Journal of Oral Medicine and Radiology

EVALUATING THE RELATIONSHIP BETWEEN CLINICAL COMPETENCY, REMEDIATION, AND CERTIFICATION SUCCESS IN ANESTHESIOLOGY RESIDENTS

Dr. Radhika H1, Venkata Radhakrishna Varadapureddi

Resident Performance, Clinical Competency Committee, Graduation Outcomes, Board Certification, Essential Attributes.

This cross-program study focused on analyzing the relationship between resident performance and graduation together with board certification. Documents on performance from ten years of data at four training programs were reviewed. The study looked at residents who began their training between 2000 and 2009, with all results being collected through February 2016. Those receiving assessments or steps from their Clinical Competency Committees were divided into groups based on their issues and then compared to those without obvious difficulties. The analysis involved 865 residents (from program cohorts with 127 to 275 students each). I found that 215 residents received a total of 405 formal actions taken by Clinical Competency Committees. Among participants, those with performance interventions had a higher chance of not completing their program (7% vs. 1%, P<0.001) and not receiving their board certification (11% vs. 1%, P<0.001). If a lack of just one critical Essential Attribute was noticed, as in ethical conduct, honesty, respectfulness or avoiding impairments, the percentage dropping out of high school was notable, falling to 55%. Furthermore, individuals lacking more than three basic skills expected by the accrediting body were far less likely to complete their studies. Almost all residents with no or just one small issue succeeded in graduating and being awarded a board certificate. Even so, those struggling with Essential Attributes or lack important skills are more likely to fail training or miss receiving certified. Extra studies are needed to improve how remediation is done and to customize support for those in the area less able to protect themselves