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Making Much of the Mundane: ARetrospective Examination of Undergraduate Medical Students’ Completion of Routine Tasks and USMLE Step 1 Performance

Making Much of the Mundane: ARetrospective Examination of Undergraduate Medical Students’... Purpose This investigation explored the relationship between conscientiousness, as measured by completion of routine tasks, and performance (promotion decisions and the United States Medical Licensing Examination [USMLE] Step 1 performance). Method A retrospective, cohort-based design with consenting medical students (n = 251) was used to examine if a noncompli- ance index (NCI), comprised of completed course evaluations and weekly assessments, predicted overall and competency- specific promotion decisions and USMLE Step 1 performance. Associations among NCI and USMLE Step 1 scores, adjusting for both gender and Medical College Admission Test (MCAT) score, were explored with multivariable linear regression models. The Wilcoxon rank-sum tests investigated associations among NCI and subsequent promotion decisions. Results Unconscientious student behavior during year 1 predicted unfavorable performance in year 2 for overall promotion and adverse competency-specific decisions in professionalism, medical knowledge, and communication skills. Combined year 1 and year 2 NCI scores predicted students placed in remediation in year 2 and years 3 and 5. Each unit increase in year 1 NCI score resulted, on average, with a 1.6-point decrease (95% CI − 2.7 to − 0.5, p = 0.005) in USMLE Step 1 score and, in years 1 and 2, a 1.3-point decrease (NCI Yr1 http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Medical Science Educator Springer Journals

Making Much of the Mundane: ARetrospective Examination of Undergraduate Medical Students’ Completion of Routine Tasks and USMLE Step 1 Performance

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Publisher
Springer Journals
Copyright
Copyright © 2018 by International Association of Medical Science Educators
Subject
Education; Medical Education
eISSN
2156-8650
DOI
10.1007/s40670-018-0552-3
Publisher site
See Article on Publisher Site

Abstract

Purpose This investigation explored the relationship between conscientiousness, as measured by completion of routine tasks, and performance (promotion decisions and the United States Medical Licensing Examination [USMLE] Step 1 performance). Method A retrospective, cohort-based design with consenting medical students (n = 251) was used to examine if a noncompli- ance index (NCI), comprised of completed course evaluations and weekly assessments, predicted overall and competency- specific promotion decisions and USMLE Step 1 performance. Associations among NCI and USMLE Step 1 scores, adjusting for both gender and Medical College Admission Test (MCAT) score, were explored with multivariable linear regression models. The Wilcoxon rank-sum tests investigated associations among NCI and subsequent promotion decisions. Results Unconscientious student behavior during year 1 predicted unfavorable performance in year 2 for overall promotion and adverse competency-specific decisions in professionalism, medical knowledge, and communication skills. Combined year 1 and year 2 NCI scores predicted students placed in remediation in year 2 and years 3 and 5. Each unit increase in year 1 NCI score resulted, on average, with a 1.6-point decrease (95% CI − 2.7 to − 0.5, p = 0.005) in USMLE Step 1 score and, in years 1 and 2, a 1.3-point decrease (NCI Yr1

Journal

Medical Science Educator – Springer Journals

Published: Mar 5, 2018

References

  • A meta-analytic investigation of conscientiousness in the prediction of job performance: examining the intercorrelations and the incremental validity of narrow traits
    Dudley, NM; K a, O; Lebiecki, JE; Cortina, JM
  • Peer estimation of lack of professionalism correlates with low Conscientiousness Index scores
    Finn, G; Sawdon, M; Clipsham, L; McLachlan, J
  • The conscientiousness index: a novel tool to explore students’ professionalism
    McLachlan, JC; Finn, G; Macnaughton, J
  • Disciplinary action by medical boards and prior behavior in medical school
    Papadakis, MA; Teherani, A; Banach, MA; Knettler, TR; Rattner, SL; Stern, DT; Veloski, JJ; Hodgson, CS
  • Comparison of opinions and profiles of late or non-responding medical students with initial responders to a course evaluation questionnaire
    Rudland, JR; Pippard, MJ; Rennie, SC
  • The prediction of professional behaviour
    Stern, DT; Frohna, AZ; Gruppen, LD
  • Medical student professionalism: are we measuring the right behaviors? A comparison of professional lapses by students and physicians
    Ainsworth, MA; Szauter, KM
  • The clinical conscientiousness index
    Kelly, M; O’Flynn, S; McLachlan, J; Sawdon, M
  • How do medical schools identify and remediate professionalism lapses in medical students? A study of U.S. and Canadian medical schools
    Ziring, D; Danoff, D; Grosseman, S; Langer, D; Esposito, A; Jan, MK; Rosenzweig, S; Novack, D
  • Unprofessional behavior in medical school is associated with subsequent disciplinary action by a state medical board
    Papadakis, MA; Hodgson, CS; Teherani, A; Kohatsu, ND
  • “You’re judged all the time!” Students’ views on professionalism: a multicentre study
    Finn, G; Garner, J; Sawdon, M
  • Measuring conscientiousness and professionalism in undergraduate medical students
    McLachlan, J
  • Behaviors of highly professional resident physicians
    Reed, D; West, CP; Mueller, PS; Ficalora, RD; Engstler, GJ; Beckman, TJ
  • Medical students’ compliance with simple administrative tasks and success in final examinations: retrospective cohort study
    Wright, N; Tanner, MS
  • The failure to fail underperforming trainees in health professions education: a BEME systematic review: BEME guide no. 42
    Yepes-Rios, M; Dudek, N; Dudoyce, R; Curtis, J; Allard, RJ; Varpio, L
  • To fail is human: remediation in medical education
    Kalet, A; Chou, CL; Ellaway, RH
  • Methods to assess students’ acquisition, application and integration of basic science knowledge in an innovative competency-based curriculum
    Bierer, SB; Dannefer, EF; Taylor, C; Hall, P; Hull, AL
  • Time to loosen the apron strings: cohort-based evaluation of a learner-driven remediation model at one medical school
    Bierer, SB; Dannefer, EF; Tetzlaff, JE