ArticleFamily medicine2025
Correlation of Milestone Ratings and Family Physicians' Early Diabetes Management.
Article in Family medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
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Who cites it
1 citing paper in PubMed.
- Residency Competency Assessments and Early-Career Primary Care Physicians' Antibiotic Prescribing.JAMA network open · 2026Article
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
BACKGROUND AND
objectivesFamily physicians manage the treatment of patients with chronic illnesses like type 2 diabetes mellitus (T2DM). During residency, trainees are assessed on their management of chronic disease under the Accreditation Council for Graduate Medical Education patient care (PC) milestone. Residency programs are expected to ensure that trainees are prepared to meet patients' needs; however, evidence is mixed as to whether milestone evaluations predict how well a physician will perform in early unsupervised practice. This study tested whether higher PC milestone evaluations predict greater adherence to T2DM guidelines for early-career family physicians.
methodsUsing national provider identification numbers, we linked family medicine trainees' penultimate PC milestones with commercial insurance claims for T2DM patients. We associated doctors with patients by identifying the doctors who performed the evaluation and maintenance exams and observing the extent to which those patients received HbA1c, retinal, and renal functioning exams. We followed doctors who graduated in June 2016 through the first 18 months of unsupervised practice.
resultsMilestones were not significantly associated with screening outcomes: HbA1c (OR=0.963, 95% CI [0.840, 1.104]), nephropathy (OR=0.983, 95% CI [0.901, 1.072]), or eye exam (OR=1.001, 95% CI [0.936, 1.070]). Rather, for every additional diabetes patient a family physician saw, administration of standard tests increased: HbA1c (OR=1.005, 95% CI [1.002, 1.009]) and nephropathy (OR=1.004, 95% CI [1.002, 1.006]).
conclusionsMilestones for chronic disease management were not correlated with diabetes management for early career family physicians. The volume of diabetic patients under a doctor's care was positively correlated with levels of expected screenings.
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