ArticleBMC medical education2025
What is the impact of the chief resident designation on career direction: a cross-sectional analysis of a US database over 15 years.
Article in BMC medical education, 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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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.
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.
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Who cites it
1 citing paper in PubMed.
- Structured, merit-based selection of radiology chief residents; a single center experience.BMC medical education · 2026Article
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIt is unclear whether recruitment into academia will keep pace with attrition. Examining the events and opportunities that occur in residency, including the Chief Resident (CR) opportunity, will add to the pre-existing understanding about the proximate step to academic career choice. We evaluated whether there is an association between CR and type of employment the following year. Given that minoritized communities are underrepresented in academics, we evaluated whether the association varies by race-ethnicity.
methodsWe performed a cross-sectional analysis using de-identified individual-level data from the Graduate Medical Education (GME) Track, a national database and tracking system, from 2005 to 2020. The GME Track pulls data from the National GME census and is managed by the Association of American Medical Colleges (AAMC) and the American Medical Association (AMA). Participants were residents in their final year of training. Exposure variable was CR status (y/n). Main outcome was intended employment type the following year (fellowship, academic, other, or private practice [referent]). Multinomial logistic regression was used to estimate the adjusted odds ratio (aOR) and 95% confidence intervals. We assessed, through interaction analyses, how intended employment varied by self-identified race-ethnicity.
resultsAmong the study population (N = 450,598), 103,204 (22.9%) were CRs. CRs had increased odds of pursuing academics (1.04, 95% CI 1.01–1.06), but decreased odds of fellowship (0.76, 95% CI 0.75–0.78) or other careers (0.63, 95% CI 0.62–0.65) in comparison to private practice. Interaction analysis was significant (p < 0.0001). CRs who were Asian (1.13, 95% CI 1.07–1.19), Black (1.16, 95% CI 1.05–1.29), or multiracial (1.10, 95%CI 1.01–1.21), but not those who were Hispanic (0.94, 95% CI 0.83–1.08) or White (0.99, 95% CI 0.96–1.03) had increased odds of pursuing academics compared to non-CRs in those same race-ethnic categories.
conclusionsCR was associated with the odds of initiating academic careers, which varied by race-ethnicity. The CR opportunity can be leveraged to diversify the pipeline into academic medicine.
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