Original Investigation

Residency Competency Assessments and Early-Career Primary Care Physicians’ Antibiotic Prescribing

JAMA Network Open 10.1001/jamanetworkopen.2026.34365

September 17, 2026 at 11:00 AM EDT

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This study found that higher assessed competence near the end of residency was associated with lower antibiotic prescribing in early primary care practice. Competency assessments may inform prescribing variation–focused efforts during training and early practice.

Corresponding Author: Jesse Burk-Rafel, MD, MRes, Institute for Innovations in Medical Education, NYU Grossman School of Medicine, 550 First Ave, New York, NY 10016 (jesse.rafel@nyulangone.org).

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