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
Medical Science Educator – Springer Journals
Published: Mar 5, 2018
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