Table 1.
Primary outcomes comparing home and away Standardized Letters of Evaluation. A negative difference translates to a more favorable score from the home rotation. Outcomes also stratified by degree type, self-identified gender, and whether the home rotation was the first rotation completed.
| n (%) | Average USMLE Step 1 Score | Average USMLE Step 2 CK Score | Change in CS7 (95% CI) | Change in CRS (95% CI) | Change in ERP (95% CI) | |
|---|---|---|---|---|---|---|
| Total | 721 | 229 | 245 | 0.04 (−0.18,0.27) | −0.04% (−2.1,2.0) | −6.9%* (−11.5,−2.4) |
| MD | 655 (90.8) | 229 | 245 | 0.16 (−0.07,0.39) | 1.0% (−1.2,3.2) | −5.8%* (−10.6,−1.1) |
| DO | 66 (9.2) | 228 | 240 | −1.1* (−1.9,−0.3) | −10.3%* (−16.5,−4.1) | −17.7%* (−33.6,−1.78) |
| Male | 449 (63.1) | 231 | 244 | 0.13 (−0.15,0.43) | 0.23% (−2.4,2.9) | −8.5%* (−15.2,−1.7) |
| Female | 272 (37.7) | 227 | 246 | −0.11 (−0.47,0.25) | −0.48% (−3.8,2.8) | −4.4% (−9.1,0.33) |
| Home First | 638 (88.5) | 229 | 245 | 0.17 (−0.08,0.41) | 1.1% (−1.14,3.32) | −5.4%* (−10.1,−0.62) |
| Away First | 83 (11.5) | 227 | 242 | −0.88* (−1.45,−0.30) | −8.7%* (−13.8,−3.7) | −19.0%* (−34.3,−3.63) |
*
P<.05
USMLE, United States Medical Licensing Examination; CK, clinical knowledge, CI, confidence interval; CS7, composite score of the seven “Qualifications for EM”; CRS, comparative rank score; ERP, estimated rank list placement; MD, doctor of allopathic medicine; DO, doctor of osteopathic medicine.