The authors evaluated the ability of a two-step admission process to predict clinical performance and patients' satisfaction on a third-year objective structured clinical examination (OSCE). Subjects were three matriculating classes (1993, 1994, 1995) at one medical school. Data for the classes were analyzed separately. Independent variables were the Academic Profile (AP), an initial ranking of applicants based on grade-point ratio and MCAT scores, and the Selection Profile (SeP), an average of three interview scores. Interviews were offered based on AP rank, and admission was offered based on SeP rank. Dependent variables were total score on the faculty-graded portion of the OSCE and patients' satisfaction scores completed by the OSCE standardized patients. The authors evaluated the correlations between AP and OSCE performance and between SeP and OSCE performance. The authors also compared the OSCE performances of students whose ranks changed after interviews (SeP rank < AP rank or SeP rank > AP rank). The level of significance was adjusted for the number of comparisons (Bonferroni method). Complete data were available for 91% of eligible students (n = 222). No class showed a significant correlation between either AP or SeP rankings and OSCE performance (p > .01). Likewise, there was no difference in OSCE performance for students whose ranks changed after the interview. The admission ranking and interview process at this medical school did not predict clinical performance or patients' satisfaction on this OSCE.

To identify when medical students gain physician role models relative to when they make their specialty choices. The 1998 graduating class of one medical school was surveyed about when and where they had made contact with their role models and whether they had made contact before or after making their specialty choices. Students also provided data about their demographics, curriculum pathways (problem-based or traditional), and specialty choices at matriculation and graduation. Of the 89 graduating seniors who responded (62%), 21 had role models they had known prior to matriculation, 51 had encountered their role models in medical school, and 51 had met their role models before making their specialty choices. Of the 51 students who had encountered their role models in medical school, 33 (65%) had done so before making their specialty choices. The mean time from matriculation to meeting a role model was 24.9 +/- 11.6 months, and students on the problem-based learning pathway had met their role models earlier than had students on the traditional pathway. Most medical students have physician role models at graduation, and many of these students identify their physician role models at a point when the interactions can influence their specialty choices.

OBJECTIVE: To assess whether underrepresented minority (URM) pediatricians serve minority and/or publicly insured or uninsured children to a greater degree than non-URM pediatricians, and to evaluate trends in these relationships.PARTICIPANTS AND METHODS: Respondents to American Academy of Pediatrics surveys in 1993, 2000, and 2007, provided their race/ethnicity, practice locations, and estimated race/ethnicity and insurance sources of their patient panels. We classified pediatricians by race/ethnicity as either URM (black, Hispanic, Hawaiian/Pacific Islander, or American Indian/Alaskan Native) or non-URM (white, non-Hispanic/Latino, Asian, or other). We compared the average percentages of minority individuals (excluding Asians) in the patient panels of URM and non-URM pediatricians, and compared the average percentages of publicly insured (includes TRICARE) or uninsured patients.RESULTS: Response rates were >50% for all surveys. There were 1003 (10.2% URM) postresidency respondents in 1993, 707 (11.8% URM) in 2000, and 900 (11.1% URM) in 2007. In all 3 surveys, the average percentage of minority children in URM pediatricians' patient panels was higher than for non-URM pediatricians by approximately 20 percentage points (all P < .001). The differences in the percentages of patients who were either publicly insured or uninsured widened over the study period, from 46% in URM pediatric practices versus 38.8% in non-URM practices in 1993 to 59.7% vs 40.7%, respectively, in 2007 (P < .001). In multivariable analyses, URM pediatricians' patient panels had a higher mean percentage of minorities (15.2 percentage points greater; 95% confidence interval [CI]: 12.1–18.4) and a higher mean percentage of publicly insured and uninsured patients (10.9 percentage points greater; 95% CI: 6.7–15.4) compared with non-URM pediatricians' patient panels.CONCLUSIONS: Over the last 14 years, URM pediatricians were more likely than their non-URM peers to care for minority children and publicly insured or uninsured patients. This relationship has not appeared to attenuate over time, and these data support ongoing and enhanced efforts to recruit qualified URMs into pediatric careers to meet the growing needs of the expanding minority child population.

Objective: No studies using national data have evaluated changes in nonfatal dog bite injuries among children, adolescents, and young adults during the past 2 decades. We examined estimates of annual nonfatal dog bite injuries among persons aged 0-19 treated in US emergency departments (EDs) from 2001 through 2017. Methods: We examined data from the Web-based Injury Statistics Query and Reporting System to compare estimates of the annual rates of nonfatal dog bite injuries in EDs among all persons aged 0-19, by age group (0-4, 5-9, 10-14, and 15-19), and by sex. We determined significance by comparing 95% confidence intervals (CIs), and we standardized rate calculations to the year 2000 population. Results: During 2001-2017, an estimated 2 406 109 (95% CI, 2 102 643-2 709 573) persons aged 0-19 were treated in EDs for nonfatal dog bite injuries (age-adjusted rate of 173.1 per 100 000 persons aged 0-19). The estimated number of nonfatal dog bite injuries declined significantly, from 181 090 (95% CI, 158 315-203 864) in 2001 to 118 800 (95% CI, 97 933-139 667) in 2017. The highest rate was among children aged 5-9. Male children, adolescents, and young adults were significantly more likely than female children, adolescents, and young adults to be treated in the ED for nonfatal dog bite injuries, driven by male–female differences in children and adolescents aged 5-14. Conclusions: Although the estimated number of nonfatal dog bite injuries among persons aged 0-19 declined significantly in the past 2 decades, additional regulatory and educational efforts specific to age and sex may lead to further reductions in nonfatal dog bite injuries.