title: Do data obtained from admissions interviews and resident evaluations predict later personal and practice problems?
abstract: OBJECTIVE
  The authors assessed whether current methods of evaluating residency applicants and residents identify psychiatrists who later develop evidence of impairment.
  
  
  METHODS
  Residency admissions and performance data for all physicians who were enrolled in a psychiatry residency between 1965 and 1994 and who were referred to an impaired physician program up to 35 years later were matched for age and gender with a nonreferred physician from the same class.
  
  
  RESULTS
  There were no significant differences between groups in admission interview assessments, performance ratings, or narrative observations by faculty during residency.
  
  
  CONCLUSIONS
  Standard approaches do not identify physicians at risk of later impairment.
authors.affiliation: Department of Psychiatry, University at Buffalo, New York, USA. dubovsky@buffalo.edu
authors.forename: Steven L
authors.initials: SL
authors.lastname: Dubovsky
authors.forename: Michael
authors.initials: M
authors.lastname: Gendel
authors.forename: Amelia N
authors.initials: AN
authors.lastname: Dubovsky
authors.forename: Joseph
authors.initials: J
authors.lastname: Rosse
authors.forename: Robert
authors.initials: R
authors.lastname: Levin
authors.forename: Robert
authors.initials: R
authors.lastname: House
mesh_terms: D002983:Clinical Competence; D006801:Humans; D007396:Internship and Residency; D007407:Interviews as Topic / Q000592:standards*; D001523:Mental Disorders / Q000453:epidemiology; D010815:Physician Impairment / Q000706:statistics & numerical data; D010818:Practice Patterns, Physicians' / Q000592:standards*; D024382:Professional Role; D011446:Prospective Studies; D012570:School Admission Criteria; D011795:Surveys and Questionnaires