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Home Research Research Library Family Medicine Residents’ Debt and Certification Examination Performance Family Medicine Residents’ Debt and Certification Examination Performance 2019 Author(s) Phillips, Julie P, Peterson, Lars E, Kovar-Gough, Iris, O’Neill, Thomas R, Peabody, Michael R, and Phillips, Robert L Topic(s) Education & Training, and Family Medicine Certification Keyword(s) Visiting Scholar/Fellow Volume PRiMER Source PRiMER Introduction: Previous studies have found that medical students and internal medicine residents with high educational debt perform less well on examinations. The purpose of this study was to examine the relationship between educational debt and family medicine residents’ performance on initial in-training and board certification examinations. Methods: Our study was a cross-sectional secondary analysis of American Board of Family Medicine (ABFM) data collected from residents (N=5,828) who registered for the Family Medicine Certification Examination (FMCE) in 2014 and 2015, representing 85.8% of graduating family medicine residents in the United States in those years. Multivariable linear and logistic regression modeling was used to examine the relationship between debt level and examination scores, and also to explore the relationship between debt level and passing the initial FMCE. Results: After controlling for demographic variables, residents with high debt ($150,000 to $249,999) and very high debt (more than $250,000) performed significantly worse than those with no debt on the initial in-training examination (score differences of 14.2 [CI 8.6, 19.8] and 15.8 [CI 10.3, 21.4] points, respectively) and FMCE (score differences of 19.3 points [CI 13.4, 25.3] and 30.4 points [CI 24.6, 36.3], respectively). Additionally, those with debt above $250,000 had half the odds of passing their initial FMCE (OR 0.45; CI 0.27-0.75). Conclusions: High educational debt is associated with lower examination performance among family medicine residents. This may be because residents with more debt have more stress or fewer day-to-day financial resources. However, confounding factors may also contribute to this association. ABFM Research Read all 2017 Increased Public Accountability for Hospital Nonprofit Status: Potential Impacts on Residency Positions Go to Increased Public Accountability for Hospital Nonprofit Status: Potential Impacts on Residency Positions 2015 Family medicine graduate proximity to their site of training: policy options for improving the distribution of primary care access Go to Family medicine graduate proximity to their site of training: policy options for improving the distribution of primary care access 2006 Maintenance of certification for family physicians (MC-FP) self assessment modules (SAMs): the first year Go to Maintenance of certification for family physicians (MC-FP) self assessment modules (SAMs): the first year 2019 Utilizing PHATE: A Population Health–Mapping Tool to Identify Areas of Food Insecurity Go to Utilizing PHATE: A Population Health–Mapping Tool to Identify Areas of Food Insecurity
Author(s) Phillips, Julie P, Peterson, Lars E, Kovar-Gough, Iris, O’Neill, Thomas R, Peabody, Michael R, and Phillips, Robert L Topic(s) Education & Training, and Family Medicine Certification Keyword(s) Visiting Scholar/Fellow Volume PRiMER Source PRiMER
ABFM Research Read all 2017 Increased Public Accountability for Hospital Nonprofit Status: Potential Impacts on Residency Positions Go to Increased Public Accountability for Hospital Nonprofit Status: Potential Impacts on Residency Positions 2015 Family medicine graduate proximity to their site of training: policy options for improving the distribution of primary care access Go to Family medicine graduate proximity to their site of training: policy options for improving the distribution of primary care access 2006 Maintenance of certification for family physicians (MC-FP) self assessment modules (SAMs): the first year Go to Maintenance of certification for family physicians (MC-FP) self assessment modules (SAMs): the first year 2019 Utilizing PHATE: A Population Health–Mapping Tool to Identify Areas of Food Insecurity Go to Utilizing PHATE: A Population Health–Mapping Tool to Identify Areas of Food Insecurity
2017 Increased Public Accountability for Hospital Nonprofit Status: Potential Impacts on Residency Positions Go to Increased Public Accountability for Hospital Nonprofit Status: Potential Impacts on Residency Positions
2015 Family medicine graduate proximity to their site of training: policy options for improving the distribution of primary care access Go to Family medicine graduate proximity to their site of training: policy options for improving the distribution of primary care access
2006 Maintenance of certification for family physicians (MC-FP) self assessment modules (SAMs): the first year Go to Maintenance of certification for family physicians (MC-FP) self assessment modules (SAMs): the first year
2019 Utilizing PHATE: A Population Health–Mapping Tool to Identify Areas of Food Insecurity Go to Utilizing PHATE: A Population Health–Mapping Tool to Identify Areas of Food Insecurity