Diplomate Spotlight Opening Doors with Board Certification: A Conversation with Long Standing Diplomate Joseph Cook Read Opening Doors with Board Certification: A Conversation with Long Standing Diplomate Joseph Cook
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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 Topic(s) Education & Training, and Family Medicine Certification 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. Read More ABFM Research Read all 2016 The Impact of Debt on Young Family Physicians: Unanswered Questions with Critical Implications Go to The Impact of Debt on Young Family Physicians: Unanswered Questions with Critical Implications 2024 Training in Gender Affirming Care is Medically Necessary Go to Training in Gender Affirming Care is Medically Necessary 2007 What should residents know about hypertension? Go to What should residents know about hypertension? 2019 PROGRESS ON A PILOT PROGRAM OF RESEARCH CAREER DEVELOPMENT DURING RESIDENCY Go to PROGRESS ON A PILOT PROGRAM OF RESEARCH CAREER DEVELOPMENT DURING RESIDENCY
ABFM Research Read all 2016 The Impact of Debt on Young Family Physicians: Unanswered Questions with Critical Implications Go to The Impact of Debt on Young Family Physicians: Unanswered Questions with Critical Implications 2024 Training in Gender Affirming Care is Medically Necessary Go to Training in Gender Affirming Care is Medically Necessary 2007 What should residents know about hypertension? Go to What should residents know about hypertension? 2019 PROGRESS ON A PILOT PROGRAM OF RESEARCH CAREER DEVELOPMENT DURING RESIDENCY Go to PROGRESS ON A PILOT PROGRAM OF RESEARCH CAREER DEVELOPMENT DURING RESIDENCY
2016 The Impact of Debt on Young Family Physicians: Unanswered Questions with Critical Implications Go to The Impact of Debt on Young Family Physicians: Unanswered Questions with Critical Implications
2024 Training in Gender Affirming Care is Medically Necessary Go to Training in Gender Affirming Care is Medically Necessary
2007 What should residents know about hypertension? Go to What should residents know about hypertension?
2019 PROGRESS ON A PILOT PROGRAM OF RESEARCH CAREER DEVELOPMENT DURING RESIDENCY Go to PROGRESS ON A PILOT PROGRAM OF RESEARCH CAREER DEVELOPMENT DURING RESIDENCY