Skip to main content

Table 1 Educational environment, characteristics of the residents, and GM-ITE scores

From: Impact of general medicine rotation training on the in-training examination scores of 11, 244 Japanese resident physicians: a Nationwide multi-center cross-sectional study

Variables

All

GM department

yes

GM department

no

p-value*1

GM rotation

yes

GM rotation

no

GM rotation

no

Hospital information

 Location

  Urban area, n (%)

3013 (26.8)

1197 (26.8)

1283 (26.1)

533 (28.7)

0.9256

  Rural area, n (%)

8231 (73.2)

3267 (73.2)

3641 (73.9)

1323 (71.3)

 

 Hospital type

  Community hospital (incl. University branch hospital), n (%)

9990 (88.8)

4009 (89.8)

4150 (84.3)

1831 (98.7)

0.0056

  University hospital, n (%)

1254 (11.2)

455 (10.2)

774 (15.7)

25 (1.3)

 

Resident information

 Male, n (%)

7611 (67.7)

3075 (68.9)

3294 (66.9)

1242 (66.9)

0.1981

 Female, n (%)

3633 (32.3)

1389 (31.1)

1630 (33.1)

614 (33.1)

 

 Deviation value, mean ± SD

66.4 ± 2.2

66.3 ± 2.2

66.4 ± 2.2

66.6 ± 2.2

0.4448

 ED duties per month

  0 per month, n (%)

347 (3.1)

127 (2.8)

180 (3.7)

40 (2.2)

0.0163 *2

  1 to 2 per month, n (%)

1543 (13.7)

510 (11.4)

878 (17.9)

155 (8.4)

 

  3 to 5 per month, n (%)

7779 (69.3)

3098 (69.5)

3235 (65.8)

1446 (78)

 

  More than 6 per month, n (%)

1473 (13.1)

693 (15.5)

575 (11.7)

205 (11.1)

 

  Unknown

84 (0.7)

30 (0.7)

47 (1)

7 (0.4)

 

 Average number of inpatients in charge

  0 to 4, n (%)

1776 (15.9)

682 (15.3)

784 (16)

310 (16.8)

0.708 *2

  5 to 9, n (%)

6650 (59.4)

2622 (59)

2947 (60.1)

1081 (58.4)

 

  10 to 14, n (%)

1812 (16.2)

725 (16.3)

770 (15.7)

317 (17.1)

 

  More than 15, n (%)

615 (5.5)

310 (7)

245 (5)

60 (3.2)

 

  Unknown, n (%)

345 (3.1)

108 (2.4)

155 (3.2)

82 (4.4)

 

 UpToDate use

  No, n (%)

5683 (72.4)

1948 (64.4)

2688 (76.7)

1047 (79.6)

<.0001

  Yes, n (%)

2162 (27.6)

1077 (35.6)

816 (23.3)

269 (20.4)

 

 Study time

  None, n (%)

655 (5.9)

249 (5.6)

308 (6.3)

98 (5.3)

0.0536

  0 to 30 min, n (%)

4022 (36)

1567 (35.2)

1864 (38.1)

591 (32)

 

  31 to 60 min, n (%)

4457 (39.8)

1762 (39.6)

1875 (38.3)

820 (44.4)

 

  61 to 90 min, n (%)

1600 (14.3)

672 (15.1)

663 (13.6)

265 (14.3)

 

  More than 91 min, n (%)

451 (4)

198 (4.5)

180 (3.7)

73 (4)

 

 Year

  2016, n (%)

2748 (24.4)

1089 (24.4)

1219 (24.8)

440 (23.7)

0.1182

  2017, n (%)

3251 (28.9)

1380 (30.9)

1395 (28.3)

476 (25.6)

 

  2018, n (%)

5245 (46.6)

1995 (44.7)

2310 (46.9)

940 (50.6)

 

 GM-ITE score

  Total, mean ± SD

37.3 ± 11.9

38.1 ± 12.1

36.8 ± 11.7

36.5 ± 11.5

0.0038

  Medical interview and professionalism, mean ± SD

5.9 ± 5.4

6.1 ± 5.6

5.8 ± 5.3

5.7 ± 5.2

0.204

  Symptomatology and clinical reasoning, mean ± SD

10.6 ± 2.5

10.8 ± 2.6

10.4 ± 2.5

10.4 ± 2.4

0.0002

  Physical examination and procedure, mean ± SD

10.3 ± 2.5

10.5 ± 2.5

10.1 ± 2.5

10.1 ± 2.5

0.0006

  Subspecialties, mean ± SD

10.5 ± 4.2

10.8 ± 4.2

10.4 ± 4.2

10.2 ± 4.1

0.0069

  1. GM general medicine, GM-ITE general medicine in-training examination, SD standard deviation, ED emergency department
  2. *1 = p-values from generalized estimating equations of univariable logistic (binary data), proportional odds (multicategory data), or linear (continuous data) models with clustering hospitals. *2 = Excluding data in “Unknown” category