title: Predictors of a Top Performer During Emergency Medicine Residency.
abstract: BACKGROUND
  Emergency Medicine (EM) residency program directors and faculty spend significant time and effort creating a residency rank list. To date, however, there have been few studies to assist program directors in determining which pre-residency variables best predict performance during EM residency.
  
  
  OBJECTIVE
  To evaluate which pre-residency variables best correlated with an applicant's performance during residency.
  
  
  METHODS
  This was a retrospective multicenter sample of all residents in the three most recent graduating classes from nine participating EM residency programs. The outcome measure of top residency performance was defined as placement in the top third of a resident's graduating class based on performance on the final semi-annual evaluation.
  
  
  RESULTS
  A total of 277 residents from nine institutions were evaluated. Eight of the predictors analyzed had a significant correlation with the outcome of resident performance. Applicants' grade during home and away EM rotations, designation as Alpha Omega Alpha (AOA), U.S. Medical Licensing Examination (USMLE) Step 1 score, interview scores, "global rating" and "competitiveness" on nonprogram leadership standardized letter of recommendation (SLOR), and having five or more publications or presentations showed a significant association with residency performance.
  
  
  CONCLUSIONS
  We identified several predictors of top performers in EM residency: an honors grade for an EM rotation, USMLE Step 1 score, AOA designation, interview score, high SLOR rankings from nonprogram leadership, and completion of five or more presentations and publications. EM program directors may consider utilizing these variables during the match process to choose applicants who have the highest chance of top performance during residency.
authors.affiliation: Department of Emergency Medicine, MedStar Georgetown University, Hospital/MedStar Washington Hospital Center, Washington, DC.
authors.forename: Rahul
authors.initials: R
authors.lastname: Bhat
authors.affiliation: Department of Emergency Medicine, University of Texas, Houston, Texas.
authors.forename: Katrin
authors.initials: K
authors.lastname: Takenaka
authors.affiliation: Department of Emergency Medicine, Christiana Care Health System, Newark, Delaware.
authors.forename: Brian
authors.initials: B
authors.lastname: Levine
authors.affiliation: Department of Emergency Medicine, Henry Ford Hospital, Detroit, Michigan.
authors.forename: Nikhil
authors.initials: N
authors.lastname: Goyal
authors.affiliation: Department of Emergency Medicine, Temple University Hospital, Philadelphia, Pennsylvania.
authors.forename: Manish
authors.initials: M
authors.lastname: Garg
authors.affiliation: Department of Emergency Medicine, New York Methodist Hospital, Brooklyn, New York.
authors.forename: Annette
authors.initials: A
authors.lastname: Visconti
authors.affiliation: Department of Emergency Medicine, University of California at San Diego, La Jolla, California.
authors.forename: Leslie
authors.initials: L
authors.lastname: Oyama
authors.affiliation: Department of Emergency Medicine, University of California at San Diego, La Jolla, California.
authors.forename: Edward
authors.initials: E
authors.lastname: Castillo
authors.affiliation: Division of Emergency Medicine, Department of Surgery, Duke University Hospital, Durham, North Carolina.
authors.forename: Joshua
authors.initials: J
authors.lastname: Broder
authors.affiliation: Department of Emergency Medicine, Johns Hopkins University Hospital, Baltimore, Maryland.
authors.forename: Rodney
authors.initials: R
authors.lastname: Omron
authors.affiliation: Department of Emergency Medicine, University of California at San Diego, La Jolla, California.
authors.forename: Stephen
authors.initials: S
authors.lastname: Hayden
mesh_terms: D004521:Educational Measurement / Q000379:methods*; D004635:Emergency Medicine / Q000193:education*; D006801:Humans; D007396:Internship and Residency; D010560:Personnel Selection / Q000379:methods*; D011237:Predictive Value of Tests; D012189:Retrospective Studies; D012570:School Admission Criteria / Q000706:statistics & numerical data; D014481:United States
keywords: NRMP; education; match; predictors; success