To evaluate the association between ACGME Milestone competency ratings for PCPs near residency completion and their early-career antibiotic prescribing patterns for older adults.
Approach:
Cohort Selection: Included 47,591 internal medicine residents and 22,833 family medicine residents, excluding those without an NPI, not in primary care, or lacking Medicare claims to ensure a focus on relevant prescribing patterns.
Key Findings:
Physician-level variation in antibiotic prescribing remains unexplained despite known influencing factors.
Residency training may imprint enduring practice patterns, affecting antibiotic prescribing behaviors.
No prior investigations have linked standardized competency assessments to prescribing patterns post-graduation.
Interpretation:
The study aims to identify the relationship between residency training characteristics and early-career antibiotic prescribing, focusing on the potential impact of competency ratings.
Limitations:
The study relies on secondary data, which may have inherent limitations.
Competency ratings may vary across residency programs, affecting comparability.
Conclusion:
The findings could provide insights into how residency training influences antibiotic prescribing practices among early-career PCPs.
by Jesse Burk-Rafel, Hannah Park, MacIntosh Cornwell, Eric S. Holmboe, Kenji Yamazaki, Sally A. Santen, Yoon Soo Park, John S. Andrews, Sean O. Hogan, Judee Richardson
Surveys captured nearly 7 times as many menopause observations as structured clinical records, with high agreement when both sources identified menopause.
