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Quality-of-care Indicator Linked to Where Physician Completed Obstetrical Residency
"Many physicians and nonphysicians likely assume that some residency programs tend to produce better physicians than otherseither because those residency programs train physicians better or because those residency programs can recruit more capable trainees. Although plausible, these intuitions have not been empirically tested," according to background information in the article. The authors add that this information could be useful in several ways, including indicating what makes certain programs better; and helpful to patients selecting a physician. "Some patients might already be preferentially seeking physicians who have graduated from programs they believe to be elite, but without the evidence to support their intuition."
David A. Asch, M.D., M.B.A., of the Philadelphia Veterans Affairs Medical Center and University of Pennsylvania, Philadelphia, and colleagues examined whether obstetrics and gynecology (OB) residency programs could be evaluated according to the risk-adjusted rates of maternal complications of the patients of the graduates of these programs. The study included data on Florida and New York obstetrical hospital discharges between 1992 and 2007, representing 4,906,169 deliveries performed by 4,124 obstetricians from 107 U.S. residency programs.
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