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. 2018 Sep 18;320(11):1195–1196. doi: 10.1001/jama.2018.9550

Table. Demographic Characteristics and Loss-of-License Incidence Rates Among Surgeon Recertification Groups (N = 15 500)a.

Characteristics On-Time Recertification
(n = 13 048)
Lapsed Recertification
(n = 1045)b
Not Recertified
(n = 1407)
Sex, No. (%)
Male 11 360 (87.1) 965 (92.3) 1235 (87.8)
Female 1688 (12.9) 80 (7.7) 172 (12.2)
Location of medical school, No. (%)
United States 10 992 (84.2) 698 (66.8) 904 (64.3)
International 2056 (15.8) 347 (33.2) 503 (35.7)
Qualifying examination attempt, No. (%)c
Initial 11 096 (85.0) 781 (74.7) 1033 (73.4)
>1 1796 (13.8) 199 (19.0) 282 (20.0)
Certifying examination attempt, No. (%)d
Initial 10 446 (80.0) 808 (77.3) 1037 (73.7)
>1 2582 (19.8) 237 (22.7) 369 (26.2)
Person-years at risk 196 356 18 027 29 531
No. of loss-of-license actions 188 46 47
Loss-of-license actions, incidence rate (95% CI) per 1000 person-years 0.96 (0.82-1.09) 2.55 (1.81-3.29) 1.59 (1.14-2.05)
a

P < .001 for all comparisons based on χ2 analysis.

b

Treated as a time-dependent variable. This group had 3 incidents per 3423 person-years at risk prior to recertifying that were added to the incidents and person-years at risk for the not recertified group.

c

There were 92 missing records for the number of qualifying examination attempts.

d

There was 1 missing record for the number of certifying examination attempts.