Evidence map›Paper›PMID 34099991›Full record

ArticleAEM education and training2021

Gender Differences Among Milestone Assessments in a National Sample of Pediatric Emergency Medicine Fellowship Programs.

Noel S Zuckerbraun, Kelly Levasseur, Maybelle Kou, Jerri A Rose, Cindy G Roskind, Tien Vu, Aline Baghdassarian, Kathryn Leonard, Veronika Shabanova, Melissa L Langhan

Abstract read
In one paragraph

Article in AEM education and training, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

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4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Noel S ZuckerbraunUPMC Children's Hospital of Pittsburgh/University of Pittsburgh School of Medicine Pittsburgh PA USA.ORCID https://orcid.org/0000-0002-6713-5511
Kelly Levasseurthe Beaumont Children's Hospital/Oakland University William Beaumont School of Medicine Royal Oak MI USA.
Maybelle Kouthe Inova Children's Hospital/VCU School of Medicine Falls Church VA USA.ORCID https://orcid.org/0000-0002-1233-1849
Jerri A Rosethe Rainbow Babies & Children's Hospital/Case Western Reserve University School of Medicine Cleveland OH USA.
Cindy G Roskindthe Columbia University Medical Center New York NY USA.
Tien Vuthe Children's Hospital Colorado/University of Colorado School of Medicine Denver CO USA.
Aline Baghdassarianthe Children's Hospital of Richmond at VCU/Virginia Commonwealth University School of Medicine Richmond VA USA.
Kathryn LeonardWashington University in St. Louis School of Medicine St. Louis MO USA.
Veronika Shabanovaand the Yale University School of Medicine New Haven CT USA.
Melissa L Langhanand the Yale University School of Medicine New Haven CT USA.ORCID https://orcid.org/0000-0003-3997-2862

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
NCATS NIH HHS UL1 TR001863
6 · The paper itself

Abstract

backgroundUnderstanding gender gaps in trainee evaluations is critical because these may ultimately determine the duration of training. Currently, no studies describe the influence of gender on the evaluation of pediatric emergency medicine (PEM) fellows.

objectiveThe objective of our study was to compare milestone scores of female versus male PEM fellows.

methodsThis is a multicenter retrospective cohort study of a national sample of PEM fellows from July 2014 to June 2018. Accreditation Council for Medical Education (ACGME) subcompetencies are scored on a 5-point scale and span six domains: patient care (PC), medical knowledge, systems-based practice, practice-based learning and improvement, professionalism, and interpersonal and communication skills (ICS). Summative assessments of the 23 PEM subcompetencies are assigned by each program's clinical competency committee and submitted semiannually for each fellow. Program directors voluntarily provided deidentified ACGME milestone reports. Demographics including sex, program region, and type of residency were collected. Descriptive analysis of milestones was performed for each year of fellowship. Multivariate analyses evaluated the difference in scores by sex for each of the subcompetencies.

resultsForty-eight geographically diverse programs participated, yielding data for 639 fellows (66% of all PEM fellows nationally); sex was recorded for 604 fellows, of whom 67% were female. When comparing the mean milestone scores in each of the six domains, there were no differences by sex in any year of training. When comparing scores within each of the 23 subcompetencies and correcting the significance level for comparison of multiple milestones, the scores for PC3 and ICS2 were significantly, albeit not meaningfully, higher for females.

conclusionIn a national sample of PEM fellows, we found no major differences in milestone scores between females and males.

Identifiers

PMID34099991
PMCPMC8166301

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