{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T18:54:47Z","timestamp":1777575287837,"version":"3.51.4"},"reference-count":23,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2018,8,27]],"date-time":"2018-08-27T00:00:00Z","timestamp":1535328000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Eval Health Prof"],"published-print":{"date-parts":[[2020,9]]},"abstract":"<jats:p>Educational outcome measures, known to be associated with the quality of care, are needed to support improvements in graduate medical education (GME). This retrospective observational study sought to determine whether there was a relationship between the specialty board certification rates of GME training institutions and the quality of care delivered by their graduates. It is based on 7 years of hospitalizations in Pennsylvania ( N = 354,767) with diagnoses of acute myocardial infarction, congestive heart failure, gastrointestinal hemorrhage, or pneumonia. The 2,265 attending physicians were self-identified internists, and they completed their training in 59 institutions. The percentage of board-certified physicians from each training institution, excluding the physician herself or himself, was calculated and an indicator of whether it exceeded 80% was created. This was analyzed against inhospital mortality and length of stay, adjusted for patient\/physician\/hospital characteristics. There were significantly lower odds of mortality (adjusted Odd\u2019s ratio [ OR] = .92, 95% CI [0.86, 0.98]) and log length of stay (adjusted OR = .98, 95% CI [.94, .99]) when the attending physician trained in a residency program with an 80% or greater certification rate. The results suggest that specialty certification rates may be a useful educational outcome for residency training programs.<\/jats:p>","DOI":"10.1177\/0163278718796128","type":"journal-article","created":{"date-parts":[[2018,8,27]],"date-time":"2018-08-27T21:23:59Z","timestamp":1535405039000},"page":"143-148","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":10,"title":["Specialty Board Certification Rate as an Outcome Metric for GME Training Institutions: A Relationship With Quality of Care"],"prefix":"10.1177","volume":"43","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8464-4115","authenticated-orcid":false,"given":"John J.","family":"Norcini","sequence":"first","affiliation":[{"name":"Foundation for Advancement of International Medical Education and Research, Philadelphia, PA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John R.","family":"Boulet","sequence":"additional","affiliation":[{"name":"Foundation for Advancement of International Medical Education and Research, Philadelphia, PA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amy","family":"Opalek","sequence":"additional","affiliation":[{"name":"Foundation for Advancement of International Medical Education and Research, Philadelphia, PA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"W. Dale","family":"Dauphinee","sequence":"additional","affiliation":[{"name":"Foundation for Advancement of International Medical Education and Research, Philadelphia, PA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2018,8,27]]},"reference":[{"key":"bibr1-0163278718796128","unstructured":"Accreditation Council for Graduate Medical Education. ACGME Program Requirements for Graduate Medical Education in Internal Medicine. (2018, April 25). Retrieved from https:\/\/www.acgme.org\/Portals\/0\/PFAssets\/ProgramRequirements\/140_internal_medicine_2017-07-01.pdf"},{"key":"bibr2-0163278718796128","unstructured":"Agency for Healthcare Research and Quality. (2018, April 25). Inpatient Quality Indicators Overview. Retrieved from http:\/\/www.qualityindicators.ahrq.gov\/Modules\/iqi_resources.aspx"},{"key":"bibr3-0163278718796128","unstructured":"American Board of Internal Medicine. (2018, April 25). Residency Program Pass Rates 2014-2016. Retrieved from https:\/\/www.abim.org\/\u223c\/media\/ABIM%20Public\/Files\/pdf\/statistics-data\/residency-program-pass-rates.pdf."},{"key":"bibr4-0163278718796128","doi-asserted-by":"publisher","DOI":"10.1001\/jama.298.9.1049"},{"key":"bibr5-0163278718796128","doi-asserted-by":"publisher","DOI":"10.1001\/jama.292.9.1038"},{"key":"bibr6-0163278718796128","doi-asserted-by":"publisher","DOI":"10.1111\/j.1525-1497.2006.00326.x"},{"key":"bibr7-0163278718796128","doi-asserted-by":"publisher","DOI":"10.1097\/ACM.0b013e31827c3d78"},{"key":"bibr8-0163278718796128","volume-title":"Graduate medical education that meets the nation\u2019s health needs","author":"Eden J.","year":"2014"},{"key":"bibr9-0163278718796128","volume-title":"Presentation at the Meeting of the Association of Program Directors in Internal Medicine","author":"Fisher R.","year":"2010"},{"key":"bibr10-0163278718796128","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-137-6-200209170-00012"},{"key":"bibr11-0163278718796128","volume-title":"Ensuring an effective physician workforce for the United States: Recommendations for reforming graduate medical education to meet the needs of the public","author":"Josiah Macy Jr. Foundation","year":"2011"},{"key":"bibr12-0163278718796128","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.104.527549"},{"key":"bibr13-0163278718796128","unstructured":"MediQual\u2122 Services Now Quantros. 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