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Urology. 2017 Jul 24. pii: S0090-4295(17)30757-4. doi: 10.1016/j.urology.2017.06.046. [Epub ahead of print]

Predictors of a Successful Urology Resident Using Medical Student Application Materials.

Author information

1
Department of Urology, Mayo Clinic, Rochester, MN 55905. Electronic address: thompson.robert@mayo.edu.
2
Health Sciences Research, Mayo Clinic, Rochester, MN 55905.
3
Department of Urology, Mayo Clinic, Rochester, MN 55905.

Abstract

OBJECTIVE:

To evaluate features from the medical student application record that predict for a high quality urology resident because there is currently sparse data on factors that are associated with a successful urology residency.

METHODS:

We reviewed the Mayo Clinic experience with 53 urology residents who matriculated between 2000 and 2011. Residents were independently scored 1-10 based on overall quality by the Program Director and Associate Program Director. Discrepant scoring by >2 was resolved by the former Program Director. Associations of features from the medical student application with an excellent score (defined as 8-10) were evaluated with logistic regression.

RESULTS:

Discrepant scoring >2 was noted in only 3 (6%) residents. Among the 53 residents, the mean overall score was 6.2 (standard deviation 3.0, range 1-10) and 20 (38%) residents had an excellent score of 8-10. Univariably, higher USMLE step II score (p=0.011), election to alpha omega alpha (p=0.017), no negative interview comments (p=0.044), lower ranked medical school (p=0.015), honors in OB/Gyn clerkship (p=0.044), and honors in all core clinical clerkships (p=0.007) were significantly associated with an excellent score. In a multivariable model, no negative interview comments (p=0.018), lower ranked medical school (p=0.012), and honors in all core clinical clerkships (p=0.006) were independently associated with an excellent score; the c-index for this model was 0.91.

CONCLUSIONS:

We demonstrate features associated with an excellent urology resident, most notably an honors grade in all core clinical clerkships.

KEYWORDS:

Clinical clerkship; Clinical competence; Internship and residency; Students, medical; Urology

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