Sex, Race, and Ethnicity Differences Among Residents With Exceptionally High Graduate Medical Education Ratings

Are exceptionally high ratings on the Accreditation Council for Graduate Medical Education Milestones during time-sensitive periods when career decision-making occurs associated with residents’ characteristic differences in sex, race, and ethnicity across medical specialties?This cross-sectional study of 19 492 second-year residents across 1754 programs found that female residents were more likely to score in the 80th percentile or greater than male residents, while Asian residents and residents from groups underrepresented in medicine were less like than White residents to score that highly. Differences were also found among graduate medical education (GME) medical specialties.These results suggest that differences in characteristics of residents who receive exceptionally high GME ratings during time-sensitive training periods may affect their career path decision-making and future opportunities.

Corresponding Author: Jung G. Kim, PhD, Ronald O. Perelman Emergency Medicine Department, New York University Grossman School of Medicine, 227 E 30th St, First Floor, New York, NY 10016 (jung.kim3@nyulangone.org).

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