TY - JOUR
T1 - Race and Gender Differences in Pediatric Milestone Levels
T2 - A Multi-Institutional Study
AU - Walters, Jamee
AU - Paradise Black, Nicole
AU - Yurttutan Engin, Nesrin
AU - Cohen, Debra E.
AU - Ben Khallouq, Bertha
AU - Chen, J. Gene
N1 - Publisher Copyright:
© The Author(s) 2023.
PY - 2024/7
Y1 - 2024/7
N2 - The Accreditation Council for Graduate Medical Education milestones assess resident competency in 6 domains. We hypothesized that disparities in milestones exist across race and gender in pediatric residencies. This is a retrospective, cross-sectional, multi-institutional study (3 pediatric residencies, 1446 scores; 316 residents). African American residents received the lowest scores in patient care (PC) (P =.030), medical knowledge (MK) (P =.005), practice-based learning and improvement (PBLI) (P =.003), professionalism (PROF) (P <.001), and interpersonal communication skills (ICS) (P =.005). Differences were most pronounced in PROF (African American mean 3.35 [SD.75], Asian 3.51 (.66), Hispanic 3.58 (.66), white 3.59 (.67)). Female residents received higher scores than male residents in PC (P =.002) and system-based practice (SBP) (P =.049). Female interns received higher MK scores, 2.53 (.44) versus 2.48 (.48), P =.044, but lower scores as third years, 4.00 (.43) versus 4.14 (.45), P =.030. In this study, pediatric milestones differed based on race and gender.
AB - The Accreditation Council for Graduate Medical Education milestones assess resident competency in 6 domains. We hypothesized that disparities in milestones exist across race and gender in pediatric residencies. This is a retrospective, cross-sectional, multi-institutional study (3 pediatric residencies, 1446 scores; 316 residents). African American residents received the lowest scores in patient care (PC) (P =.030), medical knowledge (MK) (P =.005), practice-based learning and improvement (PBLI) (P =.003), professionalism (PROF) (P <.001), and interpersonal communication skills (ICS) (P =.005). Differences were most pronounced in PROF (African American mean 3.35 [SD.75], Asian 3.51 (.66), Hispanic 3.58 (.66), white 3.59 (.67)). Female residents received higher scores than male residents in PC (P =.002) and system-based practice (SBP) (P =.049). Female interns received higher MK scores, 2.53 (.44) versus 2.48 (.48), P =.044, but lower scores as third years, 4.00 (.43) versus 4.14 (.45), P =.030. In this study, pediatric milestones differed based on race and gender.
KW - assessment
KW - bias
KW - milestones
KW - pediatric
KW - resident
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U2 - 10.1177/00099228231200985
DO - 10.1177/00099228231200985
M3 - Article
C2 - 37735881
AN - SCOPUS:85172027262
SN - 0009-9228
VL - 63
SP - 977
EP - 985
JO - Clinical pediatrics
JF - Clinical pediatrics
IS - 7
ER -