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{
    "pk": 10848,
    "title": "Emergency Medicine Residency Applicant Characteristics Associated with Measured Adverse Outcomes During Residency",
    "subtitle": null,
    "abstract": "Introduction:\n Negative outcomes in emergency medicine (EM) programs use a disproportionate amount of educational resources to the detriment of other residents. We sought to determine if any applicant characteristics identifiable during the selection process are associated with negative outcomes during residency.\nMethods:\n Primary analysis consisted of looking at the association of each of the descriptors including resident characteristics and events during residency with a composite measure of negative outcomes. Components of the negative outcome composite were any formal remediation, failure to complete residency, or extension of residency. \nResults: \nFrom a dataset of 260 residents who completed their residency over a 19-year period, 26 (10%) were osteopaths and 33 (13%) were international medical school graduates A leave of absence during medical school (p <.001), failure to send a thank-you note (p=.008), a failing score on United States Medical Licensing Examination Step I (p=.002), and a prior career in health (p=.034) were factors associated with greater likelihood of a negative outcome. All four residents with a “red flag” during their medicine clerkships experienced a negative outcome (p <.001).\nConclusion: \n“Red flags” during EM clerkships, a leave of absence during medical school for any reason and failure to send post-interview thank-you notes may be associated with negative outcomes during an EM residency.",
    "language": "en",
    "license": {
        "name": "Creative Commons Attribution 4.0",
        "short_name": "CC BY 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by/4.0"
    },
    "keywords": [
        {
            "word": "Remediation"
        },
        {
            "word": "application"
        },
        {
            "word": "selection"
        },
        {
            "word": "Residency"
        }
    ],
    "section": "Original Research",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/5bt564hv",
    "frozenauthors": [
        {
            "first_name": "Jesse",
            "middle_name": "",
            "last_name": "Bohrer-Clancy",
            "name_suffix": "",
            "institution": "University of Connecticut, Department of Emergency Medicine, Farmington, Connecticut",
            "department": "None"
        },
        {
            "first_name": "Leslie",
            "middle_name": "",
            "last_name": "Lukowski",
            "name_suffix": "",
            "institution": "Hartford Hospital, Department of Emergency Medicine, Hartford, Connecticut",
            "department": "None"
        },
        {
            "first_name": "Lisa",
            "middle_name": "",
            "last_name": "Turner",
            "name_suffix": "",
            "institution": "University of Connecticut, Department of Emergency Medicine, Farmington, Connecticut",
            "department": "None"
        },
        {
            "first_name": "Ilene",
            "middle_name": "",
            "last_name": "Staff",
            "name_suffix": "",
            "institution": "Hartford Hospital, Proposal Design and Statistical Analysis, Hartford, Connecticut",
            "department": "None"
        },
        {
            "first_name": "Shawn",
            "middle_name": "",
            "last_name": "London",
            "name_suffix": "",
            "institution": "University of Connecticut, Department of Emergency Medicine, Farmington, Connecticut\nHartford Hospital, Department of Emergency Medicine, Hartford, Connecticut",
            "department": "None"
        }
    ],
    "date_submitted": "2017-05-30T16:36:20Z",
    "date_accepted": "2017-05-30T16:36:20Z",
    "date_published": "2017-12-21T15:51:34Z",
    "render_galley": null,
    "galleys": [
        {
            "label": "",
            "type": "pdf",
            "path": "https://journalpub.escholarship.org/westjem/article/10848/galley/5896/download/"
        }
    ]
}