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Residents in difficulty—just slower learners? a case–control study

Overview of attention for article published in BMC Medical Education, December 2014
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Title
Residents in difficulty—just slower learners? a case–control study
Published in
BMC Medical Education, December 2014
DOI 10.1186/s12909-014-0276-z
Pubmed ID
Authors

Lotte Dyhrberg O’Neill, Karen Norberg, Maria Thomsen, Rune Dall Jensen, Signe Gjedde Brøndt, Peder Charles, Lene Stouby Mortensen, Mette Krogh Christensen

Abstract

BackgroundRecent meta-analyses have found small-moderate positive associations between general performance in medical school and postgraduate medical education. In addition, a couple of studies have found an association between poor performance in medical school and disciplinary action against practicing doctors. The aim of this study was to examine if a sample of Danish residents in difficulty tended to struggle already in medical school, and to determine whether administratively observable performance indicators in medical school could predict difficulties in residency.MethodsThe study design was a cumulative incidence matched case¿control study. The source population was all active specialist trainees, who were medical school graduates from Aarhus University, in 2010 to June 2013 in two Danish regions. Cases were doctors who decelerated, transferred, or dropped out of residency. Cases and controls were matched for graduation year. Medical school exam failures, grades, completion time, and academic dispensations as predictors of case status were examined with conditional logistic regression.ResultsIn total 89 cases and 343 controls were identified. The total number of medical school re-examinations and the time it took to complete medical school were significant individual predictors of subsequent difficulties (deceleration, transferral or dropout) in residency whereas average medical school grades were not.ConclusionsResidents in difficulty eventually reached similar competence levels as controls during medical school; however, they needed more exam attempts and longer time to complete their studies, and so seemed to be slower learners. A change from ¿fixed-length variable-outcome programmes¿ to ¿fixed-outcome variable-length programmes¿ has been proposed as a way of dealing with the fact that not all learners reach the same level of competence for all activities at exactly the same time. This study seems to support the logic of such an approach to these residents in difficulty.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 63 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 63 100%

Demographic breakdown

Readers by professional status Count As %
Student > Ph. D. Student 9 14%
Other 7 11%
Student > Master 6 10%
Researcher 4 6%
Professor 4 6%
Other 19 30%
Unknown 14 22%
Readers by discipline Count As %
Medicine and Dentistry 26 41%
Social Sciences 7 11%
Nursing and Health Professions 4 6%
Agricultural and Biological Sciences 2 3%
Psychology 2 3%
Other 2 3%
Unknown 20 32%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 2. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 03 April 2022.
All research outputs
#14,673,184
of 23,482,849 outputs
Outputs from BMC Medical Education
#2,043
of 3,475 outputs
Outputs of similar age
#190,617
of 356,345 outputs
Outputs of similar age from BMC Medical Education
#38
of 61 outputs
Altmetric has tracked 23,482,849 research outputs across all sources so far. This one is in the 35th percentile – i.e., 35% of other outputs scored the same or lower than it.
So far Altmetric has tracked 3,475 research outputs from this source. They typically receive a little more attention than average, with a mean Attention Score of 6.4. This one is in the 36th percentile – i.e., 36% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 356,345 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 44th percentile – i.e., 44% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 61 others from the same source and published within six weeks on either side of this one. This one is in the 36th percentile – i.e., 36% of its contemporaries scored the same or lower than it.